Natriuretic peptide at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$190.16
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.
$694.00
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.
$3.85 with WCMG vs $115.94 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 | $3.85 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio | $10.85 | ↓ -94% |
| Western Health Advantage | Commercial|All Plans | $12.25 | ↓ -94% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $14.00 | ↓ -93% |
| Kaiser | Medicaid|All Plans | $14.35 | ↓ -92% |
| Blue Shield CA | Commercial|Exchange | $14.70 | ↓ -92% |
| Kaiser | Commercial|All Plans | $18.90 | ↓ -90% |
| Blue Shield CA | Commercial|PPO Tandem | $19.25 | ↓ -90% |
| Blue Shield CA | Commercial|HMO | $20.65 | ↓ -89% |
| Blue Shield CA | Commercial|CalPers | $21.70 | ↓ -89% |
| Blue Shield CA | Commercial|PPO | $23.10 | ↓ -88% |
| First Health | Commercial|All Plans | $26.25 | ↓ -86% |
| Healthsmart | Commercial|All Plans | $26.25 | ↓ -86% |
| BCBS - Anthem | Commercial|Connection EPO | $28.00 | ↓ -85% |
| Sutter Health | Commercial|All Plans | $28.00 | ↓ -85% |
| MultiPlan | Commercial|All Plans | $29.05 | ↓ -85% |
| Partnership Health Plan | Medicaid|All Plans | $30.15 | ↓ -84% |
| United | Medicaid|> 21 | $30.15 | ↓ -84% |
| United | Medicaid|< 21 | $30.15 | ↓ -84% |
| BCBS - Anthem | Medicare|All Other Plans | $33.01 | ↓ -83% |
| Hill Physicians | Medicaid|All Plans | $33.16 | ↓ -83% |
| Humana | Commercial|All Plans | $35.00 | ↓ -82% |
| Hill Physicians | Commercial|All Plans | $35.00 | ↓ -82% |
| Humana | Medicare|All Plans | $35.00 | ↓ -82% |
| Aetna | Commercial|All Other Plans | $35.00 | ↓ -82% |
| Aetna | Commercial|PPO | $35.00 | ↓ -82% |
| Aetna | Medicare|All Plans | $35.00 | ↓ -82% |
| Aetna | Commercial|HMO | $35.00 | ↓ -82% |
| Molina | Medicaid|All Plans | $35.00 | ↓ -82% |
| Molina | Medicare|All Plans | $35.00 | ↓ -82% |
| United | Commercial|All Other Plans | $35.00 | ↓ -82% |
| United | Medicare|All Plans | $35.00 | ↓ -82% |
| United | Commercial|HMO | $35.00 | ↓ -82% |
| United | Commercial|Options PPO | $35.00 | ↓ -82% |
| United | Commercial|Non-Options PPO | $35.00 | ↓ -82% |
| Health Net | Medicaid|All Plans | $35.00 | ↓ -82% |
| Kaiser | Medicare|All Plans | $35.00 | ↓ -82% |
| BCBS - Anthem | Commercial|All Other Plans | $35.00 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $35.00 | ↓ -82% |
| BCBS - Anthem | Commercial|MCS | $35.00 | ↓ -82% |
| Blue Shield CA | Medicare|HMO | $35.00 | ↓ -82% |
| Blue Shield CA | Medicare|PPO | $35.00 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $35.00 | ↓ -82% |
| BCBS - Anthem | Medicare|Imperial | $36.05 | ↓ -81% |
| BrightHealth | Commercial|All Plans | $38.50 | ↓ -80% |
| BlueShield | Medicare|Trauma | $43.75 | ↓ -77% |
| Prison Healthcare | Medicaid|All Plans | $52.50 | ↓ -72% |
| Cigna | Commercial|LocalPlus | $86.95 | ↓ -54% |
| Cigna | Commercial|All Other Plans | $115.94 | ↓ -39% |
Visitor-reported prices
Comments
Natriuretic peptide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $164.69 | $39.26 – $122.50 |
| Banner Lassen Medical Center | Susanville | $73.87 | $7.85 – $94.09 |
| Petaluma Valley Hospital | Petaluma | $300.90 | $38.47 – $277.15 |
| Arroyo Grande Hospital | Santa Maria | $231.98 | $17.50 – $101.16 |
| Mark Twain Medical Center | San Andreas | $323.01 | $18.95 – $35.00 |
| French Hospital | San Luis Obispo | $212.47 | $9.45 – $118.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $111.68 | $17.50 – $112.82 |
| Bakersfield Memorial Hospital | Bakersfield | $110.47 | $17.50 – $112.82 |