Mayo antithrombin iii antigen at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$5.11
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.
$18.64
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.
$2.06 with WCMG vs $31.94 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 | $2.06 | ↓ -60% |
| Blue Shield CA | Commercial|ACO Trio | $5.78 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $6.53 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7.46 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $7.65 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $7.83 | ↑ +53% |
| Partnership Health Plan | Medicaid|All Plans | $9.61 | ↑ +88% |
| Kaiser | Commercial|All Plans | $10.07 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $10.19 | ↑ +99% |
| Blue Shield CA | Commercial|PPO Tandem | $10.26 | ↑ +101% |
| Molina | Medicare|All Plans | $10.81 | ↑ +112% |
| United | Medicare|All Plans | $10.81 | ↑ +112% |
| Blue Shield CA | Medicare|HMO | $10.81 | ↑ +112% |
| Aetna | Medicare|All Plans | $10.81 | ↑ +112% |
| Hill Physicians | Commercial|All Plans | $10.81 | ↑ +112% |
| Humana | Medicare|All Plans | $10.81 | ↑ +112% |
| Humana | Commercial|All Plans | $10.81 | ↑ +112% |
| Kaiser | Medicare|All Plans | $10.81 | ↑ +112% |
| Blue Shield CA | Medicare|PPO | $10.81 | ↑ +112% |
| Blue Shield CA | Commercial|HMO | $11.00 | ↑ +115% |
| BCBS - Anthem | Medicare|Imperial | $11.13 | ↑ +118% |
| Blue Shield CA | Commercial|CalPers | $11.56 | ↑ +126% |
| BrightHealth | Commercial|All Plans | $11.89 | ↑ +133% |
| Blue Shield CA | Commercial|PPO | $12.31 | ↑ +141% |
| United | Commercial|All Other Plans | $12.97 | ↑ +154% |
| United | Commercial|HMO | $12.97 | ↑ +154% |
| United | Commercial|Options PPO | $12.97 | ↑ +154% |
| United | Commercial|Non-Options PPO | $12.97 | ↑ +154% |
| BlueShield | Medicare|Trauma | $13.51 | ↑ +164% |
| United | Medicaid|< 21 | $13.78 | ↑ +170% |
| United | Medicaid|> 21 | $13.78 | ↑ +170% |
| First Health | Commercial|All Plans | $13.98 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $13.98 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $14.92 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $14.92 | ↑ +192% |
| Hill Physicians | Medicaid|All Plans | $15.16 | ↑ +197% |
| MultiPlan | Commercial|All Plans | $15.48 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $16.21 | ↑ +217% |
| Molina | Medicaid|All Plans | $18.07 | ↑ +254% |
| Aetna | Commercial|PPO | $18.64 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $18.64 | ↑ +265% |
| Health Net | Medicaid|All Plans | $18.64 | ↑ +265% |
| BCBS - Anthem | Medicaid|All Plans | $18.64 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $18.64 | ↑ +265% |
| Aetna | Commercial|HMO | $18.64 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $18.64 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $18.64 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $23.95 | ↑ +369% |
| Cigna | Commercial|All Other Plans | $31.94 | ↑ +525% |
Visitor-reported prices
Comments
Mayo antithrombin iii antigen at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $8.17 | $3.01 – $28.70 |
| Banner Lassen Medical Center | Susanville | $10.73 | $2.16 – $17.46 |
| Petaluma Valley Hospital | Petaluma | $100.22 | $10.59 – $88.26 |
| Arroyo Grande Hospital | Santa Maria | $7.98 | $5.34 – $27.87 |
| Mark Twain Medical Center | San Andreas | $12.42 | $8.57 – $15.51 |
| French Hospital | San Luis Obispo | $7.31 | $4.28 – $32.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6.92 | $9.32 – $31.08 |
| Bakersfield Memorial Hospital | Bakersfield | $6.85 | $9.32 – $31.08 |