Culture bact stool aero addl path ea at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$37.54
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.
$137.00
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.
$2.61 with United vs $113.71 with MultiPlan — 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 | Medicaid|> 21 | $2.61 | ↓ -93% |
| Partnership Health Plan | Medicaid|All Plans | $2.61 | ↓ -93% |
| United | Medicaid|< 21 | $2.61 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $2.87 | ↓ -92% |
| Molina | Medicaid|All Plans | $4.91 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $4.96 | ↓ -87% |
| Health Net | Medicaid|All Plans | $5.98 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $5.98 | ↓ -84% |
| BCBS - Anthem | Medicare|All Other Plans | $8.90 | ↓ -76% |
| Kaiser | Medicare|All Plans | $9.44 | ↓ -75% |
| Humana | Medicare|All Plans | $9.44 | ↓ -75% |
| Humana | Commercial|All Plans | $9.44 | ↓ -75% |
| Hill Physicians | Commercial|All Plans | $9.44 | ↓ -75% |
| Aetna | Medicare|All Plans | $9.44 | ↓ -75% |
| Molina | Medicare|All Plans | $9.44 | ↓ -75% |
| United | Medicare|All Plans | $9.44 | ↓ -75% |
| Blue Shield CA | Medicare|PPO | $9.44 | ↓ -75% |
| Blue Shield CA | Medicare|HMO | $9.44 | ↓ -75% |
| BCBS - Anthem | Medicare|Imperial | $9.72 | ↓ -74% |
| BrightHealth | Commercial|All Plans | $10.38 | ↓ -72% |
| United | Commercial|HMO | $11.33 | ↓ -70% |
| United | Commercial|All Other Plans | $11.33 | ↓ -70% |
| United | Commercial|Non-Options PPO | $11.33 | ↓ -70% |
| United | Commercial|Options PPO | $11.33 | ↓ -70% |
| BlueShield | Medicare|Trauma | $11.80 | ↓ -69% |
| Prison Healthcare | Medicaid|All Plans | $14.16 | ↓ -62% |
| WCMG | Commercial|All Plans | $15.07 | ↓ -60% |
| Cigna | Commercial|LocalPlus | $20.92 | ↓ -44% |
| Cigna | Commercial|All Other Plans | $27.89 | ↓ -26% |
| Aetna | Commercial|All Other Plans | $35.55 | ↓ -5% |
| Aetna | Commercial|PPO | $35.55 | ↓ -5% |
| Aetna | Commercial|HMO | $35.55 | ↓ -5% |
| BCBS - Anthem | Commercial|Connection EPO | $41.51 | ↑ +11% |
| Blue Shield CA | Commercial|ACO Trio | $42.47 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $47.95 | ↑ +28% |
| BCBS - Anthem | Commercial|All Other Plans | $51.87 | ↑ +38% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $54.80 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $56.17 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $57.54 | ↑ +53% |
| BCBS - Anthem | Commercial|MCS | $72.63 | ↑ +93% |
| Kaiser | Commercial|All Plans | $73.98 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $75.35 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $80.83 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $84.94 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $90.42 | ↑ +141% |
| First Health | Commercial|All Plans | $102.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $102.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $109.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $113.71 | ↑ +203% |
Visitor-reported prices
Comments
Culture bact stool aero addl path ea at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $22.34 | $3.95 – $39.78 |
| Banner Lassen Medical Center | Susanville | $16.18 | $1.64 – $4.31 |
| Petaluma Valley Hospital | Petaluma | $159.12 | $9.25 – $19.23 |
| Arroyo Grande Hospital | Santa Maria | $65.92 | $2.61 – $24.34 |
| Mark Twain Medical Center | San Andreas | $55.95 | $2.61 – $19.60 |
| French Hospital | San Luis Obispo | $60.37 | $2.61 – $28.61 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13.11 | $2.61 – $27.14 |
| Bakersfield Memorial Hospital | Bakersfield | $12.96 | $2.61 – $27.14 |