Cytopathology fna adequacy evaluation each separate additional episode same site at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$40.56
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.
$148.00
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.
$8.80 with United vs $133.63 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 |
|---|---|---|---|
| United | Commercial|Non-Options PPO | $8.80 | ↓ -78% |
| United | Commercial|All Other Plans | $8.80 | ↓ -78% |
| United | Commercial|HMO | $8.80 | ↓ -78% |
| United | Commercial|Options PPO | $8.80 | ↓ -78% |
| Hill Physicians | Commercial|All Plans | $9.72 | ↓ -76% |
| Cigna | Commercial|LocalPlus | $16.08 | ↓ -60% |
| WCMG | Commercial|All Plans | $16.28 | ↓ -60% |
| Aetna | Commercial|HMO | $18.16 | ↓ -55% |
| Aetna | Commercial|All Other Plans | $18.16 | ↓ -55% |
| Aetna | Commercial|PPO | $18.16 | ↓ -55% |
| Cigna | Commercial|All Other Plans | $21.44 | ↓ -47% |
| Partnership Health Plan | Medicaid|All Plans | $21.74 | ↓ -46% |
| United | Medicaid|> 21 | $21.74 | ↓ -46% |
| United | Medicaid|< 21 | $21.74 | ↓ -46% |
| Hill Physicians | Medicaid|All Plans | $23.91 | ↓ -41% |
| Molina | Medicaid|All Plans | $40.87 | ↑ +1% |
| BCBS - Anthem | Medicaid|All Plans | $41.31 | ↑ +2% |
| California Health & Wellness | Medicaid|All Plans | $49.78 | ↑ +23% |
| Health Net | Medicaid|All Plans | $49.78 | ↑ +23% |
| Western Health Advantage | Commercial|All Plans | $51.80 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $60.68 | ↑ +50% |
| BCBS - Anthem | Commercial|Connection EPO | $76.38 | ↑ +88% |
| Kaiser | Commercial|All Plans | $79.92 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $95.44 | ↑ +135% |
| First Health | Commercial|All Plans | $111.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $111.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $118.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $122.84 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $133.63 | ↑ +229% |
Visitor-reported prices
Comments
Cytopathology fna adequacy evaluation each separate additional episode same site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $45.90 | $14.44 – $35.39 |
| Arroyo Grande Hospital | Santa Maria | $62.06 | $8.80 – $142.10 |
| Mark Twain Medical Center | San Andreas | $6.13 | $1.82 – $7.00 |
| French Hospital | San Luis Obispo | $56.84 | $8.80 – $142.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $86.08 | $5.92 – $20.87 |
| Bakersfield Memorial Hospital | Bakersfield | $85.15 | $5.92 – $20.87 |
| Queen of The Valley Medical Center | Napa | $42.84 | $14.44 – $46.94 |
| Providence St Joseph Hospital Eureka | Eureka | $42.33 | $14.44 – $50.72 |