Heinz bodies induced at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$15.55
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.
$56.75
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.
$6.06 with Partnership Health Plan vs $56.75 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $6.06 | ↓ -61% |
| WCMG | Commercial|All Plans | $6.25 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $6.43 | ↓ -59% |
| Hill Physicians | Commercial|All Plans | $6.82 | ↓ -56% |
| Aetna | Medicare|All Plans | $6.82 | ↓ -56% |
| Blue Shield CA | Medicare|PPO | $6.82 | ↓ -56% |
| Kaiser | Medicare|All Plans | $6.82 | ↓ -56% |
| Molina | Medicare|All Plans | $6.82 | ↓ -56% |
| Blue Shield CA | Medicare|HMO | $6.82 | ↓ -56% |
| Humana | Medicare|All Plans | $6.82 | ↓ -56% |
| Humana | Commercial|All Plans | $6.82 | ↓ -56% |
| United | Medicare|All Plans | $6.82 | ↓ -56% |
| BCBS - Anthem | Medicare|Imperial | $7.02 | ↓ -55% |
| BrightHealth | Commercial|All Plans | $7.50 | ↓ -52% |
| United | Commercial|HMO | $8.18 | ↓ -47% |
| United | Commercial|Options PPO | $8.18 | ↓ -47% |
| United | Commercial|Non-Options PPO | $8.18 | ↓ -47% |
| United | Commercial|All Other Plans | $8.18 | ↓ -47% |
| BlueShield | Medicare|Trauma | $8.53 | ↓ -45% |
| United | Medicaid|> 21 | $8.69 | ↓ -44% |
| United | Medicaid|< 21 | $8.69 | ↓ -44% |
| Hill Physicians | Medicaid|All Plans | $9.56 | ↓ -39% |
| Prison Healthcare | Medicaid|All Plans | $10.23 | ↓ -34% |
| Molina | Medicaid|All Plans | $11.39 | ↓ -27% |
| Cigna | Commercial|LocalPlus | $15.09 | ↓ -3% |
| BCBS - Anthem | Medicaid|All Plans | $16.70 | ↑ +7% |
| Blue Shield CA | Commercial|ACO Trio | $17.60 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $19.87 | ↑ +28% |
| California Health & Wellness | Medicaid|All Plans | $19.90 | ↑ +28% |
| Health Net | Medicaid|All Plans | $19.90 | ↑ +28% |
| Cigna | Commercial|All Other Plans | $20.13 | ↑ +29% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $22.70 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $23.27 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $23.84 | ↑ +53% |
| Aetna | Commercial|PPO | $25.68 | ↑ +65% |
| Aetna | Commercial|HMO | $25.68 | ↑ +65% |
| Aetna | Commercial|All Other Plans | $25.68 | ↑ +65% |
| Kaiser | Commercial|All Plans | $30.65 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $31.22 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $33.49 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $35.19 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $37.46 | ↑ +141% |
| First Health | Commercial|All Plans | $42.57 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $42.57 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $45.40 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $45.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $47.11 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $56.75 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $56.75 | ↑ +265% |
Visitor-reported prices
Comments
Heinz bodies induced at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $21.88 | $6.82 – $38.96 |
| Dominican Hospital | Santa Cruz | $22.48 | $6.82 – $61.03 |
| Northridge Hospital Medical Center | Northridge | $13.94 | $6.82 – $49.94 |
| Sierra Nevada Memorial Hospital | Grass Valley | $30.93 | $6.82 – $55.62 |
| Mercy General Hospital | Sacramento | $12.38 | $6.06 – $45.40 |
| Mercy Hospital of Folsom | Folsom | $22.08 | $6.06 – $46.54 |
| Woodland Memorial Hospital | Woodland | $15.55 | $6.06 – $56.75 |
| Methodist Hospital of Sacramento | Sacramento | $16.35 | $6.06 – $47.11 |