Macroscopic exam arthropod at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$7.98
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.
$29.10
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.
$3.19 with WCMG vs $29.00 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 | $3.19 | ↓ -60% |
| Partnership Health Plan | Medicaid|All Plans | $3.80 | ↓ -52% |
| United | Medicaid|> 21 | $3.80 | ↓ -52% |
| United | Medicaid|< 21 | $3.80 | ↓ -52% |
| BCBS - Anthem | Medicare|All Other Plans | $4.03 | ↓ -49% |
| Hill Physicians | Medicaid|All Plans | $4.18 | ↓ -48% |
| Kaiser | Medicare|All Plans | $4.27 | ↓ -46% |
| United | Medicare|All Plans | $4.27 | ↓ -46% |
| Molina | Medicare|All Plans | $4.27 | ↓ -46% |
| Humana | Medicare|All Plans | $4.27 | ↓ -46% |
| Humana | Commercial|All Plans | $4.27 | ↓ -46% |
| Hill Physicians | Commercial|All Plans | $4.27 | ↓ -46% |
| Aetna | Medicare|All Plans | $4.27 | ↓ -46% |
| Blue Shield CA | Medicare|PPO | $4.27 | ↓ -46% |
| Blue Shield CA | Medicare|HMO | $4.27 | ↓ -46% |
| BCBS - Anthem | Medicare|Imperial | $4.40 | ↓ -45% |
| BrightHealth | Commercial|All Plans | $4.70 | ↓ -41% |
| United | Commercial|Non-Options PPO | $5.12 | ↓ -36% |
| United | Commercial|HMO | $5.12 | ↓ -36% |
| United | Commercial|All Other Plans | $5.12 | ↓ -36% |
| United | Commercial|Options PPO | $5.12 | ↓ -36% |
| BlueShield | Medicare|Trauma | $5.34 | ↓ -33% |
| Prison Healthcare | Medicaid|All Plans | $6.40 | ↓ -20% |
| Molina | Medicaid|All Plans | $7.14 | ↓ -11% |
| BCBS - Anthem | Medicaid|All Plans | $7.22 | ↓ -10% |
| California Health & Wellness | Medicaid|All Plans | $8.70 | ↑ +9% |
| Health Net | Medicaid|All Plans | $8.70 | ↑ +9% |
| Blue Shield CA | Commercial|ACO Trio | $8.99 | ↑ +13% |
| Cigna | Commercial|LocalPlus | $9.47 | ↑ +19% |
| Western Health Advantage | Commercial|All Plans | $10.15 | ↑ +27% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11.60 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $11.89 | ↑ +49% |
| Blue Shield CA | Commercial|Exchange | $12.18 | ↑ +53% |
| Cigna | Commercial|All Other Plans | $12.63 | ↑ +58% |
| Kaiser | Commercial|All Plans | $15.66 | ↑ +96% |
| Blue Shield CA | Commercial|PPO Tandem | $15.95 | ↑ +100% |
| Aetna | Commercial|HMO | $16.10 | ↑ +102% |
| Aetna | Commercial|All Other Plans | $16.10 | ↑ +102% |
| Aetna | Commercial|PPO | $16.10 | ↑ +102% |
| Blue Shield CA | Commercial|HMO | $17.11 | ↑ +114% |
| Blue Shield CA | Commercial|CalPers | $17.98 | ↑ +125% |
| Blue Shield CA | Commercial|PPO | $19.14 | ↑ +140% |
| First Health | Commercial|All Plans | $21.75 | ↑ +173% |
| Healthsmart | Commercial|All Plans | $21.75 | ↑ +173% |
| Sutter Health | Commercial|All Plans | $23.20 | ↑ +191% |
| BCBS - Anthem | Commercial|Connection EPO | $23.20 | ↑ +191% |
| MultiPlan | Commercial|All Plans | $24.07 | ↑ +202% |
| BCBS - Anthem | Commercial|All Other Plans | $29.00 | ↑ +263% |
| BCBS - Anthem | Commercial|MCS | $29.00 | ↑ +263% |
Visitor-reported prices
Comments
Macroscopic exam arthropod at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $32.96 | $3.41 – $75.46 |
| Mark Twain Medical Center | San Andreas | $7.12 | $3.80 – $10.47 |
| French Hospital | San Luis Obispo | $30.19 | $3.41 – $75.46 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $59.91 | $3.80 – $75.46 |
| Northridge Hospital Medical Center | Northridge | $50.78 | $3.80 – $182.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $76.85 | $3.80 – $28.52 |
| California Hospital Medical Center | Los Angeles | $63.54 | $3.42 – $103.49 |
| St. Mary Medical Center | Long Beach | $78.26 | $3.42 – $145.60 |