Drvvt confirm - quest at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5.37
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.
$19.57
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.
$2.16 with WCMG vs $53.11 with Cigna — 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 | $2.16 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $6.07 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $6.85 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7.83 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $8.03 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $8.22 | ↑ +53% |
| Kaiser | Commercial|All Plans | $10.57 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $10.77 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $11.55 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $12.14 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $12.92 | ↑ +141% |
| First Health | Commercial|All Plans | $14.68 | ↑ +173% |
| Healthsmart | Commercial|All Plans | $14.68 | ↑ +173% |
| Sutter Health | Commercial|All Plans | $15.66 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $15.66 | ↑ +192% |
| Partnership Health Plan | Medicaid|All Plans | $15.98 | ↑ +198% |
| MultiPlan | Commercial|All Plans | $16.25 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $16.96 | ↑ +216% |
| United | Medicare|All Plans | $17.98 | ↑ +235% |
| Humana | Medicare|All Plans | $17.98 | ↑ +235% |
| Aetna | Medicare|All Plans | $17.98 | ↑ +235% |
| Molina | Medicare|All Plans | $17.98 | ↑ +235% |
| Humana | Commercial|All Plans | $17.98 | ↑ +235% |
| Kaiser | Medicare|All Plans | $17.98 | ↑ +235% |
| Blue Shield CA | Medicare|HMO | $17.98 | ↑ +235% |
| Blue Shield CA | Medicare|PPO | $17.98 | ↑ +235% |
| Hill Physicians | Commercial|All Plans | $17.98 | ↑ +235% |
| BCBS - Anthem | Medicare|Imperial | $18.52 | ↑ +245% |
| BCBS - Anthem | Commercial|MCS | $19.57 | ↑ +264% |
| California Health & Wellness | Medicaid|All Plans | $19.57 | ↑ +264% |
| Hill Physicians | Medicaid|All Plans | $19.57 | ↑ +264% |
| Aetna | Commercial|HMO | $19.57 | ↑ +264% |
| BCBS - Anthem | Commercial|All Other Plans | $19.57 | ↑ +264% |
| BCBS - Anthem | Medicaid|All Plans | $19.57 | ↑ +264% |
| Health Net | Medicaid|All Plans | $19.57 | ↑ +264% |
| United | Medicaid|> 21 | $19.57 | ↑ +264% |
| United | Medicaid|< 21 | $19.57 | ↑ +264% |
| United | Commercial|Non-Options PPO | $19.57 | ↑ +264% |
| Aetna | Commercial|PPO | $19.57 | ↑ +264% |
| United | Commercial|Options PPO | $19.57 | ↑ +264% |
| United | Commercial|HMO | $19.57 | ↑ +264% |
| Aetna | Commercial|All Other Plans | $19.57 | ↑ +264% |
| United | Commercial|All Other Plans | $19.57 | ↑ +264% |
| Molina | Medicaid|All Plans | $19.57 | ↑ +264% |
| BrightHealth | Commercial|All Plans | $19.78 | ↑ +268% |
| BlueShield | Medicare|Trauma | $22.48 | ↑ +319% |
| Prison Healthcare | Medicaid|All Plans | $26.97 | ↑ +402% |
| Cigna | Commercial|LocalPlus | $39.83 | ↑ +642% |
| Cigna | Commercial|All Other Plans | $53.11 | ↑ +889% |
Visitor-reported prices
Comments
Drvvt confirm - quest at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $71.52 | $3.60 – $116.40 |
| Arroyo Grande Hospital | Santa Maria | $44.80 | $17.98 – $89.29 |
| French Hospital | San Luis Obispo | $41.03 | $17.98 – $89.29 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $83.40 | $15.98 – $105.05 |
| Sierra Nevada Memorial Hospital | Grass Valley | $10.67 | $13.12 – $19.57 |
| Mercy Medical Center Redding | Redding | $54.35 | $15.98 – $105.05 |
| Mercy Hospital of Folsom | Folsom | $7.62 | $2.16 – $39.83 |
| Woodland Memorial Hospital | Woodland | $5.37 | $2.16 – $19.57 |