Infect ag phenotype na hiv-1 ea addl drg at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$31.62
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.
$115.40
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.
$10.87 with WCMG vs $98.74 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 | $10.87 | ↓ -66% |
| Partnership Health Plan | Medicaid|All Plans | $23.17 | ↓ -27% |
| United | Medicaid|> 21 | $23.17 | ↓ -27% |
| United | Medicaid|< 21 | $23.17 | ↓ -27% |
| BCBS - Anthem | Medicare|All Other Plans | $24.58 | ↓ -22% |
| Hill Physicians | Medicaid|All Plans | $25.49 | ↓ -19% |
| Molina | Medicare|All Plans | $26.07 | ↓ -18% |
| United | Medicare|All Plans | $26.07 | ↓ -18% |
| Kaiser | Medicare|All Plans | $26.07 | ↓ -18% |
| Humana | Medicare|All Plans | $26.07 | ↓ -18% |
| Humana | Commercial|All Plans | $26.07 | ↓ -18% |
| Hill Physicians | Commercial|All Plans | $26.07 | ↓ -18% |
| Aetna | Medicare|All Plans | $26.07 | ↓ -18% |
| Blue Shield CA | Medicare|PPO | $26.07 | ↓ -18% |
| Blue Shield CA | Medicare|HMO | $26.07 | ↓ -18% |
| BCBS - Anthem | Medicare|Imperial | $26.85 | ↓ -15% |
| BrightHealth | Commercial|All Plans | $28.68 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio | $30.61 | ↓ -3% |
| United | Commercial|All Other Plans | $31.28 | ↓ -1% |
| United | Commercial|Non-Options PPO | $31.28 | ↓ -1% |
| United | Commercial|HMO | $31.28 | ↓ -1% |
| United | Commercial|Options PPO | $31.28 | ↓ -1% |
| BlueShield | Medicare|Trauma | $32.59 | ↑ +3% |
| Western Health Advantage | Commercial|All Plans | $34.56 | ↑ +9% |
| Prison Healthcare | Medicaid|All Plans | $39.10 | ↑ +24% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $39.50 | ↑ +25% |
| Kaiser | Medicaid|All Plans | $40.49 | ↑ +28% |
| Blue Shield CA | Commercial|Exchange | $41.48 | ↑ +31% |
| Molina | Medicaid|All Plans | $43.56 | ↑ +38% |
| BCBS - Anthem | Medicaid|All Plans | $44.02 | ↑ +39% |
| California Health & Wellness | Medicaid|All Plans | $53.06 | ↑ +68% |
| Health Net | Medicaid|All Plans | $53.06 | ↑ +68% |
| Kaiser | Commercial|All Plans | $53.32 | ↑ +69% |
| Blue Shield CA | Commercial|PPO Tandem | $54.31 | ↑ +72% |
| Cigna | Commercial|LocalPlus | $57.75 | ↑ +83% |
| Blue Shield CA | Commercial|HMO | $58.26 | ↑ +84% |
| Blue Shield CA | Commercial|CalPers | $61.22 | ↑ +94% |
| Blue Shield CA | Commercial|PPO | $65.17 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $74.06 | ↑ +134% |
| First Health | Commercial|All Plans | $74.06 | ↑ +134% |
| Cigna | Commercial|All Other Plans | $77.00 | ↑ +144% |
| Sutter Health | Commercial|All Plans | $79.00 | ↑ +150% |
| BCBS - Anthem | Commercial|Connection EPO | $79.00 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $81.96 | ↑ +159% |
| Aetna | Commercial|HMO | $98.20 | ↑ +211% |
| Aetna | Commercial|PPO | $98.20 | ↑ +211% |
| Aetna | Commercial|All Other Plans | $98.20 | ↑ +211% |
| BCBS - Anthem | Commercial|All Other Plans | $98.74 | ↑ +212% |
| BCBS - Anthem | Commercial|MCS | $98.74 | ↑ +212% |
Visitor-reported prices
Comments
Infect ag phenotype na hiv-1 ea addl drg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $50.55 | $23.95 – $69.19 |
| Arroyo Grande Hospital | Santa Maria | $49.40 | $20.85 – $86.90 |
| French Hospital | San Luis Obispo | $45.24 | $20.85 – $86.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42.82 | $23.17 – $74.94 |
| Bakersfield Memorial Hospital | Bakersfield | $42.36 | $23.17 – $74.94 |
| St. Joseph's Behavioral Health Center | Stockton | $65.90 | $8.87 – $70.94 |
| St. Joseph's Medical Center Stockton | Stockton | $33.93 | $18.63 – $72.71 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $89.79 | $23.17 – $86.90 |