Fat/lipids feces qualitative at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3.84
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.
?
What you pay up front if you don't use insurance.
$14.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.54 with WCMG vs $15.08 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.54 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $4.34 | ↑ +13% |
| Partnership Health Plan | Medicaid|All Plans | $4.53 | ↑ +18% |
| BCBS - Anthem | Medicare|All Other Plans | $4.81 | ↑ +25% |
| Western Health Advantage | Commercial|All Plans | $4.90 | ↑ +28% |
| Blue Shield CA | Medicare|PPO | $5.10 | ↑ +33% |
| Molina | Medicare|All Plans | $5.10 | ↑ +33% |
| Kaiser | Medicare|All Plans | $5.10 | ↑ +33% |
| United | Medicare|All Plans | $5.10 | ↑ +33% |
| Blue Shield CA | Medicare|HMO | $5.10 | ↑ +33% |
| Humana | Medicare|All Plans | $5.10 | ↑ +33% |
| Humana | Commercial|All Plans | $5.10 | ↑ +33% |
| Hill Physicians | Commercial|All Plans | $5.10 | ↑ +33% |
| Aetna | Medicare|All Plans | $5.10 | ↑ +33% |
| BCBS - Anthem | Medicare|Imperial | $5.25 | ↑ +37% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5.60 | ↑ +46% |
| BrightHealth | Commercial|All Plans | $5.61 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $5.74 | ↑ +49% |
| Blue Shield CA | Commercial|Exchange | $5.88 | ↑ +53% |
| United | Commercial|Non-Options PPO | $6.12 | ↑ +59% |
| United | Commercial|Options PPO | $6.12 | ↑ +59% |
| United | Commercial|HMO | $6.12 | ↑ +59% |
| United | Commercial|All Other Plans | $6.12 | ↑ +59% |
| BlueShield | Medicare|Trauma | $6.38 | ↑ +66% |
| United | Medicaid|> 21 | $6.50 | ↑ +69% |
| United | Medicaid|< 21 | $6.50 | ↑ +69% |
| Hill Physicians | Medicaid|All Plans | $7.15 | ↑ +86% |
| Kaiser | Commercial|All Plans | $7.56 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $7.65 | ↑ +99% |
| Blue Shield CA | Commercial|PPO Tandem | $7.70 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $8.26 | ↑ +115% |
| Molina | Medicaid|All Plans | $8.52 | ↑ +122% |
| Blue Shield CA | Commercial|CalPers | $8.68 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $9.24 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $10.50 | ↑ +173% |
| First Health | Commercial|All Plans | $10.50 | ↑ +173% |
| Sutter Health | Commercial|All Plans | $11.20 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $11.20 | ↑ +192% |
| Cigna | Commercial|LocalPlus | $11.31 | ↑ +195% |
| MultiPlan | Commercial|All Plans | $11.62 | ↑ +203% |
| BCBS - Anthem | Medicaid|All Plans | $13.38 | ↑ +248% |
| BCBS - Anthem | Commercial|MCS | $14.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $14.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $14.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $14.00 | ↑ +265% |
| Aetna | Commercial|HMO | $14.00 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $14.00 | ↑ +265% |
| Aetna | Commercial|PPO | $14.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $15.08 | ↑ +293% |
Visitor-reported prices
Comments
Fat/lipids feces qualitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6.14 | $3.78 – $13.55 |
| Banner Lassen Medical Center | Susanville | $10.64 | $1.02 – $16.49 |
| Petaluma Valley Hospital | Petaluma | $16.17 | $5.00 – $41.60 |
| Arroyo Grande Hospital | Santa Maria | $6.00 | $5.10 – $13.72 |
| Mark Twain Medical Center | San Andreas | $9.33 | $5.10 – $13.72 |
| French Hospital | San Luis Obispo | $5.49 | $3.78 – $15.47 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5.20 | $5.10 – $14.68 |
| Bakersfield Memorial Hospital | Bakersfield | $5.14 | $5.10 – $14.68 |