Infectious agent nucleic acid quantification hepatitis b at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$10.51
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.
$38.33
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.
$4.22 with WCMG vs $126.52 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 | $4.22 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $11.89 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $13.42 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15.34 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $15.72 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $16.10 | ↑ +53% |
| Kaiser | Commercial|All Plans | $20.70 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $21.09 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $22.62 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $23.77 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $25.30 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $28.75 | ↑ +174% |
| First Health | Commercial|All Plans | $28.75 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $30.67 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $30.67 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $31.82 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $36.15 | ↑ +244% |
| Partnership Health Plan | Medicaid|All Plans | $38.08 | ↑ +262% |
| BCBS - Anthem | Medicaid|All Plans | $38.33 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $38.33 | ↑ +265% |
| Blue Shield CA | Medicare|HMO | $38.33 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $38.33 | ↑ +265% |
| Hill Physicians | Commercial|All Plans | $38.33 | ↑ +265% |
| Humana | Medicare|All Plans | $38.33 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $38.33 | ↑ +265% |
| Aetna | Commercial|PPO | $38.33 | ↑ +265% |
| Aetna | Medicare|All Plans | $38.33 | ↑ +265% |
| Aetna | Commercial|HMO | $38.33 | ↑ +265% |
| Molina | Medicaid|All Plans | $38.33 | ↑ +265% |
| Molina | Medicare|All Plans | $38.33 | ↑ +265% |
| United | Commercial|All Other Plans | $38.33 | ↑ +265% |
| United | Medicare|All Plans | $38.33 | ↑ +265% |
| United | Commercial|HMO | $38.33 | ↑ +265% |
| United | Commercial|Options PPO | $38.33 | ↑ +265% |
| United | Commercial|Non-Options PPO | $38.33 | ↑ +265% |
| United | Medicaid|< 21 | $38.33 | ↑ +265% |
| United | Medicaid|> 21 | $38.33 | ↑ +265% |
| Health Net | Medicaid|All Plans | $38.33 | ↑ +265% |
| Kaiser | Medicare|All Plans | $38.33 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $38.33 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $38.33 | ↑ +265% |
| Humana | Commercial|All Plans | $38.33 | ↑ +265% |
| Hill Physicians | Medicaid|All Plans | $38.33 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $39.48 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $42.17 | ↑ +301% |
| BlueShield | Medicare|Trauma | $47.92 | ↑ +356% |
| Prison Healthcare | Medicaid|All Plans | $57.50 | ↑ +447% |
| Cigna | Commercial|LocalPlus | $94.88 | ↑ +803% |
| Cigna | Commercial|All Other Plans | $126.52 | ↑ +1104% |
Visitor-reported prices
Comments
Infectious agent nucleic acid quantification hepatitis b at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $21.90 | $13.50 – $113.68 |
| Banner Lassen Medical Center | Susanville | $42.97 | $8.57 – $74.69 |
| Petaluma Valley Hospital | Petaluma | $165.75 | $41.98 – $211.20 |
| Arroyo Grande Hospital | Santa Maria | $21.40 | $25.00 – $110.40 |
| Mark Twain Medical Center | San Andreas | $71.33 | $27.07 – $50.00 |
| French Hospital | San Luis Obispo | $19.60 | $13.50 – $129.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18.55 | $25.00 – $123.12 |
| Bakersfield Memorial Hospital | Bakersfield | $18.35 | $25.00 – $123.12 |