Consultation pathology during surgery cytological exam initial site at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$322.23
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.
$1,176.00
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.
$34.96 with Hill Physicians vs $1,610.23 with Prison Healthcare — 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 | $34.96 | ↓ -89% |
| Cigna | Commercial|LocalPlus | $72.81 | ↓ -77% |
| United | Medicaid|< 21 | $79.42 | ↓ -75% |
| Partnership Health Plan | Medicaid|All Plans | $79.42 | ↓ -75% |
| United | Medicaid|> 21 | $79.42 | ↓ -75% |
| Hill Physicians | Medicaid|All Plans | $87.36 | ↓ -73% |
| Cigna | Commercial|All Other Plans | $97.08 | ↓ -70% |
| Aetna | Commercial|HMO | $100.52 | ↓ -69% |
| Aetna | Commercial|All Other Plans | $100.52 | ↓ -69% |
| Aetna | Commercial|PPO | $100.52 | ↓ -69% |
| WCMG | Commercial|All Plans | $129.36 | ↓ -60% |
| Molina | Medicaid|All Plans | $149.31 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $150.90 | ↓ -53% |
| California Health & Wellness | Medicaid|All Plans | $181.87 | ↓ -44% |
| Health Net | Medicaid|All Plans | $181.87 | ↓ -44% |
| BCBS - Anthem | Commercial|Connection EPO | $289.15 | ↓ -10% |
| BCBS - Anthem | Commercial|All Other Plans | $361.31 | ↑ +12% |
| Western Health Advantage | Commercial|All Plans | $411.60 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $482.16 | ↑ +50% |
| BCBS - Anthem | Commercial|MCS | $505.89 | ↑ +57% |
| Kaiser | Commercial|All Plans | $635.04 | ↑ +97% |
| United | Commercial|Non-Options PPO | $787.38 | ↑ +144% |
| United | Commercial|All Other Plans | $787.38 | ↑ +144% |
| United | Commercial|HMO | $787.38 | ↑ +144% |
| United | Commercial|Options PPO | $787.38 | ↑ +144% |
| Healthsmart | Commercial|All Plans | $882.00 | ↑ +174% |
| First Health | Commercial|All Plans | $882.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $940.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $976.08 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $1,012.30 | ↑ +214% |
| Blue Shield CA | Medicare|PPO | $1,073.49 | ↑ +233% |
| Humana | Medicare|All Plans | $1,073.49 | ↑ +233% |
| Aetna | Medicare|All Plans | $1,073.49 | ↑ +233% |
| Molina | Medicare|All Plans | $1,073.49 | ↑ +233% |
| United | Medicare|All Plans | $1,073.49 | ↑ +233% |
| Kaiser | Medicare|All Plans | $1,073.49 | ↑ +233% |
| Blue Shield CA | Medicare|HMO | $1,073.49 | ↑ +233% |
| Humana | Commercial|All Plans | $1,073.49 | ↑ +233% |
| BCBS - Anthem | Medicare|Imperial | $1,105.69 | ↑ +243% |
| BrightHealth | Commercial|All Plans | $1,180.84 | ↑ +266% |
| BlueShield | Medicare|Trauma | $1,341.86 | ↑ +316% |
| Prison Healthcare | Medicaid|All Plans | $1,610.23 | ↑ +400% |
Visitor-reported prices
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Consultation pathology during surgery cytological exam initial site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $351.28 | $87.23 – $1,604.00 |
| Petaluma Valley Hospital | Petaluma | $1,900.26 | $133.99 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $3,134.25 | $79.42 – $2,511.74 |
| Mark Twain Medical Center | San Andreas | $26.64 | $8.56 – $33.06 |
| French Hospital | San Luis Obispo | $2,870.62 | $79.42 – $2,511.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $319.44 | $22.59 – $94.48 |
| Bakersfield Memorial Hospital | Bakersfield | $315.99 | $22.59 – $94.48 |
| Queen of The Valley Medical Center | Napa | $1,407.60 | $169.32 – $1,256.40 |