In situ hybridization per specimen each additional single probe stain at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$32.88
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.
$120.00
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.
$13.20 with WCMG vs $312.69 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 | $13.20 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $42.00 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $49.20 | ↑ +50% |
| Kaiser | Commercial|All Plans | $64.80 | ↑ +97% |
| Partnership Health Plan | Medicaid|All Plans | $87.58 | ↑ +166% |
| United | Medicaid|< 21 | $87.58 | ↑ +166% |
| United | Medicaid|> 21 | $87.58 | ↑ +166% |
| Healthsmart | Commercial|All Plans | $90.00 | ↑ +174% |
| First Health | Commercial|All Plans | $90.00 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $96.00 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $96.00 | ↑ +192% |
| Hill Physicians | Medicaid|All Plans | $96.34 | ↑ +193% |
| MultiPlan | Commercial|All Plans | $99.60 | ↑ +203% |
| Hill Physicians | Commercial|All Plans | $107.87 | ↑ +228% |
| Molina | Medicaid|All Plans | $120.00 | ↑ +265% |
| Aetna | Commercial|HMO | $120.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $120.00 | ↑ +265% |
| United | Commercial|Options PPO | $120.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $120.00 | ↑ +265% |
| Aetna | Commercial|PPO | $120.00 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $120.00 | ↑ +265% |
| BCBS - Anthem | Medicaid|All Plans | $120.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $120.00 | ↑ +265% |
| United | Commercial|HMO | $120.00 | ↑ +265% |
| United | Commercial|All Other Plans | $120.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $120.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $120.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $234.50 | ↑ +613% |
| Cigna | Commercial|All Other Plans | $312.69 | ↑ +851% |
Visitor-reported prices
Comments
In situ hybridization per specimen each additional single probe stain at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $48.18 | $29.70 – $280.96 |
| Banner Lassen Medical Center | Susanville | $168.80 | $53.30 – $144.51 |
| Petaluma Valley Hospital | Petaluma | $129.03 | $208.60 – $534.62 |
| Arroyo Grande Hospital | Santa Maria | $107.00 | $60.00 – $272.84 |
| Mark Twain Medical Center | San Andreas | $67.94 | $26.39 – $99.96 |
| French Hospital | San Luis Obispo | $98.00 | $32.40 – $320.75 |
| Mercy Hospitals – Bakersfield | Bakersfield | $66.78 | $55.00 – $304.30 |
| Bakersfield Memorial Hospital | Bakersfield | $66.06 | $55.00 – $304.30 |