Crystal identification light microscopy at Mercy San Juan Medical Center

6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$48.23

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$176.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.36 with Partnership Health Plan vs $176.00 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 →

Payer
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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
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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 $6.36 ↓ -87%
BCBS - Anthem Medicare|All Other Plans $6.91 ↓ -86%
Humana Commercial|All Plans $7.33 ↓ -85%
Hill Physicians Commercial|All Plans $7.33 ↓ -85%
Aetna Medicare|All Plans $7.33 ↓ -85%
Blue Shield CA Medicare|PPO $7.33 ↓ -85%
Blue Shield CA Medicare|HMO $7.33 ↓ -85%
Kaiser Medicare|All Plans $7.33 ↓ -85%
Humana Medicare|All Plans $7.33 ↓ -85%
Molina Medicare|All Plans $7.33 ↓ -85%
United Medicare|All Plans $7.33 ↓ -85%
BCBS - Anthem Medicare|Imperial $7.55 ↓ -84%
BrightHealth Commercial|All Plans $8.06 ↓ -83%
United Commercial|Options PPO $8.80 ↓ -82%
United Commercial|Non-Options PPO $8.80 ↓ -82%
United Commercial|All Other Plans $8.80 ↓ -82%
United Commercial|HMO $8.80 ↓ -82%
United Medicaid|< 21 $9.12 ↓ -81%
United Medicaid|> 21 $9.12 ↓ -81%
BlueShield Medicare|Trauma $9.16 ↓ -81%
Hill Physicians Medicaid|All Plans $10.03 ↓ -79%
Prison Healthcare Medicaid|All Plans $10.99 ↓ -77%
Molina Medicaid|All Plans $11.96 ↓ -75%
Cigna Commercial|LocalPlus $16.22 ↓ -66%
BCBS - Anthem Medicaid|All Plans $18.75 ↓ -61%
WCMG Commercial|All Plans $19.36 ↓ -60%
Health Net Medicaid|All Plans $20.88 ↓ -57%
California Health & Wellness Medicaid|All Plans $20.88 ↓ -57%
Cigna Commercial|All Other Plans $21.62 ↓ -55%
Aetna Commercial|HMO $26.94 ↓ -44%
Aetna Commercial|All Other Plans $26.94 ↓ -44%
Aetna Commercial|PPO $26.94 ↓ -44%
Blue Shield CA Commercial|ACO Trio $54.56 ↑ +13%
Western Health Advantage Commercial|All Plans $61.60 ↑ +28%
Blue Shield CA Commercial|ACO Trio CalPers $70.40 ↑ +46%
Kaiser Medicaid|All Plans $72.16 ↑ +50%
Blue Shield CA Commercial|Exchange $73.92 ↑ +53%
Kaiser Commercial|All Plans $95.04 ↑ +97%
Blue Shield CA Commercial|PPO Tandem $96.80 ↑ +101%
Blue Shield CA Commercial|HMO $103.84 ↑ +115%
Blue Shield CA Commercial|CalPers $109.12 ↑ +126%
Blue Shield CA Commercial|PPO $116.16 ↑ +141%
BCBS - Anthem Commercial|Connection EPO $125.83 ↑ +161%
Healthsmart Commercial|All Plans $132.00 ↑ +174%
First Health Commercial|All Plans $132.00 ↑ +174%
Sutter Health Commercial|All Plans $140.80 ↑ +192%
MultiPlan Commercial|All Plans $146.08 ↑ +203%
BCBS - Anthem Commercial|All Other Plans $157.24 ↑ +226%
BCBS - Anthem Commercial|MCS $176.00 ↑ +265%

Visitor-reported prices

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Crystal identification light microscopy at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $77.09 $7.33 – $22.87
Banner Lassen Medical Center Susanville $52.59 $1.47 – $73.72
Petaluma Valley Hospital Petaluma $176.46 $7.18 – $58.31
Arroyo Grande Hospital Santa Maria $119.84 $7.33 – $21.56
Mark Twain Medical Center San Andreas $104.57 $4.75 – $17.97
French Hospital San Luis Obispo $109.76 $5.94 – $22.18
Mercy Hospitals – Bakersfield Bakersfield $68.64 $7.33 – $52.00
Bakersfield Memorial Hospital Bakersfield $67.90 $7.33 – $51.35

All California hospitals for this procedure →