Lipoprotein blood high res frac & quant at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$14.98
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.
$54.64
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.
$6.02 with WCMG vs $99.99 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 | $6.02 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $16.94 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $19.13 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $21.86 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $22.41 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $22.95 | ↑ +53% |
| United | Medicaid|> 21 | $27.02 | ↑ +80% |
| Partnership Health Plan | Medicaid|All Plans | $27.02 | ↑ +80% |
| United | Medicaid|< 21 | $27.02 | ↑ +80% |
| Kaiser | Commercial|All Plans | $29.51 | ↑ +97% |
| Hill Physicians | Medicaid|All Plans | $29.72 | ↑ +98% |
| Blue Shield CA | Commercial|PPO Tandem | $30.06 | ↑ +101% |
| BCBS - Anthem | Medicare|All Other Plans | $31.93 | ↑ +113% |
| Blue Shield CA | Commercial|HMO | $32.24 | ↑ +115% |
| Humana | Commercial|All Plans | $33.86 | ↑ +126% |
| Humana | Medicare|All Plans | $33.86 | ↑ +126% |
| Hill Physicians | Commercial|All Plans | $33.86 | ↑ +126% |
| Aetna | Medicare|All Plans | $33.86 | ↑ +126% |
| Blue Shield CA | Medicare|PPO | $33.86 | ↑ +126% |
| Molina | Medicare|All Plans | $33.86 | ↑ +126% |
| Kaiser | Medicare|All Plans | $33.86 | ↑ +126% |
| United | Medicare|All Plans | $33.86 | ↑ +126% |
| Blue Shield CA | Medicare|HMO | $33.86 | ↑ +126% |
| Blue Shield CA | Commercial|CalPers | $33.88 | ↑ +126% |
| BCBS - Anthem | Medicare|Imperial | $34.88 | ↑ +133% |
| Blue Shield CA | Commercial|PPO | $36.07 | ↑ +141% |
| BrightHealth | Commercial|All Plans | $37.25 | ↑ +149% |
| United | Commercial|Options PPO | $40.63 | ↑ +171% |
| United | Commercial|All Other Plans | $40.63 | ↑ +171% |
| United | Commercial|HMO | $40.63 | ↑ +171% |
| United | Commercial|Non-Options PPO | $40.63 | ↑ +171% |
| First Health | Commercial|All Plans | $40.98 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $40.98 | ↑ +174% |
| BlueShield | Medicare|Trauma | $42.33 | ↑ +183% |
| BCBS - Anthem | Commercial|Connection EPO | $43.72 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $43.72 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $45.36 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $50.79 | ↑ +239% |
| Molina | Medicaid|All Plans | $50.80 | ↑ +239% |
| BCBS - Anthem | Medicaid|All Plans | $51.34 | ↑ +243% |
| BCBS - Anthem | Commercial|All Other Plans | $54.64 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $54.64 | ↑ +265% |
| Aetna | Commercial|HMO | $54.64 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $54.64 | ↑ +265% |
| Aetna | Commercial|PPO | $54.64 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $54.64 | ↑ +265% |
| Health Net | Medicaid|All Plans | $54.64 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $74.99 | ↑ +401% |
| Cigna | Commercial|All Other Plans | $99.99 | ↑ +567% |
Visitor-reported prices
Comments
Lipoprotein blood high res frac & quant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $29.42 | $6.77 – $45.59 |
| Arroyo Grande Hospital | Santa Maria | $13.25 | $12.75 – $87.25 |
| French Hospital | San Luis Obispo | $12.14 | $6.89 – $102.57 |
| Sierra Nevada Memorial Hospital | Grass Valley | $29.78 | $27.02 – $54.64 |
| Mercy General Hospital | Sacramento | $11.92 | $19.13 – $74.99 |
| Mercy Hospital of Folsom | Folsom | $21.26 | $6.02 – $74.99 |
| Woodland Memorial Hospital | Woodland | $14.98 | $6.02 – $54.64 |
| Methodist Hospital of Sacramento | Sacramento | $15.74 | $19.13 – $74.99 |