Chromosome karyotype study at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$10.42
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.
$38.00
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.
$4.18 with WCMG vs $98.86 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 | $4.18 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $13.30 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $15.58 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $19.17 | ↑ +84% |
| Kaiser | Commercial|All Plans | $20.52 | ↑ +97% |
| United | Medicaid|> 21 | $27.50 | ↑ +164% |
| United | Medicaid|< 21 | $27.50 | ↑ +164% |
| Healthsmart | Commercial|All Plans | $28.50 | ↑ +174% |
| First Health | Commercial|All Plans | $28.50 | ↑ +174% |
| Hill Physicians | Medicaid|All Plans | $30.25 | ↑ +190% |
| BCBS - Anthem | Commercial|Connection EPO | $30.40 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $30.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $31.54 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $31.56 | ↑ +203% |
| Humana | Commercial|All Plans | $33.47 | ↑ +221% |
| Humana | Medicare|All Plans | $33.47 | ↑ +221% |
| Aetna | Medicare|All Plans | $33.47 | ↑ +221% |
| Molina | Medicare|All Plans | $33.47 | ↑ +221% |
| United | Medicare|All Plans | $33.47 | ↑ +221% |
| Kaiser | Medicare|All Plans | $33.47 | ↑ +221% |
| Blue Shield CA | Medicare|HMO | $33.47 | ↑ +221% |
| Blue Shield CA | Medicare|PPO | $33.47 | ↑ +221% |
| Hill Physicians | Commercial|All Plans | $33.47 | ↑ +221% |
| BCBS - Anthem | Medicare|Imperial | $34.47 | ↑ +231% |
| Molina | Medicaid|All Plans | $36.04 | ↑ +246% |
| BrightHealth | Commercial|All Plans | $36.82 | ↑ +253% |
| BCBS - Anthem | Commercial|MCS | $38.00 | ↑ +265% |
| United | Commercial|HMO | $38.00 | ↑ +265% |
| Aetna | Commercial|PPO | $38.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $38.00 | ↑ +265% |
| United | Commercial|All Other Plans | $38.00 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $38.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $38.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $38.00 | ↑ +265% |
| United | Commercial|Options PPO | $38.00 | ↑ +265% |
| Aetna | Commercial|HMO | $38.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $38.00 | ↑ +265% |
| BlueShield | Medicare|Trauma | $41.84 | ↑ +302% |
| Prison Healthcare | Medicaid|All Plans | $50.20 | ↑ +382% |
| Cigna | Commercial|LocalPlus | $74.14 | ↑ +612% |
| Cigna | Commercial|All Other Plans | $98.86 | ↑ +849% |
Visitor-reported prices
Comments
Chromosome karyotype study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $16.65 | $10.26 – $88.82 |
| Arroyo Grande Hospital | Santa Maria | $16.27 | $12.50 – $86.26 |
| Mark Twain Medical Center | San Andreas | $23.31 | $18.95 – $34.30 |
| French Hospital | San Luis Obispo | $14.90 | $6.75 – $101.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18.09 | $17.50 – $96.20 |
| Bakersfield Memorial Hospital | Bakersfield | $17.90 | $17.50 – $96.20 |
| St. Joseph's Behavioral Health Center | Stockton | $21.70 | $3.80 – $30.40 |
| St. Joseph's Medical Center Stockton | Stockton | $14.34 | $7.35 – $35.00 |