Protein c activity at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4.94
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.
?
What you pay up front if you don't use insurance.
$18.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.66 with WCMG vs $40.89 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.66 | ↓ -66% |
| Blue Shield CA | Commercial|ACO Trio | $4.67 | ↓ -5% |
| Western Health Advantage | Commercial|All Plans | $5.28 | ↑ +7% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $6.03 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $6.18 | ↑ +25% |
| Blue Shield CA | Commercial|Exchange | $6.33 | ↑ +28% |
| Kaiser | Commercial|All Plans | $8.14 | ↑ +65% |
| Blue Shield CA | Commercial|PPO Tandem | $8.29 | ↑ +68% |
| Blue Shield CA | Commercial|HMO | $8.89 | ↑ +80% |
| Blue Shield CA | Commercial|CalPers | $9.34 | ↑ +89% |
| Blue Shield CA | Commercial|PPO | $9.94 | ↑ +101% |
| First Health | Commercial|All Plans | $11.30 | ↑ +129% |
| Healthsmart | Commercial|All Plans | $11.30 | ↑ +129% |
| Sutter Health | Commercial|All Plans | $12.05 | ↑ +144% |
| BCBS - Anthem | Commercial|Connection EPO | $12.05 | ↑ +144% |
| Partnership Health Plan | Medicaid|All Plans | $12.30 | ↑ +149% |
| MultiPlan | Commercial|All Plans | $12.50 | ↑ +153% |
| BCBS - Anthem | Medicare|All Other Plans | $13.05 | ↑ +164% |
| United | Medicare|All Plans | $13.84 | ↑ +180% |
| Humana | Medicare|All Plans | $13.84 | ↑ +180% |
| Aetna | Medicare|All Plans | $13.84 | ↑ +180% |
| Molina | Medicare|All Plans | $13.84 | ↑ +180% |
| Humana | Commercial|All Plans | $13.84 | ↑ +180% |
| Kaiser | Medicare|All Plans | $13.84 | ↑ +180% |
| Blue Shield CA | Medicare|HMO | $13.84 | ↑ +180% |
| Blue Shield CA | Medicare|PPO | $13.84 | ↑ +180% |
| Hill Physicians | Commercial|All Plans | $13.84 | ↑ +180% |
| BCBS - Anthem | Medicare|Imperial | $14.26 | ↑ +189% |
| BCBS - Anthem | Commercial|MCS | $15.06 | ↑ +205% |
| California Health & Wellness | Medicaid|All Plans | $15.06 | ↑ +205% |
| Hill Physicians | Medicaid|All Plans | $15.06 | ↑ +205% |
| Aetna | Commercial|HMO | $15.06 | ↑ +205% |
| BCBS - Anthem | Commercial|All Other Plans | $15.06 | ↑ +205% |
| BCBS - Anthem | Medicaid|All Plans | $15.06 | ↑ +205% |
| Health Net | Medicaid|All Plans | $15.06 | ↑ +205% |
| United | Medicaid|> 21 | $15.06 | ↑ +205% |
| United | Medicaid|< 21 | $15.06 | ↑ +205% |
| United | Commercial|Non-Options PPO | $15.06 | ↑ +205% |
| Aetna | Commercial|PPO | $15.06 | ↑ +205% |
| United | Commercial|Options PPO | $15.06 | ↑ +205% |
| United | Commercial|HMO | $15.06 | ↑ +205% |
| Aetna | Commercial|All Other Plans | $15.06 | ↑ +205% |
| United | Commercial|All Other Plans | $15.06 | ↑ +205% |
| Molina | Medicaid|All Plans | $15.06 | ↑ +205% |
| BrightHealth | Commercial|All Plans | $15.22 | ↑ +208% |
| BlueShield | Medicare|Trauma | $17.30 | ↑ +250% |
| Prison Healthcare | Medicaid|All Plans | $20.76 | ↑ +320% |
| Cigna | Commercial|LocalPlus | $30.66 | ↑ +521% |
| Cigna | Commercial|All Other Plans | $40.89 | ↑ +728% |
Visitor-reported prices
Comments
Protein c activity at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $116.48 | $13.00 – $13.00 |
| St. John's Camarillo Hospital | Camarillo | $10.52 | $4.86 – $36.74 |
| Antioch Medical Center | ANTIOCH | $116.48 | $13.00 – $13.00 |
| Redwood City Medical Center | Redwood City | $116.48 | $13.00 – $13.00 |
| Santa Clara Medical Center | SANTA CLARA | $116.48 | $13.00 – $13.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $182.52 | $10.00 – $10.00 |
| Riverside Medical Center | RIVERSIDE | $182.52 | $10.00 – $10.00 |
| Fremont Medical Center | FREMONT | $116.48 | $13.00 – $13.00 |