Lung Function Test (Spirometry) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$161.39
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.
$589.00
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.
$21.49 with Hill Physicians vs $589.00 with United — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $21.49 | ↓ -87% |
| United | Medicaid|< 21 | $28.23 | ↓ -83% |
| United | Medicaid|> 21 | $28.23 | ↓ -83% |
| Molina | Medicaid|All Plans | $46.25 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $49.22 | ↓ -70% |
| WCMG | Commercial|All Plans | $64.79 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $67.05 | ↓ -58% |
| California Health & Wellness | Medicaid|All Plans | $102.48 | ↓ -37% |
| Health Net | Medicaid|All Plans | $102.48 | ↓ -37% |
| Partnership Health Plan | Medicaid|All Plans | $151.73 | ↓ -6% |
| BCBS - Anthem | Medicare|All Other Plans | $193.88 | ↑ +20% |
| Humana | Commercial|All Plans | $205.60 | ↑ +27% |
| Humana | Medicare|All Plans | $205.60 | ↑ +27% |
| Aetna | Medicare|All Plans | $205.60 | ↑ +27% |
| Molina | Medicare|All Plans | $205.60 | ↑ +27% |
| United | Medicare|All Plans | $205.60 | ↑ +27% |
| Kaiser | Medicare|All Plans | $205.60 | ↑ +27% |
| Blue Shield CA | Medicare|HMO | $205.60 | ↑ +27% |
| Blue Shield CA | Medicare|PPO | $205.60 | ↑ +27% |
| Western Health Advantage | Commercial|All Plans | $206.15 | ↑ +28% |
| BCBS - Anthem | Medicare|Imperial | $211.77 | ↑ +31% |
| BrightHealth | Commercial|All Plans | $226.16 | ↑ +40% |
| Kaiser | Medicaid|All Plans | $241.49 | ↑ +50% |
| BlueShield | Medicare|Trauma | $257.00 | ↑ +59% |
| BCBS - Anthem | Commercial|Connection EPO | $259.02 | ↑ +60% |
| Prison Healthcare | Medicaid|All Plans | $308.40 | ↑ +91% |
| Kaiser | Commercial|All Plans | $318.06 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $323.67 | ↑ +101% |
| Healthsmart | Commercial|All Plans | $441.75 | ↑ +174% |
| First Health | Commercial|All Plans | $441.75 | ↑ +174% |
| BCBS - Anthem | Commercial|MCS | $453.18 | ↑ +181% |
| Sutter Health | Commercial|All Plans | $471.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $488.87 | ↑ +203% |
| United | Commercial|Non-Options PPO | $589.00 | ↑ +265% |
| United | Commercial|Options PPO | $589.00 | ↑ +265% |
| United | Commercial|HMO | $589.00 | ↑ +265% |
| United | Commercial|All Other Plans | $589.00 | ↑ +265% |
Visitor-reported prices
Comments
Lung Function Test (Spirometry) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $242.66 | $34.72 – $432.12 |
| Banner Lassen Medical Center | Susanville | $285.60 | $31.29 – $509.25 |
| Petaluma Valley Hospital | Petaluma | $621.69 | $120.03 – $296.92 |
| Arroyo Grande Hospital | Santa Maria | $357.38 | $28.23 – $818.30 |
| Mark Twain Medical Center | San Andreas | $154.52 | $28.23 – $227.36 |
| French Hospital | San Luis Obispo | $327.32 | $28.23 – $818.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $130.60 | $28.23 – $281.60 |
| Bakersfield Memorial Hospital | Bakersfield | $129.19 | $28.23 – $278.08 |