Cold agglutinin screen (arc) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$19.18
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.
$70.00
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.
$4.84 with WCMG vs $44.00 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 | $4.84 | ↓ -75% |
| Partnership Health Plan | Medicaid|All Plans | $6.46 | ↓ -66% |
| BCBS - Anthem | Medicare|All Other Plans | $7.61 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $8.07 | ↓ -58% |
| Aetna | Medicare|All Plans | $8.07 | ↓ -58% |
| Blue Shield CA | Medicare|PPO | $8.07 | ↓ -58% |
| Blue Shield CA | Medicare|HMO | $8.07 | ↓ -58% |
| Kaiser | Medicare|All Plans | $8.07 | ↓ -58% |
| Molina | Medicare|All Plans | $8.07 | ↓ -58% |
| Humana | Medicare|All Plans | $8.07 | ↓ -58% |
| Humana | Commercial|All Plans | $8.07 | ↓ -58% |
| United | Medicare|All Plans | $8.07 | ↓ -58% |
| BCBS - Anthem | Medicare|Imperial | $8.31 | ↓ -57% |
| BrightHealth | Commercial|All Plans | $8.88 | ↓ -54% |
| United | Medicaid|< 21 | $9.27 | ↓ -52% |
| United | Medicaid|> 21 | $9.27 | ↓ -52% |
| United | Commercial|Options PPO | $9.68 | ↓ -50% |
| United | Commercial|All Other Plans | $9.68 | ↓ -50% |
| United | Commercial|HMO | $9.68 | ↓ -50% |
| United | Commercial|Non-Options PPO | $9.68 | ↓ -50% |
| BlueShield | Medicare|Trauma | $10.09 | ↓ -47% |
| Hill Physicians | Medicaid|All Plans | $10.20 | ↓ -47% |
| Prison Healthcare | Medicaid|All Plans | $12.11 | ↓ -37% |
| Molina | Medicaid|All Plans | $12.14 | ↓ -37% |
| Blue Shield CA | Commercial|ACO Trio | $13.64 | ↓ -29% |
| Western Health Advantage | Commercial|All Plans | $15.40 | ↓ -20% |
| BCBS - Anthem | Medicaid|All Plans | $16.25 | ↓ -15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $17.60 | ↓ -8% |
| Cigna | Commercial|LocalPlus | $17.89 | ↓ -7% |
| Kaiser | Medicaid|All Plans | $18.04 | ↓ -6% |
| Blue Shield CA | Commercial|Exchange | $18.48 | ↓ -4% |
| Health Net | Medicaid|All Plans | $21.23 | ↑ +11% |
| California Health & Wellness | Medicaid|All Plans | $21.23 | ↑ +11% |
| Kaiser | Commercial|All Plans | $23.76 | ↑ +24% |
| Cigna | Commercial|All Other Plans | $23.85 | ↑ +24% |
| Blue Shield CA | Commercial|PPO Tandem | $24.20 | ↑ +26% |
| Aetna | Commercial|All Other Plans | $25.26 | ↑ +32% |
| Aetna | Commercial|HMO | $25.26 | ↑ +32% |
| Aetna | Commercial|PPO | $25.26 | ↑ +32% |
| Blue Shield CA | Commercial|HMO | $25.96 | ↑ +35% |
| Blue Shield CA | Commercial|CalPers | $27.28 | ↑ +42% |
| Blue Shield CA | Commercial|PPO | $29.04 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $33.00 | ↑ +72% |
| First Health | Commercial|All Plans | $33.00 | ↑ +72% |
| Sutter Health | Commercial|All Plans | $35.20 | ↑ +84% |
| BCBS - Anthem | Commercial|Connection EPO | $35.20 | ↑ +84% |
| MultiPlan | Commercial|All Plans | $36.52 | ↑ +90% |
| BCBS - Anthem | Commercial|MCS | $44.00 | ↑ +129% |
| BCBS - Anthem | Commercial|All Other Plans | $44.00 | ↑ +129% |
Visitor-reported prices
Comments
Cold agglutinin screen (arc) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $59.24 | $1.61 – $20.37 |
| Arroyo Grande Hospital | Santa Maria | $9.21 | $8.07 – $21.07 |
| French Hospital | San Luis Obispo | $8.43 | $5.81 – $24.47 |
| Sierra Nevada Memorial Hospital | Grass Valley | $311.74 | $8.07 – $68.60 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $10.71 | $8.07 – $17.88 |
| California Hospital Medical Center | Los Angeles | $41.23 | $8.07 – $67.15 |
| St. Mary Medical Center | Long Beach | $30.10 | $5.13 – $46.35 |
| Providence Saint Joseph Medical Center | Burbank | $10.71 | $8.07 – $39.22 |