Culture mycobacteria definitive id each isolate at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$47.41
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.
$173.00
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.
$11.68 with Partnership Health Plan vs $173.00 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 →
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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 | $11.68 | ↓ -75% |
| BCBS - Anthem | Medicare|All Other Plans | $13.78 | ↓ -71% |
| Humana | Commercial|All Plans | $14.61 | ↓ -69% |
| Hill Physicians | Commercial|All Plans | $14.61 | ↓ -69% |
| Aetna | Medicare|All Plans | $14.61 | ↓ -69% |
| Blue Shield CA | Medicare|PPO | $14.61 | ↓ -69% |
| Blue Shield CA | Medicare|HMO | $14.61 | ↓ -69% |
| Kaiser | Medicare|All Plans | $14.61 | ↓ -69% |
| Humana | Medicare|All Plans | $14.61 | ↓ -69% |
| Molina | Medicare|All Plans | $14.61 | ↓ -69% |
| United | Medicare|All Plans | $14.61 | ↓ -69% |
| BCBS - Anthem | Medicare|Imperial | $15.05 | ↓ -68% |
| BrightHealth | Commercial|All Plans | $16.07 | ↓ -66% |
| United | Medicaid|< 21 | $16.75 | ↓ -65% |
| United | Medicaid|> 21 | $16.75 | ↓ -65% |
| United | Commercial|Non-Options PPO | $17.53 | ↓ -63% |
| United | Commercial|HMO | $17.53 | ↓ -63% |
| United | Commercial|Options PPO | $17.53 | ↓ -63% |
| United | Commercial|All Other Plans | $17.53 | ↓ -63% |
| BlueShield | Medicare|Trauma | $18.26 | ↓ -61% |
| Hill Physicians | Medicaid|All Plans | $18.42 | ↓ -61% |
| WCMG | Commercial|All Plans | $19.03 | ↓ -60% |
| Prison Healthcare | Medicaid|All Plans | $21.91 | ↓ -54% |
| Molina | Medicaid|All Plans | $21.96 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $27.53 | ↓ -42% |
| Cigna | Commercial|LocalPlus | $32.37 | ↓ -32% |
| California Health & Wellness | Medicaid|All Plans | $38.36 | ↓ -19% |
| Health Net | Medicaid|All Plans | $38.36 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $41.23 | ↓ -13% |
| Aetna | Commercial|PPO | $41.23 | ↓ -13% |
| Aetna | Commercial|HMO | $41.23 | ↓ -13% |
| Cigna | Commercial|All Other Plans | $43.16 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio | $53.63 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $60.55 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $69.20 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $70.93 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $72.66 | ↑ +53% |
| Kaiser | Commercial|All Plans | $93.42 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $95.15 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $102.07 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $107.26 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $114.18 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $129.75 | ↑ +174% |
| First Health | Commercial|All Plans | $129.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $138.40 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $138.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $143.59 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $173.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $173.00 | ↑ +265% |
Visitor-reported prices
Comments
Culture mycobacteria definitive id each isolate at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $67.20 | $14.61 – $105.84 |
| Mark Twain Medical Center | San Andreas | $24.33 | $14.61 – $35.80 |
| French Hospital | San Luis Obispo | $61.55 | $14.61 – $105.84 |
| St. Joseph's Medical Center Stockton | Stockton | $17.35 | $12.39 – $48.38 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $176.16 | $12.42 – $29.22 |
| Sierra Nevada Memorial Hospital | Grass Valley | $123.72 | $14.61 – $222.46 |
| St. Mary Medical Center | Long Beach | $16.93 | $9.84 – $83.75 |
| Community Hospital San Bernardino | San Bernardino | $15.39 | $7.87 – $83.75 |