Infect ag genotype na hiv-1 revr trn/prt at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$76.80
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.
$280.28
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.
$12.70 with WCMG vs $760.23 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 | $12.70 | ↓ -83% |
| Blue Shield CA | Commercial|ACO Trio | $35.78 | ↓ -53% |
| Western Health Advantage | Commercial|All Plans | $40.39 | ↓ -47% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $46.16 | ↓ -40% |
| Kaiser | Medicaid|All Plans | $47.32 | ↓ -38% |
| Blue Shield CA | Commercial|Exchange | $48.47 | ↓ -37% |
| Kaiser | Commercial|All Plans | $62.32 | ↓ -19% |
| Blue Shield CA | Commercial|PPO Tandem | $63.47 | ↓ -17% |
| Blue Shield CA | Commercial|HMO | $68.09 | ↓ -11% |
| Blue Shield CA | Commercial|CalPers | $71.55 | ↓ -7% |
| Blue Shield CA | Commercial|PPO | $76.17 | ↓ -1% |
| First Health | Commercial|All Plans | $86.55 | ↑ +13% |
| Healthsmart | Commercial|All Plans | $86.55 | ↑ +13% |
| Sutter Health | Commercial|All Plans | $92.32 | ↑ +20% |
| BCBS - Anthem | Commercial|Connection EPO | $92.32 | ↑ +20% |
| MultiPlan | Commercial|All Plans | $95.79 | ↑ +25% |
| BCBS - Anthem | Medicare|All Other Plans | $108.83 | ↑ +42% |
| BCBS - Anthem | Commercial|All Other Plans | $115.40 | ↑ +50% |
| BCBS - Anthem | Medicaid|All Plans | $115.40 | ↑ +50% |
| BCBS - Anthem | Commercial|MCS | $115.40 | ↑ +50% |
| Blue Shield CA | Medicare|HMO | $115.40 | ↑ +50% |
| Blue Shield CA | Medicare|PPO | $115.40 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $115.40 | ↑ +50% |
| Hill Physicians | Commercial|All Plans | $115.40 | ↑ +50% |
| Humana | Medicare|All Plans | $115.40 | ↑ +50% |
| Aetna | Commercial|All Other Plans | $115.40 | ↑ +50% |
| Aetna | Commercial|PPO | $115.40 | ↑ +50% |
| Aetna | Medicare|All Plans | $115.40 | ↑ +50% |
| Aetna | Commercial|HMO | $115.40 | ↑ +50% |
| Molina | Medicaid|All Plans | $115.40 | ↑ +50% |
| Molina | Medicare|All Plans | $115.40 | ↑ +50% |
| United | Commercial|All Other Plans | $115.40 | ↑ +50% |
| United | Medicare|All Plans | $115.40 | ↑ +50% |
| United | Commercial|HMO | $115.40 | ↑ +50% |
| United | Commercial|Options PPO | $115.40 | ↑ +50% |
| United | Commercial|Non-Options PPO | $115.40 | ↑ +50% |
| United | Medicaid|< 21 | $115.40 | ↑ +50% |
| United | Medicaid|> 21 | $115.40 | ↑ +50% |
| Health Net | Medicaid|All Plans | $115.40 | ↑ +50% |
| Kaiser | Medicare|All Plans | $115.40 | ↑ +50% |
| California Health & Wellness | Medicaid|All Plans | $115.40 | ↑ +50% |
| Humana | Commercial|All Plans | $115.40 | ↑ +50% |
| Hill Physicians | Medicaid|All Plans | $115.40 | ↑ +50% |
| BCBS - Anthem | Medicare|Imperial | $118.87 | ↑ +55% |
| BrightHealth | Commercial|All Plans | $126.94 | ↑ +65% |
| BlueShield | Medicare|Trauma | $144.25 | ↑ +88% |
| Prison Healthcare | Medicaid|All Plans | $173.10 | ↑ +125% |
| Cigna | Commercial|LocalPlus | $570.13 | ↑ +642% |
| Cigna | Commercial|All Other Plans | $760.23 | ↑ +890% |
Visitor-reported prices
Comments
Infect ag genotype na hiv-1 revr trn/prt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $61.32 | $31.16 – $683.08 |
| Banner Lassen Medical Center | Susanville | $75.89 | $51.49 – $377.59 |
| Petaluma Valley Hospital | Petaluma | $117.81 | $252.30 – $2,100.18 |
| Arroyo Grande Hospital | Santa Maria | $140.06 | $54.20 – $663.34 |
| Mark Twain Medical Center | San Andreas | $184.49 | $75.79 – $140.00 |
| French Hospital | San Luis Obispo | $128.28 | $29.27 – $779.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $103.99 | $57.70 – $739.81 |
| Bakersfield Memorial Hospital | Bakersfield | $102.87 | $57.70 – $739.81 |