Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$554.58
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.
$2,024.00
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.
$87.89 with Hill Physicians vs $7,484.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $87.89 | ↓ -84% |
| WCMG | Commercial|All Plans | $213.73 | ↓ -61% |
| United | Medicaid|< 21 | $259.49 | ↓ -53% |
| United | Medicaid|> 21 | $259.49 | ↓ -53% |
| Hill Physicians | Medicaid|All Plans | $285.44 | ↓ -49% |
| Molina | Medicaid|All Plans | $487.84 | ↓ -12% |
| BCBS - Anthem | Medicaid|All Plans | $493.03 | ↓ -11% |
| California Health & Wellness | Medicaid|All Plans | $594.23 | ↑ +7% |
| Health Net | Medicaid|All Plans | $594.23 | ↑ +7% |
| Western Health Advantage | Commercial|All Plans | $680.05 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $796.63 | ↑ +44% |
| BCBS - Anthem | Medicare|All Other Plans | $871.89 | ↑ +57% |
| Humana | Medicare|All Plans | $924.59 | ↑ +67% |
| Molina | Medicare|All Plans | $924.59 | ↑ +67% |
| Aetna | Medicare|All Plans | $924.59 | ↑ +67% |
| Humana | Commercial|All Plans | $924.59 | ↑ +67% |
| Kaiser | Medicare|All Plans | $924.59 | ↑ +67% |
| United | Medicare|All Plans | $924.59 | ↑ +67% |
| Blue Shield CA | Medicare|PPO | $924.59 | ↑ +67% |
| Blue Shield CA | Medicare|HMO | $924.59 | ↑ +67% |
| BCBS - Anthem | Medicare|Imperial | $952.33 | ↑ +72% |
| BrightHealth | Commercial|All Plans | $1,017.05 | ↑ +83% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +84% |
| Kaiser | Commercial|All Plans | $1,049.22 | ↑ +89% |
| Partnership Health Plan | Medicaid|All Plans | $1,115.81 | ↑ +101% |
| BlueShield | Medicare|Trauma | $1,155.74 | ↑ +108% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +135% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +138% |
| Prison Healthcare | Medicaid|All Plans | $1,386.88 | ↑ +150% |
| Healthsmart | Commercial|All Plans | $1,457.25 | ↑ +163% |
| First Health | Commercial|All Plans | $1,457.25 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $1,554.40 | ↑ +180% |
| MultiPlan | Commercial|All Plans | $1,612.69 | ↑ +191% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +213% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +248% |
| United | Commercial|Options PPO | $1,943.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $1,943.00 | ↑ +250% |
| United | Commercial|HMO | $1,943.00 | ↑ +250% |
| United | Commercial|All Other Plans | $1,943.00 | ↑ +250% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +267% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +277% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +603% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +671% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +834% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +834% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +834% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +864% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +1175% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1249% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $969.30 | $392.58 – $1,726.14 |
| Arroyo Grande Hospital | Santa Maria | $1,667.49 | $259.49 – $2,537.22 |
| French Hospital | San Luis Obispo | $1,527.24 | $259.49 – $2,537.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $259.49 – $1,994.40 |
| Bakersfield Memorial Hospital | Bakersfield | $914.94 | $259.49 – $1,969.47 |
| St. Joseph's Medical Center Stockton | Stockton | $1,039.88 | $259.49 – $1,485.12 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,314.08 | $774.16 – $1,894.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $406.90 | $125.52 – $523.00 |