Phlebotomy therapeutic at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$155.91
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.
$569.00
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.
$18.82 with United vs $16,950.00 with United — 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 |
|---|---|---|---|
| United | Medicaid|< 21 | $18.82 | ↓ -88% |
| United | Medicaid|> 21 | $18.82 | ↓ -88% |
| Molina | Medicaid|All Plans | $30.83 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $32.82 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $44.69 | ↓ -71% |
| WCMG | Commercial|All Plans | $62.59 | ↓ -60% |
| Health Net | Medicaid|All Plans | $68.33 | ↓ -56% |
| California Health & Wellness | Medicaid|All Plans | $68.33 | ↓ -56% |
| Hill Physicians | Commercial|All Plans | $99.81 | ↓ -36% |
| Partnership Health Plan | Medicaid|All Plans | $101.15 | ↓ -35% |
| BCBS - Anthem | Medicare|All Other Plans | $159.73 | ↑ +2% |
| Kaiser | Medicare|All Plans | $169.39 | ↑ +9% |
| Humana | Medicare|All Plans | $169.39 | ↑ +9% |
| Humana | Commercial|All Plans | $169.39 | ↑ +9% |
| Aetna | Medicare|All Plans | $169.39 | ↑ +9% |
| Molina | Medicare|All Plans | $169.39 | ↑ +9% |
| United | Medicare|All Plans | $169.39 | ↑ +9% |
| Blue Shield CA | Medicare|PPO | $169.39 | ↑ +9% |
| Blue Shield CA | Medicare|HMO | $169.39 | ↑ +9% |
| BCBS - Anthem | Medicare|Imperial | $174.47 | ↑ +12% |
| BrightHealth | Commercial|All Plans | $186.33 | ↑ +20% |
| Western Health Advantage | Commercial|All Plans | $199.15 | ↑ +28% |
| BlueShield | Medicare|Trauma | $211.74 | ↑ +36% |
| Kaiser | Medicaid|All Plans | $233.29 | ↑ +50% |
| Prison Healthcare | Medicaid|All Plans | $254.08 | ↑ +63% |
| Blue Shield CA | Commercial|ACO Trio | $290.19 | ↑ +86% |
| Kaiser | Commercial|All Plans | $307.26 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $369.85 | ↑ +137% |
| Cigna | Commercial|LocalPlus | $375.54 | ↑ +141% |
| Blue Shield CA | Commercial|Exchange | $386.92 | ↑ +148% |
| Healthsmart | Commercial|All Plans | $426.75 | ↑ +174% |
| First Health | Commercial|All Plans | $426.75 | ↑ +174% |
| Blue Shield CA | Commercial|PPO Tandem | $455.20 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $455.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $472.27 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $500.72 | ↑ +221% |
| Blue Shield CA | Commercial|HMO | $512.10 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $512.10 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $523.48 | ↑ +236% |
| United | Commercial|Non-Options PPO | $569.00 | ↑ +265% |
| United | Commercial|HMO | $569.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +2643% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +3329% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +4700% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +10530% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +10530% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +10530% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +10772% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +10772% |
Visitor-reported prices
Comments
Phlebotomy therapeutic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $155.93 | $23.15 – $291.44 |
| Banner Lassen Medical Center | Susanville | $157.14 | $25.78 – $236.68 |
| Petaluma Valley Hospital | Petaluma | $235.11 | $179.30 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $154.94 | $18.82 – $999.00 |
| Mark Twain Medical Center | San Andreas | $305.70 | $18.82 – $449.82 |
| French Hospital | San Luis Obispo | $141.91 | $18.82 – $354.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $96.84 | $18.82 – $253.17 |
| Bakersfield Memorial Hospital | Bakersfield | $95.79 | $18.82 – $229.89 |