Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$415.94
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.
$1,518.00
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.
$49.47 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 | $49.47 | ↓ -88% |
| United | Medicaid|< 21 | $51.75 | ↓ -88% |
| United | Medicaid|> 21 | $51.75 | ↓ -88% |
| Hill Physicians | Medicaid|All Plans | $56.92 | ↓ -86% |
| Molina | Medicaid|All Plans | $97.29 | ↓ -77% |
| BCBS - Anthem | Medicaid|All Plans | $98.33 | ↓ -76% |
| California Health & Wellness | Medicaid|All Plans | $118.51 | ↓ -72% |
| Health Net | Medicaid|All Plans | $118.51 | ↓ -72% |
| WCMG | Commercial|All Plans | $160.27 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $222.53 | ↓ -46% |
| Western Health Advantage | Commercial|All Plans | $509.95 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $597.37 | ↑ +44% |
| Kaiser | Commercial|All Plans | $786.78 | ↑ +89% |
| Healthsmart | Commercial|All Plans | $1,092.75 | ↑ +163% |
| First Health | Commercial|All Plans | $1,092.75 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $1,165.60 | ↑ +180% |
| MultiPlan | Commercial|All Plans | $1,209.31 | ↑ +191% |
| United | Commercial|Options PPO | $1,457.00 | ↑ +250% |
| United | Commercial|Non-Options PPO | $1,457.00 | ↑ +250% |
| United | Commercial|HMO | $1,457.00 | ↑ +250% |
| United | Commercial|All Other Plans | $1,457.00 | ↑ +250% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +928% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +1145% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +1145% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +1145% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +1185% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +1699% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $415.67 | $78.29 – $740.22 |
| Banner Lassen Medical Center | Susanville | $622.22 | $85.39 – $1,156.24 |
| Petaluma Valley Hospital | Petaluma | $1,255.11 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $762.27 | $51.75 – $1,745.38 |
| Mark Twain Medical Center | San Andreas | $674.66 | $51.75 – $992.74 |
| French Hospital | San Luis Obispo | $1,126.61 | $51.75 – $1,675.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $462.27 | $51.75 – $1,108.94 |
| Bakersfield Memorial Hospital | Bakersfield | $457.29 | $51.75 – $1,233.54 |