Chromatography at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4.94
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.
$18.00
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.
$1.70 with WCMG vs $53.33 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 | $1.70 | ↓ -66% |
| Blue Shield CA | Commercial|ACO Trio | $4.78 | ↓ -3% |
| Western Health Advantage | Commercial|All Plans | $5.39 | ↑ +9% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6.16 | ↑ +25% |
| Kaiser | Medicaid|All Plans | $6.32 | ↑ +28% |
| Blue Shield CA | Commercial|Exchange | $6.47 | ↑ +31% |
| Kaiser | Commercial|All Plans | $8.32 | ↑ +68% |
| Blue Shield CA | Commercial|PPO Tandem | $8.47 | ↑ +71% |
| Blue Shield CA | Commercial|HMO | $9.09 | ↑ +84% |
| Blue Shield CA | Commercial|CalPers | $9.55 | ↑ +93% |
| Blue Shield CA | Commercial|PPO | $10.17 | ↑ +106% |
| First Health | Commercial|All Plans | $11.55 | ↑ +134% |
| Healthsmart | Commercial|All Plans | $11.55 | ↑ +134% |
| Sutter Health | Commercial|All Plans | $12.32 | ↑ +149% |
| BCBS - Anthem | Commercial|Connection EPO | $12.32 | ↑ +149% |
| MultiPlan | Commercial|All Plans | $12.79 | ↑ +159% |
| BCBS - Anthem | Medicare|All Other Plans | $14.53 | ↑ +194% |
| BCBS - Anthem | Commercial|All Other Plans | $15.40 | ↑ +212% |
| BCBS - Anthem | Medicaid|All Plans | $15.40 | ↑ +212% |
| BCBS - Anthem | Commercial|MCS | $15.40 | ↑ +212% |
| Blue Shield CA | Medicare|HMO | $15.40 | ↑ +212% |
| Blue Shield CA | Medicare|PPO | $15.40 | ↑ +212% |
| Partnership Health Plan | Medicaid|All Plans | $15.40 | ↑ +212% |
| Hill Physicians | Commercial|All Plans | $15.40 | ↑ +212% |
| Humana | Medicare|All Plans | $15.40 | ↑ +212% |
| Aetna | Commercial|All Other Plans | $15.40 | ↑ +212% |
| Aetna | Commercial|PPO | $15.40 | ↑ +212% |
| Aetna | Medicare|All Plans | $15.40 | ↑ +212% |
| Aetna | Commercial|HMO | $15.40 | ↑ +212% |
| Molina | Medicaid|All Plans | $15.40 | ↑ +212% |
| Molina | Medicare|All Plans | $15.40 | ↑ +212% |
| United | Commercial|All Other Plans | $15.40 | ↑ +212% |
| United | Medicare|All Plans | $15.40 | ↑ +212% |
| United | Commercial|HMO | $15.40 | ↑ +212% |
| United | Commercial|Options PPO | $15.40 | ↑ +212% |
| United | Commercial|Non-Options PPO | $15.40 | ↑ +212% |
| United | Medicaid|< 21 | $15.40 | ↑ +212% |
| United | Medicaid|> 21 | $15.40 | ↑ +212% |
| Health Net | Medicaid|All Plans | $15.40 | ↑ +212% |
| Kaiser | Medicare|All Plans | $15.40 | ↑ +212% |
| California Health & Wellness | Medicaid|All Plans | $15.40 | ↑ +212% |
| Humana | Commercial|All Plans | $15.40 | ↑ +212% |
| Hill Physicians | Medicaid|All Plans | $15.40 | ↑ +212% |
| BCBS - Anthem | Medicare|Imperial | $15.87 | ↑ +221% |
| BrightHealth | Commercial|All Plans | $16.94 | ↑ +243% |
| BlueShield | Medicare|Trauma | $19.25 | ↑ +290% |
| Prison Healthcare | Medicaid|All Plans | $23.10 | ↑ +368% |
| Cigna | Commercial|LocalPlus | $40.00 | ↑ +710% |
| Cigna | Commercial|All Other Plans | $53.33 | ↑ +980% |
Visitor-reported prices
Comments
Chromatography at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11.10 | $4.86 – $47.92 |
| Banner Lassen Medical Center | Susanville | $13.77 | $3.61 – $25.41 |
| Petaluma Valley Hospital | Petaluma | $4.75 | $17.70 – $146.79 |
| Arroyo Grande Hospital | Santa Maria | $10.85 | $9.00 – $46.54 |
| Mark Twain Medical Center | San Andreas | $111.89 | $9.75 – $18.00 |
| French Hospital | San Luis Obispo | $9.94 | $4.86 – $54.71 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9.41 | $7.98 – $51.90 |
| Bakersfield Memorial Hospital | Bakersfield | $9.30 | $7.98 – $51.90 |