Coombs indirect qualitative each reagent red cell reference at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$100.29
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.
$366.00
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.
$5.09 with Partnership Health Plan vs $337.77 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $5.09 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $5.72 | ↓ -94% |
| United | Commercial|HMO | $6.86 | ↓ -93% |
| United | Commercial|Non-Options PPO | $6.86 | ↓ -93% |
| United | Commercial|Options PPO | $6.86 | ↓ -93% |
| United | Commercial|All Other Plans | $6.86 | ↓ -93% |
| United | Medicaid|< 21 | $7.30 | ↓ -93% |
| United | Medicaid|> 21 | $7.30 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $8.03 | ↓ -92% |
| Molina | Medicaid|All Plans | $9.57 | ↓ -90% |
| Cigna | Commercial|LocalPlus | $12.67 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $13.81 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $16.72 | ↓ -83% |
| Health Net | Medicaid|All Plans | $16.72 | ↓ -83% |
| Cigna | Commercial|All Other Plans | $16.90 | ↓ -83% |
| Aetna | Commercial|All Other Plans | $21.58 | ↓ -78% |
| Aetna | Commercial|HMO | $21.58 | ↓ -78% |
| Aetna | Commercial|PPO | $21.58 | ↓ -78% |
| WCMG | Commercial|All Plans | $40.26 | ↓ -60% |
| BCBS - Anthem | Commercial|Connection EPO | $100.81 | ↑ +1% |
| Blue Shield CA | Commercial|ACO Trio | $113.46 | ↑ +13% |
| BCBS - Anthem | Commercial|All Other Plans | $125.97 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $128.10 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $146.40 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $150.06 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $153.72 | ↑ +53% |
| BCBS - Anthem | Commercial|MCS | $176.38 | ↑ +76% |
| Kaiser | Commercial|All Plans | $197.64 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $201.30 | ↑ +101% |
| BCBS - Anthem | Medicare|All Other Plans | $212.34 | ↑ +112% |
| Blue Shield CA | Commercial|HMO | $215.94 | ↑ +115% |
| United | Medicare|All Plans | $225.18 | ↑ +125% |
| Humana | Medicare|All Plans | $225.18 | ↑ +125% |
| Aetna | Medicare|All Plans | $225.18 | ↑ +125% |
| Molina | Medicare|All Plans | $225.18 | ↑ +125% |
| Humana | Commercial|All Plans | $225.18 | ↑ +125% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +125% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +125% |
| Blue Shield CA | Medicare|PPO | $225.18 | ↑ +125% |
| Blue Shield CA | Commercial|CalPers | $226.92 | ↑ +126% |
| BCBS - Anthem | Medicare|Imperial | $231.94 | ↑ +131% |
| Blue Shield CA | Commercial|PPO | $241.56 | ↑ +141% |
| BrightHealth | Commercial|All Plans | $247.70 | ↑ +147% |
| Healthsmart | Commercial|All Plans | $274.50 | ↑ +174% |
| First Health | Commercial|All Plans | $274.50 | ↑ +174% |
| BlueShield | Medicare|Trauma | $281.48 | ↑ +181% |
| Sutter Health | Commercial|All Plans | $292.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $303.78 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +237% |
Visitor-reported prices
Comments
Coombs indirect qualitative each reagent red cell reference at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $87.72 | $11.44 – $229.59 |
| Queen of The Valley Medical Center | Napa | $87.72 | $11.44 – $59.03 |
| Providence St Joseph Hospital Eureka | Eureka | $87.72 | $11.44 – $219.12 |
| Redwood Memorial Hospital | Fortuna | $166.26 | $67.10 – $67.10 |
| Santa Rosa Memorial Hospital | Santa Rosa | $87.72 | $11.44 – $237.06 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $73.53 | $5.09 – $92.61 |
| Dominican Hospital | Santa Cruz | $244.80 | $6.86 – $736.86 |
| Northridge Hospital Medical Center | Northridge | $184.14 | $6.86 – $660.00 |