Hla typing a b or c at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$64.39
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.
$235.00
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.
$25.85 with WCMG vs $235.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $25.85 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $51.55 | ↓ -20% |
| BCBS - Anthem | Medicare|All Other Plans | $54.69 | ↓ -15% |
| Hill Physicians | Commercial|All Plans | $58.00 | ↓ -10% |
| Aetna | Medicare|All Plans | $58.00 | ↓ -10% |
| Blue Shield CA | Medicare|PPO | $58.00 | ↓ -10% |
| Kaiser | Medicare|All Plans | $58.00 | ↓ -10% |
| Molina | Medicare|All Plans | $58.00 | ↓ -10% |
| Blue Shield CA | Medicare|HMO | $58.00 | ↓ -10% |
| Humana | Medicare|All Plans | $58.00 | ↓ -10% |
| Humana | Commercial|All Plans | $58.00 | ↓ -10% |
| United | Medicare|All Plans | $58.00 | ↓ -10% |
| BCBS - Anthem | Medicare|Imperial | $59.74 | ↓ -7% |
| BrightHealth | Commercial|All Plans | $63.80 | ↓ -1% |
| United | Commercial|HMO | $69.60 | ↑ +8% |
| United | Commercial|Options PPO | $69.60 | ↑ +8% |
| United | Commercial|Non-Options PPO | $69.60 | ↑ +8% |
| United | Commercial|All Other Plans | $69.60 | ↑ +8% |
| BlueShield | Medicare|Trauma | $72.50 | ↑ +13% |
| Blue Shield CA | Commercial|ACO Trio | $72.85 | ↑ +13% |
| United | Medicaid|> 21 | $73.94 | ↑ +15% |
| United | Medicaid|< 21 | $73.94 | ↑ +15% |
| Hill Physicians | Medicaid|All Plans | $81.33 | ↑ +26% |
| Western Health Advantage | Commercial|All Plans | $82.25 | ↑ +28% |
| Prison Healthcare | Medicaid|All Plans | $87.00 | ↑ +35% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $94.00 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $96.35 | ↑ +50% |
| Molina | Medicaid|All Plans | $96.91 | ↑ +51% |
| Blue Shield CA | Commercial|Exchange | $98.70 | ↑ +53% |
| BCBS - Anthem | Medicaid|All Plans | $109.84 | ↑ +71% |
| Kaiser | Commercial|All Plans | $126.90 | ↑ +97% |
| Cigna | Commercial|LocalPlus | $128.44 | ↑ +99% |
| Blue Shield CA | Commercial|PPO Tandem | $129.25 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $138.65 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $145.70 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $155.10 | ↑ +141% |
| Health Net | Medicaid|All Plans | $169.32 | ↑ +163% |
| California Health & Wellness | Medicaid|All Plans | $169.32 | ↑ +163% |
| Cigna | Commercial|All Other Plans | $171.27 | ↑ +166% |
| First Health | Commercial|All Plans | $176.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $176.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $188.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $188.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $195.05 | ↑ +203% |
| Aetna | Commercial|PPO | $218.53 | ↑ +239% |
| Aetna | Commercial|HMO | $218.53 | ↑ +239% |
| Aetna | Commercial|All Other Plans | $218.53 | ↑ +239% |
| BCBS - Anthem | Commercial|MCS | $235.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $235.00 | ↑ +265% |
Visitor-reported prices
Comments
Hla typing a b or c at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $133.56 | $58.00 – $288.00 |
| Bakersfield Memorial Hospital | Bakersfield | $132.12 | $58.00 – $284.40 |
| St. Joseph's Behavioral Health Center | Stockton | $205.56 | $36.00 – $288.00 |
| St. Joseph's Medical Center Stockton | Stockton | $105.84 | $49.30 – $295.20 |
| Santa Rosa Memorial Hospital | Santa Rosa | $172.38 | $56.84 – $508.92 |
| Mercy Medical Center Merced | Merced | $185.40 | $58.00 – $338.40 |
| Sierra Nevada Memorial Hospital | Grass Valley | $128.08 | $58.00 – $230.30 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $112.46 | $58.00 – $154.75 |