Hbb gene dup/del variants at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$126.26
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.
$460.79
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.
$50.69 with WCMG vs $597.68 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 | $50.69 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $161.28 | ↑ +28% |
| United | Medicaid|> 21 | $161.92 | ↑ +28% |
| United | Medicaid|< 21 | $161.92 | ↑ +28% |
| Partnership Health Plan | Medicaid|All Plans | $161.92 | ↑ +28% |
| Hill Physicians | Medicaid|All Plans | $178.11 | ↑ +41% |
| Kaiser | Medicaid|All Plans | $188.93 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $190.86 | ↑ +51% |
| Blue Shield CA | Medicare|PPO | $202.40 | ↑ +60% |
| Humana | Medicare|All Plans | $202.40 | ↑ +60% |
| Aetna | Medicare|All Plans | $202.40 | ↑ +60% |
| Molina | Medicare|All Plans | $202.40 | ↑ +60% |
| United | Medicare|All Plans | $202.40 | ↑ +60% |
| Kaiser | Medicare|All Plans | $202.40 | ↑ +60% |
| Blue Shield CA | Medicare|HMO | $202.40 | ↑ +60% |
| Humana | Commercial|All Plans | $202.40 | ↑ +60% |
| Hill Physicians | Commercial|All Plans | $202.40 | ↑ +60% |
| BCBS - Anthem | Medicare|Imperial | $208.47 | ↑ +65% |
| BrightHealth | Commercial|All Plans | $222.64 | ↑ +76% |
| United | Commercial|All Other Plans | $242.88 | ↑ +92% |
| United | Commercial|HMO | $242.88 | ↑ +92% |
| United | Commercial|Options PPO | $242.88 | ↑ +92% |
| United | Commercial|Non-Options PPO | $242.88 | ↑ +92% |
| Kaiser | Commercial|All Plans | $248.83 | ↑ +97% |
| BlueShield | Medicare|Trauma | $253.00 | ↑ +100% |
| Prison Healthcare | Medicaid|All Plans | $303.60 | ↑ +140% |
| Molina | Medicaid|All Plans | $304.41 | ↑ +141% |
| BCBS - Anthem | Medicaid|All Plans | $307.65 | ↑ +144% |
| First Health | Commercial|All Plans | $345.60 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $345.60 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $368.64 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $368.64 | ↑ +192% |
| Health Net | Medicaid|All Plans | $370.80 | ↑ +194% |
| California Health & Wellness | Medicaid|All Plans | $370.80 | ↑ +194% |
| MultiPlan | Commercial|All Plans | $382.46 | ↑ +203% |
| Cigna | Commercial|LocalPlus | $448.22 | ↑ +255% |
| Aetna | Commercial|All Other Plans | $460.79 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $460.79 | ↑ +265% |
| Aetna | Commercial|PPO | $460.79 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $460.79 | ↑ +265% |
| Aetna | Commercial|HMO | $460.79 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $597.68 | ↑ +373% |
Visitor-reported prices
Comments
Hbb gene dup/del variants at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $197.22 | $161.92 – $521.50 |
| Mark Twain Medical Center | San Andreas | $306.89 | $161.92 – $451.58 |
| French Hospital | San Luis Obispo | $180.63 | $124.42 – $613.07 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $358.50 | $161.92 – $451.58 |
| Dominican Hospital | Santa Cruz | $207.36 | $161.92 – $1,812.37 |
| Northridge Hospital Medical Center | Northridge | $128.57 | $115.20 – $460.79 |
| Sierra Nevada Memorial Hospital | Grass Valley | $251.14 | $161.92 – $451.58 |
| St. Mary Medical Center | Long Beach | $198.14 | $115.20 – $809.60 |