#resp virpnl dfa-adenovirus at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$43.57
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.
$159.00
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.
$10.10 with Partnership Health Plan vs $159.00 with BCBS - Anthem — 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 | $10.10 | ↓ -77% |
| BCBS - Anthem | Medicare|All Other Plans | $13.61 | ↓ -69% |
| Humana | Commercial|All Plans | $14.43 | ↓ -67% |
| Hill Physicians | Commercial|All Plans | $14.43 | ↓ -67% |
| Aetna | Medicare|All Plans | $14.43 | ↓ -67% |
| Molina | Medicare|All Plans | $14.43 | ↓ -67% |
| Humana | Medicare|All Plans | $14.43 | ↓ -67% |
| Blue Shield CA | Medicare|PPO | $14.43 | ↓ -67% |
| Kaiser | Medicare|All Plans | $14.43 | ↓ -67% |
| United | Medicare|All Plans | $14.43 | ↓ -67% |
| Blue Shield CA | Medicare|HMO | $14.43 | ↓ -67% |
| United | Medicaid|< 21 | $14.49 | ↓ -67% |
| United | Medicaid|> 21 | $14.49 | ↓ -67% |
| BCBS - Anthem | Medicare|Imperial | $14.86 | ↓ -66% |
| BrightHealth | Commercial|All Plans | $15.87 | ↓ -64% |
| Hill Physicians | Medicaid|All Plans | $15.94 | ↓ -63% |
| United | Commercial|All Other Plans | $17.32 | ↓ -60% |
| United | Commercial|HMO | $17.32 | ↓ -60% |
| United | Commercial|Options PPO | $17.32 | ↓ -60% |
| United | Commercial|Non-Options PPO | $17.32 | ↓ -60% |
| WCMG | Commercial|All Plans | $17.49 | ↓ -60% |
| BlueShield | Medicare|Trauma | $18.04 | ↓ -59% |
| Molina | Medicaid|All Plans | $18.99 | ↓ -56% |
| Prison Healthcare | Medicaid|All Plans | $21.64 | ↓ -50% |
| BCBS - Anthem | Medicaid|All Plans | $21.91 | ↓ -50% |
| Cigna | Commercial|LocalPlus | $31.96 | ↓ -27% |
| California Health & Wellness | Medicaid|All Plans | $33.18 | ↓ -24% |
| Health Net | Medicaid|All Plans | $33.18 | ↓ -24% |
| Aetna | Commercial|PPO | $35.00 | ↓ -20% |
| Aetna | Commercial|All Other Plans | $35.00 | ↓ -20% |
| Aetna | Commercial|HMO | $35.00 | ↓ -20% |
| Cigna | Commercial|All Other Plans | $42.61 | ↓ -2% |
| Blue Shield CA | Commercial|ACO Trio | $49.29 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $55.65 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $63.60 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $65.19 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $66.78 | ↑ +53% |
| Kaiser | Commercial|All Plans | $85.86 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $87.45 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $93.81 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $98.58 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $104.94 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $119.25 | ↑ +174% |
| First Health | Commercial|All Plans | $119.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $127.20 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $127.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $131.97 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $159.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $159.00 | ↑ +265% |
Visitor-reported prices
Comments
#resp virpnl dfa-adenovirus at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $24.48 | $14.14 – $73.37 |
| Arroyo Grande Hospital | Santa Maria | $3.66 | $4.27 – $37.18 |
| French Hospital | San Luis Obispo | $3.35 | $2.31 – $43.71 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5.08 | $4.27 – $41.47 |
| Bakersfield Memorial Hospital | Bakersfield | $5.03 | $4.27 – $41.47 |
| Queen of The Valley Medical Center | Napa | $24.48 | $14.43 – $92.72 |
| Providence St Joseph Hospital Eureka | Eureka | $24.48 | $14.43 – $105.14 |
| St. Joseph's Behavioral Health Center | Stockton | $7.82 | $0.86 – $6.84 |