Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$399.22
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.
$1,457.00
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.
$50.22 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 | $50.22 | ↓ -87% |
| United | Medicaid|< 21 | $145.57 | ↓ -64% |
| United | Medicaid|> 21 | $145.57 | ↓ -64% |
| Hill Physicians | Medicaid|All Plans | $160.13 | ↓ -60% |
| WCMG | Commercial|All Plans | $160.27 | ↓ -60% |
| Molina | Medicaid|All Plans | $273.67 | ↓ -31% |
| BCBS - Anthem | Medicaid|All Plans | $276.58 | ↓ -31% |
| Health Net | Medicaid|All Plans | $333.36 | ↓ -16% |
| California Health & Wellness | Medicaid|All Plans | $333.36 | ↓ -16% |
| Western Health Advantage | Commercial|All Plans | $509.95 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $597.37 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $625.95 | ↑ +57% |
| Kaiser | Commercial|All Plans | $786.78 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,092.75 | ↑ +174% |
| First Health | Commercial|All Plans | $1,092.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,165.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,209.31 | ↑ +203% |
| United | Commercial|Options PPO | $1,457.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,457.00 | ↑ +265% |
| United | Commercial|All Other Plans | $1,457.00 | ↑ +265% |
| United | Commercial|HMO | $1,457.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +971% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +1197% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +1197% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +1197% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +1239% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1775% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $415.67 | $220.23 – $740.22 |
| Arroyo Grande Hospital | Santa Maria | $1,108.10 | $145.57 – $2,537.22 |
| French Hospital | San Luis Obispo | $1,322.22 | $145.57 – $2,537.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $462.27 | $145.57 – $1,108.94 |
| Bakersfield Memorial Hospital | Bakersfield | $457.29 | $145.57 – $1,233.54 |
| St. Joseph's Medical Center Stockton | Stockton | $519.80 | $145.57 – $713.16 |
| Mercy Medical Center Merced | Merced | $680.83 | $145.57 – $576.18 |
| Dominican Hospital | Santa Cruz | $594.45 | $145.57 – $1,188.90 |