Mlh1 gene at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$100.01
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.
$365.00
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.
$40.15 with WCMG vs $567.92 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 | $40.15 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $127.75 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $149.65 | ↑ +50% |
| BCBS - Anthem | Medicare|All Other Plans | $181.36 | ↑ +81% |
| Humana | Commercial|All Plans | $192.32 | ↑ +92% |
| Humana | Medicare|All Plans | $192.32 | ↑ +92% |
| Aetna | Medicare|All Plans | $192.32 | ↑ +92% |
| Molina | Medicare|All Plans | $192.32 | ↑ +92% |
| United | Medicare|All Plans | $192.32 | ↑ +92% |
| United | Medicaid|< 21 | $192.32 | ↑ +92% |
| United | Medicaid|> 21 | $192.32 | ↑ +92% |
| Kaiser | Medicare|All Plans | $192.32 | ↑ +92% |
| Blue Shield CA | Medicare|HMO | $192.32 | ↑ +92% |
| Blue Shield CA | Medicare|PPO | $192.32 | ↑ +92% |
| Partnership Health Plan | Medicaid|All Plans | $192.32 | ↑ +92% |
| Hill Physicians | Commercial|All Plans | $192.32 | ↑ +92% |
| Kaiser | Commercial|All Plans | $197.10 | ↑ +97% |
| BCBS - Anthem | Medicare|Imperial | $198.09 | ↑ +98% |
| Hill Physicians | Medicaid|All Plans | $211.55 | ↑ +112% |
| BrightHealth | Commercial|All Plans | $211.55 | ↑ +112% |
| United | Commercial|Non-Options PPO | $230.78 | ↑ +131% |
| United | Commercial|All Other Plans | $230.78 | ↑ +131% |
| United | Commercial|HMO | $230.78 | ↑ +131% |
| United | Commercial|Options PPO | $230.78 | ↑ +131% |
| BlueShield | Medicare|Trauma | $240.40 | ↑ +140% |
| Healthsmart | Commercial|All Plans | $273.75 | ↑ +174% |
| First Health | Commercial|All Plans | $273.75 | ↑ +174% |
| Prison Healthcare | Medicaid|All Plans | $288.48 | ↑ +188% |
| Sutter Health | Commercial|All Plans | $292.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $292.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $302.95 | ↑ +203% |
| Molina | Medicaid|All Plans | $361.56 | ↑ +262% |
| Aetna | Commercial|HMO | $365.00 | ↑ +265% |
| BCBS - Anthem | Medicaid|All Plans | $365.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $365.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $365.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $365.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $365.00 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $365.00 | ↑ +265% |
| Aetna | Commercial|PPO | $365.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $425.91 | ↑ +326% |
| Cigna | Commercial|All Other Plans | $567.92 | ↑ +468% |
Visitor-reported prices
Comments
Mlh1 gene at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $88.08 | $38.46 – $317.33 |
| Arroyo Grande Hospital | Santa Maria | $156.22 | $182.50 – $495.54 |
| Mark Twain Medical Center | San Andreas | $239.76 | $192.32 – $352.80 |
| French Hospital | San Luis Obispo | $143.08 | $98.55 – $582.55 |
| Mercy Hospitals – Bakersfield | Bakersfield | $133.56 | $180.00 – $552.67 |
| Bakersfield Memorial Hospital | Bakersfield | $132.12 | $180.00 – $552.67 |
| St. Joseph's Medical Center Stockton | Stockton | $105.84 | $75.60 – $360.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $283.97 | $189.80 – $357.70 |