Collection blood specimen using established central/peripheral catheter venous nos at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$137.00
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.
$500.00
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.
$33.09 with Hill Physicians vs $5,805.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $33.09 | ↓ -76% |
| WCMG | Commercial|All Plans | $55.00 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↑ +17% |
| Molina | Medicare|All Plans | $169.39 | ↑ +24% |
| Humana | Commercial|All Plans | $169.39 | ↑ +24% |
| Humana | Medicare|All Plans | $169.39 | ↑ +24% |
| Aetna | Medicare|All Plans | $169.39 | ↑ +24% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↑ +24% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↑ +24% |
| Kaiser | Medicare|All Plans | $169.39 | ↑ +24% |
| United | Medicare|All Plans | $169.39 | ↑ +24% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $175.00 | ↑ +28% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +36% |
| Kaiser | Medicaid|All Plans | $205.00 | ↑ +50% |
| BlueShield | Medicare|Trauma | $211.74 | ↑ +55% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +85% |
| Kaiser | Commercial|All Plans | $270.00 | ↑ +97% |
| First Health | Commercial|All Plans | $375.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $375.00 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $400.00 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $400.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $415.00 | ↑ +203% |
| United | Commercial|HMO | $500.00 | ↑ +265% |
| United | Commercial|All Other Plans | $500.00 | ↑ +265% |
| United | Commercial|Options PPO | $500.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $500.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $500.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $500.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +2236% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +4137% |
Visitor-reported prices
Comments
Collection blood specimen using established central/peripheral catheter venous nos at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $217.78 | $25.78 – $302.64 |
| Petaluma Valley Hospital | Petaluma | $235.11 | $179.30 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $113.42 | $132.50 – $244.02 |
| Mark Twain Medical Center | San Andreas | $169.17 | $65.71 – $248.92 |
| French Hospital | San Luis Obispo | $103.88 | $71.55 – $259.70 |
| Mercy Hospitals – Bakersfield | Bakersfield | $89.04 | $64.80 – $192.00 |
| Bakersfield Memorial Hospital | Bakersfield | $92.49 | $64.80 – $189.60 |
| Queen of The Valley Medical Center | Napa | $661.98 | $188.91 – $2,747.00 |