Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$45.49
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.
?
What you pay up front if you don't use insurance.
$166.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.39 with Partnership Health Plan vs $166.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $8.39 | ↓ -82% |
| BCBS - Anthem | Medicare|All Other Plans | $11.30 | ↓ -75% |
| Humana | Commercial|All Plans | $11.98 | ↓ -74% |
| Hill Physicians | Commercial|All Plans | $11.98 | ↓ -74% |
| Aetna | Medicare|All Plans | $11.98 | ↓ -74% |
| Molina | Medicare|All Plans | $11.98 | ↓ -74% |
| Humana | Medicare|All Plans | $11.98 | ↓ -74% |
| Blue Shield CA | Medicare|PPO | $11.98 | ↓ -74% |
| Blue Shield CA | Medicare|HMO | $11.98 | ↓ -74% |
| Kaiser | Medicare|All Plans | $11.98 | ↓ -74% |
| United | Medicare|All Plans | $11.98 | ↓ -74% |
| United | Medicaid|< 21 | $12.03 | ↓ -74% |
| United | Medicaid|> 21 | $12.03 | ↓ -74% |
| BCBS - Anthem | Medicare|Imperial | $12.34 | ↓ -73% |
| BrightHealth | Commercial|All Plans | $13.18 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $13.23 | ↓ -71% |
| United | Commercial|Non-Options PPO | $14.38 | ↓ -68% |
| United | Commercial|HMO | $14.38 | ↓ -68% |
| United | Commercial|Options PPO | $14.38 | ↓ -68% |
| United | Commercial|All Other Plans | $14.38 | ↓ -68% |
| BlueShield | Medicare|Trauma | $14.98 | ↓ -67% |
| Molina | Medicaid|All Plans | $15.77 | ↓ -65% |
| Prison Healthcare | Medicaid|All Plans | $17.97 | ↓ -60% |
| WCMG | Commercial|All Plans | $18.26 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $21.91 | ↓ -52% |
| Cigna | Commercial|LocalPlus | $26.54 | ↓ -42% |
| California Health & Wellness | Medicaid|All Plans | $27.55 | ↓ -39% |
| Health Net | Medicaid|All Plans | $27.55 | ↓ -39% |
| Aetna | Commercial|PPO | $35.00 | ↓ -23% |
| Aetna | Commercial|All Other Plans | $35.00 | ↓ -23% |
| Aetna | Commercial|HMO | $35.00 | ↓ -23% |
| Cigna | Commercial|All Other Plans | $35.39 | ↓ -22% |
| Blue Shield CA | Commercial|ACO Trio | $51.46 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $58.10 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $66.40 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $68.06 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $69.72 | ↑ +53% |
| Kaiser | Commercial|All Plans | $89.64 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $91.30 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $97.94 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $102.92 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $109.56 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $124.50 | ↑ +174% |
| First Health | Commercial|All Plans | $124.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $132.80 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $132.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $137.78 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $166.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $166.00 | ↑ +265% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $63.08 | $11.98 – $112.32 |
| Banner Lassen Medical Center | Susanville | $71.42 | $2.40 – $124.16 |
| Petaluma Valley Hospital | Petaluma | $227.46 | $11.74 – $73.37 |
| Arroyo Grande Hospital | Santa Maria | $146.81 | $8.58 – $30.88 |
| Mark Twain Medical Center | San Andreas | $109.23 | $11.98 – $160.72 |
| French Hospital | San Luis Obispo | $134.46 | $4.64 – $36.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $108.34 | $11.79 – $79.20 |
| Bakersfield Memorial Hospital | Bakersfield | $107.17 | $11.79 – $87.69 |