Collection of venous blood by venipuncture at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$14.80
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.
$54.00
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.
$3.60 with United vs $21,879.00 with Blue Shield CA — 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $3.60 | ↓ -76% |
| United | Commercial|HMO | $3.60 | ↓ -76% |
| United | Commercial|Options PPO | $3.60 | ↓ -76% |
| United | Commercial|Non-Options PPO | $3.60 | ↓ -76% |
| WCMG | Commercial|All Plans | $5.94 | ↓ -60% |
| Cigna | Commercial|LocalPlus | $6.64 | ↓ -55% |
| BCBS - Anthem | Medicare|All Other Plans | $8.57 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $8.86 | ↓ -40% |
| Humana | Commercial|All Plans | $9.09 | ↓ -39% |
| Humana | Medicare|All Plans | $9.09 | ↓ -39% |
| Aetna | Medicare|All Plans | $9.09 | ↓ -39% |
| Molina | Medicare|All Plans | $9.09 | ↓ -39% |
| United | Medicare|All Plans | $9.09 | ↓ -39% |
| Kaiser | Medicare|All Plans | $9.09 | ↓ -39% |
| Blue Shield CA | Medicare|HMO | $9.09 | ↓ -39% |
| Blue Shield CA | Medicare|PPO | $9.09 | ↓ -39% |
| Hill Physicians | Commercial|All Plans | $9.09 | ↓ -39% |
| BCBS - Anthem | Medicare|Imperial | $9.36 | ↓ -37% |
| BrightHealth | Commercial|All Plans | $10.00 | ↓ -32% |
| BlueShield | Medicare|Trauma | $11.36 | ↓ -23% |
| Prison Healthcare | Medicaid|All Plans | $13.63 | ↓ -8% |
| Western Health Advantage | Commercial|All Plans | $18.90 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $22.14 | ↑ +50% |
| Kaiser | Commercial|All Plans | $29.16 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $40.50 | ↑ +174% |
| First Health | Commercial|All Plans | $40.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $43.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $44.82 | ↑ +203% |
| Blue Shield CA | Commercial|ACO Trio | $10,207.00 | ↑ +68866% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $13,013.00 | ↑ +87826% |
| Blue Shield CA | Commercial|Exchange | $14,112.00 | ↑ +95251% |
| Blue Shield CA | Commercial|PPO Tandem | $18,197.00 | ↑ +122853% |
| Blue Shield CA | Commercial|HMO | $19,296.00 | ↑ +130278% |
| Blue Shield CA | Commercial|CalPers | $20,315.00 | ↑ +137164% |
| Blue Shield CA | Commercial|PPO | $21,879.00 | ↑ +147731% |
Visitor-reported prices
Comments
Collection of venous blood by venipuncture at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $42.05 | $3.24 – $17.14 |
| Banner Lassen Medical Center | Susanville | $23.53 | $1.82 – $32.98 |
| Petaluma Valley Hospital | Petaluma | $44.37 | $6.00 – $16.71 |
| Arroyo Grande Hospital | Santa Maria | $39.38 | $3.00 – $9.00 |
| Mark Twain Medical Center | San Andreas | $75.93 | $4.88 – $9.00 |
| French Hospital | San Luis Obispo | $36.07 | $2.43 – $9.09 |
| Mercy Hospitals – Bakersfield | Bakersfield | $39.70 | $3.60 – $44.00 |
| Bakersfield Memorial Hospital | Bakersfield | $40.01 | $3.60 – $39.50 |