Infectious agent antigen immunoassay ql/sq multi step rotavirus at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$57.54
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.
$210.00
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.
$1.39 with WCMG vs $35.39 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 | $1.39 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio | $3.92 | ↓ -93% |
| Western Health Advantage | Commercial|All Plans | $4.43 | ↓ -92% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5.06 | ↓ -91% |
| Kaiser | Medicaid|All Plans | $5.18 | ↓ -91% |
| Blue Shield CA | Commercial|Exchange | $5.31 | ↓ -91% |
| Kaiser | Commercial|All Plans | $6.83 | ↓ -88% |
| Blue Shield CA | Commercial|PPO Tandem | $6.95 | ↓ -88% |
| Blue Shield CA | Commercial|HMO | $7.46 | ↓ -87% |
| Blue Shield CA | Commercial|CalPers | $7.84 | ↓ -86% |
| Blue Shield CA | Commercial|PPO | $8.34 | ↓ -86% |
| Partnership Health Plan | Medicaid|All Plans | $8.86 | ↓ -85% |
| Healthsmart | Commercial|All Plans | $9.48 | ↓ -84% |
| First Health | Commercial|All Plans | $9.48 | ↓ -84% |
| Sutter Health | Commercial|All Plans | $10.11 | ↓ -82% |
| BCBS - Anthem | Commercial|Connection EPO | $10.11 | ↓ -82% |
| MultiPlan | Commercial|All Plans | $10.49 | ↓ -82% |
| BCBS - Anthem | Medicare|All Other Plans | $11.30 | ↓ -80% |
| United | Medicare|All Plans | $11.98 | ↓ -79% |
| Humana | Medicare|All Plans | $11.98 | ↓ -79% |
| Aetna | Medicare|All Plans | $11.98 | ↓ -79% |
| Molina | Medicare|All Plans | $11.98 | ↓ -79% |
| Humana | Commercial|All Plans | $11.98 | ↓ -79% |
| Kaiser | Medicare|All Plans | $11.98 | ↓ -79% |
| Blue Shield CA | Medicare|HMO | $11.98 | ↓ -79% |
| Blue Shield CA | Medicare|PPO | $11.98 | ↓ -79% |
| Hill Physicians | Commercial|All Plans | $11.98 | ↓ -79% |
| BCBS - Anthem | Medicare|Imperial | $12.34 | ↓ -79% |
| BCBS - Anthem | Commercial|MCS | $12.63 | ↓ -78% |
| California Health & Wellness | Medicaid|All Plans | $12.63 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $12.63 | ↓ -78% |
| Aetna | Commercial|HMO | $12.63 | ↓ -78% |
| BCBS - Anthem | Commercial|All Other Plans | $12.63 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $12.63 | ↓ -78% |
| Health Net | Medicaid|All Plans | $12.63 | ↓ -78% |
| United | Medicaid|> 21 | $12.63 | ↓ -78% |
| United | Medicaid|< 21 | $12.63 | ↓ -78% |
| United | Commercial|Non-Options PPO | $12.63 | ↓ -78% |
| Aetna | Commercial|PPO | $12.63 | ↓ -78% |
| United | Commercial|Options PPO | $12.63 | ↓ -78% |
| United | Commercial|HMO | $12.63 | ↓ -78% |
| Aetna | Commercial|All Other Plans | $12.63 | ↓ -78% |
| United | Commercial|All Other Plans | $12.63 | ↓ -78% |
| Molina | Medicaid|All Plans | $12.63 | ↓ -78% |
| BrightHealth | Commercial|All Plans | $13.18 | ↓ -77% |
| BlueShield | Medicare|Trauma | $14.98 | ↓ -74% |
| Prison Healthcare | Medicaid|All Plans | $17.97 | ↓ -69% |
| Cigna | Commercial|LocalPlus | $26.54 | ↓ -54% |
| Cigna | Commercial|All Other Plans | $35.39 | ↓ -38% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step rotavirus at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $22.88 | $2.40 – $39.77 |
| Petaluma Valley Hospital | Petaluma | $38.35 | $11.74 – $73.37 |
| Arroyo Grande Hospital | Santa Maria | $121.56 | $6.32 – $30.88 |
| Mark Twain Medical Center | San Andreas | $337.00 | $6.84 – $12.63 |
| French Hospital | San Luis Obispo | $111.33 | $3.42 – $36.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42.33 | $5.50 – $34.44 |
| Bakersfield Memorial Hospital | Bakersfield | $41.87 | $11.98 – $51.35 |
| Queen of The Valley Medical Center | Napa | $38.35 | $11.98 – $92.72 |