Clot factor xiii fibrin scrn at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$8.08
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.
$29.48
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.
$3.25 with WCMG vs $29.48 with BCBS - Anthem — 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 | $3.25 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $7.91 | ↓ -2% |
| BCBS - Anthem | Medicare|All Other Plans | $8.59 | ↑ +6% |
| Hill Physicians | Commercial|All Plans | $9.11 | ↑ +13% |
| Aetna | Medicare|All Plans | $9.11 | ↑ +13% |
| Kaiser | Medicare|All Plans | $9.11 | ↑ +13% |
| Humana | Medicare|All Plans | $9.11 | ↑ +13% |
| Humana | Commercial|All Plans | $9.11 | ↑ +13% |
| Blue Shield CA | Medicare|PPO | $9.11 | ↑ +13% |
| Molina | Medicare|All Plans | $9.11 | ↑ +13% |
| United | Medicare|All Plans | $9.11 | ↑ +13% |
| Blue Shield CA | Medicare|HMO | $9.11 | ↑ +13% |
| Blue Shield CA | Commercial|ACO Trio | $9.14 | ↑ +13% |
| BCBS - Anthem | Medicare|Imperial | $9.38 | ↑ +16% |
| BrightHealth | Commercial|All Plans | $10.02 | ↑ +24% |
| Western Health Advantage | Commercial|All Plans | $10.32 | ↑ +28% |
| United | Commercial|All Other Plans | $10.93 | ↑ +35% |
| United | Commercial|HMO | $10.93 | ↑ +35% |
| United | Commercial|Options PPO | $10.93 | ↑ +35% |
| United | Commercial|Non-Options PPO | $10.93 | ↑ +35% |
| United | Medicaid|> 21 | $11.35 | ↑ +40% |
| United | Medicaid|< 21 | $11.35 | ↑ +40% |
| BlueShield | Medicare|Trauma | $11.39 | ↑ +41% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11.80 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $12.09 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $12.39 | ↑ +53% |
| Hill Physicians | Medicaid|All Plans | $12.49 | ↑ +55% |
| Prison Healthcare | Medicaid|All Plans | $13.66 | ↑ +69% |
| Molina | Medicaid|All Plans | $14.87 | ↑ +84% |
| Kaiser | Commercial|All Plans | $15.92 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $16.22 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $17.40 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $18.28 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $19.46 | ↑ +141% |
| Cigna | Commercial|LocalPlus | $20.17 | ↑ +150% |
| Healthsmart | Commercial|All Plans | $22.11 | ↑ +174% |
| First Health | Commercial|All Plans | $22.11 | ↑ +174% |
| BCBS - Anthem | Medicaid|All Plans | $22.14 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $23.59 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $23.59 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $24.47 | ↑ +203% |
| California Health & Wellness | Medicaid|All Plans | $25.99 | ↑ +222% |
| Health Net | Medicaid|All Plans | $25.99 | ↑ +222% |
| Cigna | Commercial|All Other Plans | $26.89 | ↑ +233% |
| Aetna | Commercial|PPO | $29.48 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $29.48 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $29.48 | ↑ +265% |
| Aetna | Commercial|HMO | $29.48 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $29.48 | ↑ +265% |
Visitor-reported prices
Comments
Clot factor xiii fibrin scrn at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $12.92 | $7.96 – $24.17 |
| Banner Lassen Medical Center | Susanville | $49.47 | $1.82 – $80.51 |
| Arroyo Grande Hospital | Santa Maria | $51.13 | $9.11 – $28.90 |
| French Hospital | San Luis Obispo | $46.83 | $7.96 – $28.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $10.94 | $9.11 – $27.35 |
| Bakersfield Memorial Hospital | Bakersfield | $10.82 | $9.11 – $26.17 |
| St. Joseph's Behavioral Health Center | Stockton | $16.84 | $2.95 – $23.59 |
| St. Joseph's Medical Center Stockton | Stockton | $8.67 | $6.20 – $28.03 |