Cell function assay w/stim at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$52.39
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$191.19
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$15.49 with WCMG vs $401.19 with Cigna — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| WCMG | Commercial|All Plans | $15.49 | ↓ -70% |
| Blue Shield CA | Commercial|ACO Trio | $43.65 | ↓ -17% |
| Western Health Advantage | Commercial|All Plans | $49.28 | ↓ -6% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $56.32 | ↑ +8% |
| Kaiser | Medicaid|All Plans | $57.73 | ↑ +10% |
| Blue Shield CA | Commercial|Exchange | $59.14 | ↑ +13% |
| Kaiser | Commercial|All Plans | $76.04 | ↑ +45% |
| Blue Shield CA | Commercial|PPO Tandem | $77.44 | ↑ +48% |
| Blue Shield CA | Commercial|HMO | $83.08 | ↑ +59% |
| Blue Shield CA | Commercial|CalPers | $87.30 | ↑ +67% |
| Blue Shield CA | Commercial|PPO | $92.93 | ↑ +77% |
| Healthsmart | Commercial|All Plans | $105.60 | ↑ +102% |
| First Health | Commercial|All Plans | $105.60 | ↑ +102% |
| BCBS - Anthem | Commercial|Connection EPO | $112.64 | ↑ +115% |
| Sutter Health | Commercial|All Plans | $112.64 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $116.87 | ↑ +123% |
| BCBS - Anthem | Medicare|All Other Plans | $128.12 | ↑ +145% |
| Blue Shield CA | Medicare|HMO | $135.86 | ↑ +159% |
| Humana | Medicare|All Plans | $135.86 | ↑ +159% |
| United | Medicare|All Plans | $135.86 | ↑ +159% |
| Aetna | Medicare|All Plans | $135.86 | ↑ +159% |
| Hill Physicians | Commercial|All Plans | $135.86 | ↑ +159% |
| Blue Shield CA | Medicare|PPO | $135.86 | ↑ +159% |
| Kaiser | Medicare|All Plans | $135.86 | ↑ +159% |
| Humana | Commercial|All Plans | $135.86 | ↑ +159% |
| Molina | Medicare|All Plans | $135.86 | ↑ +159% |
| BCBS - Anthem | Medicare|Imperial | $139.94 | ↑ +167% |
| BCBS - Anthem | Commercial|All Other Plans | $140.80 | ↑ +169% |
| Aetna | Commercial|All Other Plans | $140.80 | ↑ +169% |
| Aetna | Commercial|PPO | $140.80 | ↑ +169% |
| Aetna | Commercial|HMO | $140.80 | ↑ +169% |
| United | Commercial|All Other Plans | $140.80 | ↑ +169% |
| United | Commercial|HMO | $140.80 | ↑ +169% |
| United | Commercial|Options PPO | $140.80 | ↑ +169% |
| United | Commercial|Non-Options PPO | $140.80 | ↑ +169% |
| BCBS - Anthem | Commercial|MCS | $140.80 | ↑ +169% |
| BrightHealth | Commercial|All Plans | $149.45 | ↑ +185% |
| BlueShield | Medicare|Trauma | $169.83 | ↑ +224% |
| Prison Healthcare | Medicaid|All Plans | $203.79 | ↑ +289% |
| Cigna | Commercial|LocalPlus | $300.87 | ↑ +474% |
| Cigna | Commercial|All Other Plans | $401.19 | ↑ +666% |
Visitor-reported prices
Comments
Cell function assay w/stim at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $90.45 | $27.17 – $137.74 |
| Arroyo Grande Hospital | Santa Maria | $136.37 | $12.87 – $350.06 |
| Mark Twain Medical Center | San Andreas | $53.85 | $13.94 – $25.74 |
| French Hospital | San Luis Obispo | $124.90 | $6.95 – $411.52 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $145.00 | $42.05 – $80.85 |
| Dominican Hospital | Santa Cruz | $63.36 | $64.77 – $1,216.56 |
| Northridge Hospital Medical Center | Northridge | $39.29 | $19.72 – $247.71 |
| Sierra Nevada Memorial Hospital | Grass Valley | $104.20 | $94.34 – $137.99 |