Hbb full gene sequence at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$246.60
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.
$900.00
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.
$99.00 with WCMG vs $958.48 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 | $99.00 | ↓ -60% |
| United | Medicaid|> 21 | $259.66 | ↑ +5% |
| United | Medicaid|< 21 | $259.66 | ↑ +5% |
| Partnership Health Plan | Medicaid|All Plans | $259.66 | ↑ +5% |
| Hill Physicians | Medicaid|All Plans | $285.63 | ↑ +16% |
| BCBS - Anthem | Medicare|All Other Plans | $306.08 | ↑ +24% |
| Western Health Advantage | Commercial|All Plans | $315.00 | ↑ +28% |
| Blue Shield CA | Medicare|PPO | $324.58 | ↑ +32% |
| Humana | Medicare|All Plans | $324.58 | ↑ +32% |
| Aetna | Medicare|All Plans | $324.58 | ↑ +32% |
| Molina | Medicare|All Plans | $324.58 | ↑ +32% |
| United | Medicare|All Plans | $324.58 | ↑ +32% |
| Kaiser | Medicare|All Plans | $324.58 | ↑ +32% |
| Blue Shield CA | Medicare|HMO | $324.58 | ↑ +32% |
| Humana | Commercial|All Plans | $324.58 | ↑ +32% |
| Hill Physicians | Commercial|All Plans | $324.58 | ↑ +32% |
| BCBS - Anthem | Medicare|Imperial | $334.32 | ↑ +36% |
| BrightHealth | Commercial|All Plans | $357.04 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $369.00 | ↑ +50% |
| United | Commercial|Non-Options PPO | $389.50 | ↑ +58% |
| United | Commercial|All Other Plans | $389.50 | ↑ +58% |
| United | Commercial|HMO | $389.50 | ↑ +58% |
| United | Commercial|Options PPO | $389.50 | ↑ +58% |
| BlueShield | Medicare|Trauma | $405.72 | ↑ +65% |
| Kaiser | Commercial|All Plans | $486.00 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $486.87 | ↑ +97% |
| Molina | Medicaid|All Plans | $488.16 | ↑ +98% |
| BCBS - Anthem | Medicaid|All Plans | $493.35 | ↑ +100% |
| Health Net | Medicaid|All Plans | $594.62 | ↑ +141% |
| California Health & Wellness | Medicaid|All Plans | $594.62 | ↑ +141% |
| First Health | Commercial|All Plans | $675.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $675.00 | ↑ +174% |
| Cigna | Commercial|LocalPlus | $718.81 | ↑ +191% |
| Sutter Health | Commercial|All Plans | $720.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $720.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $747.00 | ↑ +203% |
| Aetna | Commercial|PPO | $869.08 | ↑ +252% |
| Aetna | Commercial|HMO | $869.08 | ↑ +252% |
| Aetna | Commercial|All Other Plans | $869.08 | ↑ +252% |
| BCBS - Anthem | Commercial|MCS | $900.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $900.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $958.48 | ↑ +289% |
Visitor-reported prices
Comments
Hbb full gene sequence at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $385.20 | $183.50 – $836.32 |
| Mark Twain Medical Center | San Andreas | $599.40 | $259.66 – $882.00 |
| French Hospital | San Luis Obispo | $352.80 | $99.09 – $983.17 |
| Mercy Hospitals – Bakersfield | Bakersfield | $333.90 | $259.66 – $932.74 |
| Bakersfield Memorial Hospital | Bakersfield | $330.30 | $259.66 – $932.74 |
| St. Joseph's Behavioral Health Center | Stockton | $513.90 | $90.00 – $720.00 |
| St. Joseph's Medical Center Stockton | Stockton | $264.60 | $189.00 – $738.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $700.20 | $190.67 – $359.33 |