Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$47.95
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.
$175.00
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.
$16.65 with Partnership Health Plan vs $337.77 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $16.65 | ↓ -65% |
| WCMG | Commercial|All Plans | $19.25 | ↓ -60% |
| United | Medicaid|< 21 | $23.88 | ↓ -50% |
| United | Medicaid|> 21 | $23.88 | ↓ -50% |
| Hill Physicians | Medicaid|All Plans | $26.27 | ↓ -45% |
| Molina | Medicaid|All Plans | $31.30 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $45.37 | ↓ -5% |
| Blue Shield CA | Commercial|ACO Trio | $54.25 | ↑ +13% |
| California Health & Wellness | Medicaid|All Plans | $54.69 | ↑ +14% |
| Health Net | Medicaid|All Plans | $54.69 | ↑ +14% |
| Western Health Advantage | Commercial|All Plans | $61.25 | ↑ +28% |
| Aetna | Commercial|PPO | $67.68 | ↑ +41% |
| Aetna | Commercial|HMO | $67.68 | ↑ +41% |
| Aetna | Commercial|All Other Plans | $67.68 | ↑ +41% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $70.00 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $71.75 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $73.50 | ↑ +53% |
| Cigna | Commercial|LocalPlus | $78.16 | ↑ +63% |
| Kaiser | Commercial|All Plans | $94.50 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $96.25 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $103.25 | ↑ +115% |
| Cigna | Commercial|All Other Plans | $104.22 | ↑ +117% |
| Blue Shield CA | Commercial|CalPers | $108.50 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $115.50 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $131.25 | ↑ +174% |
| First Health | Commercial|All Plans | $131.25 | ↑ +174% |
| BCBS - Anthem | Commercial|Connection EPO | $140.00 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $140.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $145.25 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $165.03 | ↑ +244% |
| United | Medicare|All Plans | $175.00 | ↑ +265% |
| United | Commercial|All Other Plans | $175.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $175.00 | ↑ +265% |
| Molina | Medicare|All Plans | $175.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $175.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $175.00 | ↑ +265% |
| Humana | Commercial|All Plans | $175.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $175.00 | ↑ +265% |
| United | Commercial|Options PPO | $175.00 | ↑ +265% |
| United | Commercial|HMO | $175.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $175.00 | ↑ +265% |
| Humana | Medicare|All Plans | $175.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $180.25 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $192.50 | ↑ +301% |
| BlueShield | Medicare|Trauma | $218.75 | ↑ +356% |
| Blue Shield CA | Medicare|HMO | $225.18 | ↑ +370% |
| Kaiser | Medicare|All Plans | $225.18 | ↑ +370% |
| Prison Healthcare | Medicaid|All Plans | $337.77 | ↑ +604% |
Visitor-reported prices
Comments
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $89.23 | $36.13 – $394.70 |
| Banner Lassen Medical Center | Susanville | $103.19 | $27.47 – $157.14 |
| Arroyo Grande Hospital | Santa Maria | $91.55 | $23.88 – $213.89 |
| Mark Twain Medical Center | San Andreas | $69.93 | $23.88 – $102.90 |
| French Hospital | San Luis Obispo | $83.85 | $23.88 – $213.89 |
| St. Joseph's Medical Center Stockton | Stockton | $30.87 | $22.05 – $105.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $48.00 | $173.63 – $405.38 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $158.48 | $16.65 – $199.63 |