Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$76.72
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.
$280.00
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.
$30.80 with WCMG vs $852.27 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 | $30.80 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $98.00 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $114.80 | ↑ +50% |
| Kaiser | Commercial|All Plans | $151.20 | ↑ +97% |
| United | Commercial|Options PPO | $178.99 | ↑ +133% |
| United | Commercial|HMO | $178.99 | ↑ +133% |
| United | Commercial|Non-Options PPO | $178.99 | ↑ +133% |
| United | Commercial|All Other Plans | $178.99 | ↑ +133% |
| United | Medicaid|> 21 | $185.00 | ↑ +141% |
| Partnership Health Plan | Medicaid|All Plans | $185.00 | ↑ +141% |
| United | Medicaid|< 21 | $185.00 | ↑ +141% |
| Hill Physicians | Medicaid|All Plans | $203.50 | ↑ +165% |
| Healthsmart | Commercial|All Plans | $210.00 | ↑ +174% |
| First Health | Commercial|All Plans | $210.00 | ↑ +174% |
| BCBS - Anthem | Medicare|All Other Plans | $212.34 | ↑ +177% |
| Sutter Health | Commercial|All Plans | $224.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $224.00 | ↑ +192% |
| Blue Shield CA | Medicare|PPO | $225.18 | ↑ +194% |
| Humana | Medicare|All Plans | $225.18 | ↑ +194% |
| Aetna | Medicare|All Plans | $225.18 | ↑ +194% |
| Molina | Medicare|All Plans | $225.18 | ↑ +194% |
| United | Medicare|All Plans | $225.18 | ↑ +194% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +194% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +194% |
| Humana | Commercial|All Plans | $225.18 | ↑ +194% |
| BCBS - Anthem | Medicare|Imperial | $231.94 | ↑ +202% |
| MultiPlan | Commercial|All Plans | $232.40 | ↑ +203% |
| BrightHealth | Commercial|All Plans | $247.70 | ↑ +223% |
| Hill Physicians | Commercial|All Plans | $259.87 | ↑ +239% |
| BCBS - Anthem | Commercial|All Other Plans | $280.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $280.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $280.00 | ↑ +265% |
| Molina | Medicaid|All Plans | $280.00 | ↑ +265% |
| Aetna | Commercial|HMO | $280.00 | ↑ +265% |
| Aetna | Commercial|PPO | $280.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $280.00 | ↑ +265% |
| BCBS - Anthem | Medicaid|All Plans | $280.00 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $280.00 | ↑ +265% |
| BlueShield | Medicare|Trauma | $281.48 | ↑ +267% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +340% |
| Cigna | Commercial|LocalPlus | $639.15 | ↑ +733% |
| Cigna | Commercial|All Other Plans | $852.27 | ↑ +1011% |
Visitor-reported prices
Comments
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $122.64 | $75.60 – $765.78 |
| Banner Lassen Medical Center | Susanville | $212.27 | $34.27 – $487.91 |
| Petaluma Valley Hospital | Petaluma | $43.35 | $229.59 – $1,218.18 |
| Arroyo Grande Hospital | Santa Maria | $194.56 | $22.50 – $743.65 |
| Mark Twain Medical Center | San Andreas | $186.48 | $10.35 – $40.00 |
| French Hospital | San Luis Obispo | $178.19 | $12.15 – $874.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $103.88 | $130.00 – $829.38 |
| Bakersfield Memorial Hospital | Bakersfield | $102.76 | $130.00 – $829.38 |