Screening prostate cancer PSA at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$57.27
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.
$209.00
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.
$18.21 with BCBS - Anthem vs $209.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $18.21 | ↓ -68% |
| Humana | Medicare|All Plans | $19.31 | ↓ -66% |
| Humana | Commercial|All Plans | $19.31 | ↓ -66% |
| Aetna | Medicare|All Plans | $19.31 | ↓ -66% |
| Hill Physicians | Commercial|All Plans | $19.31 | ↓ -66% |
| Molina | Medicare|All Plans | $19.31 | ↓ -66% |
| Kaiser | Medicare|All Plans | $19.31 | ↓ -66% |
| United | Medicare|All Plans | $19.31 | ↓ -66% |
| Blue Shield CA | Medicare|PPO | $19.31 | ↓ -66% |
| Blue Shield CA | Medicare|HMO | $19.31 | ↓ -66% |
| BCBS - Anthem | Medicare|Imperial | $19.89 | ↓ -65% |
| BrightHealth | Commercial|All Plans | $21.24 | ↓ -63% |
| WCMG | Commercial|All Plans | $22.99 | ↓ -60% |
| United | Commercial|Non-Options PPO | $23.17 | ↓ -60% |
| United | Commercial|Options PPO | $23.17 | ↓ -60% |
| United | Commercial|All Other Plans | $23.17 | ↓ -60% |
| United | Commercial|HMO | $23.17 | ↓ -60% |
| BlueShield | Medicare|Trauma | $24.14 | ↓ -58% |
| Prison Healthcare | Medicaid|All Plans | $28.96 | ↓ -49% |
| Cigna | Commercial|LocalPlus | $42.76 | ↓ -25% |
| Cigna | Commercial|All Other Plans | $57.01 | ↓ -0% |
| Blue Shield CA | Commercial|ACO Trio | $64.79 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $73.15 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $83.60 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $85.69 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $87.78 | ↑ +53% |
| Kaiser | Commercial|All Plans | $112.86 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $114.95 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $123.31 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $129.58 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $137.94 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $156.75 | ↑ +174% |
| First Health | Commercial|All Plans | $156.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $167.20 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $167.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $173.47 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $209.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $209.00 | ↑ +265% |
Visitor-reported prices
Comments
Screening prostate cancer PSA at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $212.29 | $5.59 – $49.75 |
| Mark Twain Medical Center | San Andreas | $130.54 | $6.06 – $11.18 |
| French Hospital | San Luis Obispo | $194.44 | $3.02 – $58.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $314.98 | $19.31 – $55.48 |
| Bakersfield Memorial Hospital | Bakersfield | $311.59 | $19.31 – $55.48 |
| St. Joseph's Behavioral Health Center | Stockton | $525.32 | $5.20 – $41.60 |
| St. Joseph's Medical Center Stockton | Stockton | $347.51 | $16.41 – $716.68 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $161.83 | $5.82 – $11.18 |