Cytopathology fna adequacy evaluation first episode each site interp/rpt at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$112.34
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.
$410.00
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.
$45.10 with WCMG vs $340.30 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $45.10 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $51.98 | ↓ -54% |
| United | Commercial|All Other Plans | $59.71 | ↓ -47% |
| United | Commercial|Non-Options PPO | $59.71 | ↓ -47% |
| United | Commercial|Options PPO | $59.71 | ↓ -47% |
| United | Commercial|HMO | $59.71 | ↓ -47% |
| BCBS - Anthem | Medicare|All Other Plans | $66.21 | ↓ -41% |
| Humana | Medicare|All Plans | $70.21 | ↓ -38% |
| Humana | Commercial|All Plans | $70.21 | ↓ -38% |
| Kaiser | Medicare|All Plans | $70.21 | ↓ -38% |
| Molina | Medicare|All Plans | $70.21 | ↓ -38% |
| Aetna | Medicare|All Plans | $70.21 | ↓ -38% |
| United | Medicare|All Plans | $70.21 | ↓ -38% |
| Blue Shield CA | Medicare|HMO | $70.21 | ↓ -38% |
| Blue Shield CA | Medicare|PPO | $70.21 | ↓ -38% |
| BCBS - Anthem | Medicare|Imperial | $72.32 | ↓ -36% |
| United | Medicaid|< 21 | $74.56 | ↓ -34% |
| United | Medicaid|> 21 | $74.56 | ↓ -34% |
| BrightHealth | Commercial|All Plans | $77.23 | ↓ -31% |
| Hill Physicians | Medicaid|All Plans | $82.02 | ↓ -27% |
| BlueShield | Medicare|Trauma | $87.76 | ↓ -22% |
| Molina | Medicaid|All Plans | $97.72 | ↓ -13% |
| Prison Healthcare | Medicaid|All Plans | $105.31 | ↓ -6% |
| Hill Physicians | Commercial|All Plans | $115.89 | ↑ +3% |
| BCBS - Anthem | Medicaid|All Plans | $141.66 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $143.50 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $168.10 | ↑ +50% |
| Health Net | Medicaid|All Plans | $170.74 | ↑ +52% |
| California Health & Wellness | Medicaid|All Plans | $170.74 | ↑ +52% |
| BCBS - Anthem | Commercial|Connection EPO | $192.61 | ↑ +71% |
| Cigna | Commercial|LocalPlus | $197.71 | ↑ +76% |
| Aetna | Commercial|All Other Plans | $199.59 | ↑ +78% |
| Aetna | Commercial|HMO | $199.59 | ↑ +78% |
| Aetna | Commercial|PPO | $199.59 | ↑ +78% |
| Kaiser | Commercial|All Plans | $221.40 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $240.68 | ↑ +114% |
| Cigna | Commercial|All Other Plans | $263.63 | ↑ +135% |
| First Health | Commercial|All Plans | $307.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $307.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $328.00 | ↑ +192% |
| BCBS - Anthem | Commercial|MCS | $336.98 | ↑ +200% |
| MultiPlan | Commercial|All Plans | $340.30 | ↑ +203% |
Visitor-reported prices
Comments
Cytopathology fna adequacy evaluation first episode each site interp/rpt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $67.46 | $41.58 – $236.88 |
| Banner Lassen Medical Center | Susanville | $27.96 | $10.69 – $85.77 |
| Petaluma Valley Hospital | Petaluma | $172.38 | $70.23 – $98.94 |
| Arroyo Grande Hospital | Santa Maria | $259.80 | $59.71 – $230.03 |
| Mark Twain Medical Center | San Andreas | $73.01 | $19.92 – $75.46 |
| French Hospital | San Luis Obispo | $237.95 | $38.20 – $270.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $58.99 | $37.00 – $256.55 |
| Bakersfield Memorial Hospital | Bakersfield | $58.36 | $37.00 – $256.55 |