Ntrk translocation analysis at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$221.94
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.
$810.00
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.
$89.10 with WCMG vs $1,530.45 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 | $89.10 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $283.50 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $332.10 | ↑ +50% |
| United | Medicaid|< 21 | $414.62 | ↑ +87% |
| United | Medicaid|> 21 | $414.62 | ↑ +87% |
| Partnership Health Plan | Medicaid|All Plans | $414.62 | ↑ +87% |
| Kaiser | Commercial|All Plans | $437.40 | ↑ +97% |
| Hill Physicians | Medicaid|All Plans | $456.08 | ↑ +105% |
| BCBS - Anthem | Medicare|All Other Plans | $488.74 | ↑ +120% |
| Blue Shield CA | Medicare|PPO | $518.28 | ↑ +134% |
| Humana | Medicare|All Plans | $518.28 | ↑ +134% |
| Aetna | Medicare|All Plans | $518.28 | ↑ +134% |
| Molina | Medicare|All Plans | $518.28 | ↑ +134% |
| United | Medicare|All Plans | $518.28 | ↑ +134% |
| Kaiser | Medicare|All Plans | $518.28 | ↑ +134% |
| Blue Shield CA | Medicare|HMO | $518.28 | ↑ +134% |
| Humana | Commercial|All Plans | $518.28 | ↑ +134% |
| Hill Physicians | Commercial|All Plans | $518.28 | ↑ +134% |
| BCBS - Anthem | Medicare|Imperial | $533.83 | ↑ +141% |
| BrightHealth | Commercial|All Plans | $570.11 | ↑ +157% |
| First Health | Commercial|All Plans | $607.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $607.50 | ↑ +174% |
| United | Commercial|Options PPO | $621.94 | ↑ +180% |
| United | Commercial|All Other Plans | $621.94 | ↑ +180% |
| United | Commercial|HMO | $621.94 | ↑ +180% |
| United | Commercial|Non-Options PPO | $621.94 | ↑ +180% |
| BlueShield | Medicare|Trauma | $647.85 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $648.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $648.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $672.30 | ↑ +203% |
| Prison Healthcare | Medicaid|All Plans | $777.42 | ↑ +250% |
| Molina | Medicaid|All Plans | $779.49 | ↑ +251% |
| BCBS - Anthem | Medicaid|All Plans | $787.78 | ↑ +255% |
| Aetna | Commercial|HMO | $810.00 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $810.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $810.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $810.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $810.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $810.00 | ↑ +265% |
| Aetna | Commercial|PPO | $810.00 | ↑ +265% |
| Cigna | Commercial|LocalPlus | $1,147.75 | ↑ +417% |
| Cigna | Commercial|All Other Plans | $1,530.45 | ↑ +590% |
Visitor-reported prices
Comments
Ntrk translocation analysis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $342.40 | $400.00 – $1,335.39 |
| French Hospital | San Luis Obispo | $313.60 | $216.00 – $1,569.86 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $622.40 | $414.62 – $784.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $441.45 | $414.62 – $810.00 |
| Mercy Medical Center Redding | Redding | $405.60 | $414.62 – $800.00 |
| Mercy General Hospital | Sacramento | $176.58 | $283.50 – $1,147.75 |
| Mercy Hospital of Folsom | Folsom | $315.09 | $89.10 – $1,147.75 |
| Woodland Memorial Hospital | Woodland | $221.94 | $89.10 – $810.00 |