Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$117.82
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.
$430.00
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.
$13.56 with WCMG vs $123.20 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 | $13.56 | ↓ -88% |
| United | Medicaid|> 21 | $30.88 | ↓ -74% |
| Partnership Health Plan | Medicaid|All Plans | $30.88 | ↓ -74% |
| United | Medicaid|< 21 | $30.88 | ↓ -74% |
| BCBS - Anthem | Medicare|All Other Plans | $33.09 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $33.97 | ↓ -71% |
| United | Medicare|All Plans | $35.09 | ↓ -70% |
| Kaiser | Medicare|All Plans | $35.09 | ↓ -70% |
| Humana | Medicare|All Plans | $35.09 | ↓ -70% |
| Humana | Commercial|All Plans | $35.09 | ↓ -70% |
| Aetna | Medicare|All Plans | $35.09 | ↓ -70% |
| Hill Physicians | Commercial|All Plans | $35.09 | ↓ -70% |
| Molina | Medicare|All Plans | $35.09 | ↓ -70% |
| Blue Shield CA | Medicare|PPO | $35.09 | ↓ -70% |
| Blue Shield CA | Medicare|HMO | $35.09 | ↓ -70% |
| BCBS - Anthem | Medicare|Imperial | $36.14 | ↓ -69% |
| Blue Shield CA | Commercial|ACO Trio | $38.20 | ↓ -68% |
| BrightHealth | Commercial|All Plans | $38.60 | ↓ -67% |
| United | Commercial|Non-Options PPO | $42.11 | ↓ -64% |
| United | Commercial|All Other Plans | $42.11 | ↓ -64% |
| United | Commercial|Options PPO | $42.11 | ↓ -64% |
| United | Commercial|HMO | $42.11 | ↓ -64% |
| Western Health Advantage | Commercial|All Plans | $43.12 | ↓ -63% |
| BlueShield | Medicare|Trauma | $43.86 | ↓ -63% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $49.28 | ↓ -58% |
| Kaiser | Medicaid|All Plans | $50.52 | ↓ -57% |
| Blue Shield CA | Commercial|Exchange | $51.75 | ↓ -56% |
| Prison Healthcare | Medicaid|All Plans | $52.64 | ↓ -55% |
| Molina | Medicaid|All Plans | $58.05 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $58.67 | ↓ -50% |
| Kaiser | Commercial|All Plans | $66.53 | ↓ -44% |
| Blue Shield CA | Commercial|PPO Tandem | $67.76 | ↓ -42% |
| California Health & Wellness | Medicaid|All Plans | $70.72 | ↓ -40% |
| Health Net | Medicaid|All Plans | $70.72 | ↓ -40% |
| Blue Shield CA | Commercial|HMO | $72.69 | ↓ -38% |
| Blue Shield CA | Commercial|CalPers | $76.39 | ↓ -35% |
| Cigna | Commercial|LocalPlus | $77.71 | ↓ -34% |
| Blue Shield CA | Commercial|PPO | $81.32 | ↓ -31% |
| Healthsmart | Commercial|All Plans | $92.40 | ↓ -22% |
| First Health | Commercial|All Plans | $92.40 | ↓ -22% |
| Sutter Health | Commercial|All Plans | $98.56 | ↓ -16% |
| BCBS - Anthem | Commercial|Connection EPO | $98.56 | ↓ -16% |
| MultiPlan | Commercial|All Plans | $102.26 | ↓ -13% |
| Cigna | Commercial|All Other Plans | $103.63 | ↓ -12% |
| Aetna | Commercial|PPO | $123.20 | ↑ +5% |
| BCBS - Anthem | Commercial|MCS | $123.20 | ↑ +5% |
| Aetna | Commercial|All Other Plans | $123.20 | ↑ +5% |
| Aetna | Commercial|HMO | $123.20 | ↑ +5% |
| BCBS - Anthem | Commercial|All Other Plans | $123.20 | ↑ +5% |
Visitor-reported prices
Comments
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $25.11 | $7.02 – $50.95 |
| Petaluma Valley Hospital | Petaluma | $311.61 | $34.39 – $280.28 |
| Arroyo Grande Hospital | Santa Maria | $78.33 | $28.07 – $107.80 |
| Mark Twain Medical Center | San Andreas | $335.00 | $30.88 – $85.98 |
| French Hospital | San Luis Obispo | $71.74 | $28.07 – $118.58 |
| Mercy Hospitals – Bakersfield | Bakersfield | $64.93 | $23.00 – $100.84 |
| Bakersfield Memorial Hospital | Bakersfield | $64.23 | $23.00 – $100.84 |
| Queen of The Valley Medical Center | Napa | $536.52 | $35.09 – $354.21 |