Pretreat rbc absorption reference at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$34.25
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.
$125.00
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.
$9.24 with WCMG vs $117.09 with Prison Healthcare — 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 | $9.24 | ↓ -73% |
| Partnership Health Plan | Medicaid|All Plans | $19.97 | ↓ -42% |
| Blue Shield CA | Commercial|ACO Trio | $26.04 | ↓ -24% |
| United | Medicaid|> 21 | $28.64 | ↓ -16% |
| United | Medicaid|< 21 | $28.64 | ↓ -16% |
| Western Health Advantage | Commercial|All Plans | $29.40 | ↓ -14% |
| Hill Physicians | Medicaid|All Plans | $31.50 | ↓ -8% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $33.60 | ↓ -2% |
| Kaiser | Medicaid|All Plans | $34.44 | ↑ +1% |
| Blue Shield CA | Commercial|Exchange | $35.28 | ↑ +3% |
| Molina | Medicaid|All Plans | $37.54 | ↑ +10% |
| United | Commercial|All Other Plans | $40.61 | ↑ +19% |
| United | Commercial|HMO | $40.61 | ↑ +19% |
| United | Commercial|Options PPO | $40.61 | ↑ +19% |
| United | Commercial|Non-Options PPO | $40.61 | ↑ +19% |
| Kaiser | Commercial|All Plans | $45.36 | ↑ +32% |
| Blue Shield CA | Commercial|PPO Tandem | $46.20 | ↑ +35% |
| Blue Shield CA | Commercial|HMO | $49.56 | ↑ +45% |
| Blue Shield CA | Commercial|CalPers | $52.08 | ↑ +52% |
| BCBS - Anthem | Medicaid|All Plans | $54.42 | ↑ +59% |
| Blue Shield CA | Commercial|PPO | $55.44 | ↑ +62% |
| Healthsmart | Commercial|All Plans | $63.00 | ↑ +84% |
| First Health | Commercial|All Plans | $63.00 | ↑ +84% |
| California Health & Wellness | Medicaid|All Plans | $65.59 | ↑ +92% |
| Health Net | Medicaid|All Plans | $65.59 | ↑ +92% |
| Sutter Health | Commercial|All Plans | $67.20 | ↑ +96% |
| BCBS - Anthem | Commercial|Connection EPO | $67.20 | ↑ +96% |
| Aetna | Commercial|HMO | $67.68 | ↑ +98% |
| Aetna | Commercial|All Other Plans | $67.68 | ↑ +98% |
| Aetna | Commercial|PPO | $67.68 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $69.72 | ↑ +104% |
| BCBS - Anthem | Medicare|All Other Plans | $73.61 | ↑ +115% |
| Aetna | Medicare|All Plans | $78.06 | ↑ +128% |
| Humana | Commercial|All Plans | $78.06 | ↑ +128% |
| Kaiser | Medicare|All Plans | $78.06 | ↑ +128% |
| Humana | Medicare|All Plans | $78.06 | ↑ +128% |
| United | Medicare|All Plans | $78.06 | ↑ +128% |
| Blue Shield CA | Medicare|HMO | $78.06 | ↑ +128% |
| Molina | Medicare|All Plans | $78.06 | ↑ +128% |
| Blue Shield CA | Medicare|PPO | $78.06 | ↑ +128% |
| Cigna | Commercial|LocalPlus | $78.16 | ↑ +128% |
| BCBS - Anthem | Medicare|Imperial | $80.40 | ↑ +135% |
| BCBS - Anthem | Commercial|All Other Plans | $84.00 | ↑ +145% |
| BCBS - Anthem | Commercial|MCS | $84.00 | ↑ +145% |
| BrightHealth | Commercial|All Plans | $85.87 | ↑ +151% |
| BlueShield | Medicare|Trauma | $97.58 | ↑ +185% |
| Cigna | Commercial|All Other Plans | $104.22 | ↑ +204% |
| Prison Healthcare | Medicaid|All Plans | $117.09 | ↑ +242% |
Visitor-reported prices
Comments
Pretreat rbc absorption reference at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $69.21 | $35.37 – $102.18 |
| Banner Lassen Medical Center | Susanville | $144.60 | $11.88 – $220.19 |
| Petaluma Valley Hospital | Petaluma | $219.30 | $66.86 – $146.90 |
| Arroyo Grande Hospital | Santa Maria | $70.79 | $28.64 – $162.08 |
| Mark Twain Medical Center | San Andreas | $110.15 | $21.74 – $82.32 |
| French Hospital | San Luis Obispo | $64.83 | $28.64 – $162.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $58.44 | $28.06 – $101.42 |
| Bakersfield Memorial Hospital | Bakersfield | $57.81 | $28.06 – $101.42 |