Sedimentation rate erythrocyte automated at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$7.68
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.
$28.00
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.
$2.40 with Partnership Health Plan vs $28.00 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 | $2.40 | ↓ -69% |
| BCBS - Anthem | Medicare|All Other Plans | $2.55 | ↓ -67% |
| Humana | Commercial|All Plans | $2.70 | ↓ -65% |
| Hill Physicians | Commercial|All Plans | $2.70 | ↓ -65% |
| Aetna | Medicare|All Plans | $2.70 | ↓ -65% |
| Blue Shield CA | Medicare|HMO | $2.70 | ↓ -65% |
| Humana | Medicare|All Plans | $2.70 | ↓ -65% |
| Blue Shield CA | Medicare|PPO | $2.70 | ↓ -65% |
| Kaiser | Medicare|All Plans | $2.70 | ↓ -65% |
| Molina | Medicare|All Plans | $2.70 | ↓ -65% |
| United | Medicare|All Plans | $2.70 | ↓ -65% |
| BCBS - Anthem | Medicare|Imperial | $2.78 | ↓ -64% |
| BrightHealth | Commercial|All Plans | $2.97 | ↓ -61% |
| WCMG | Commercial|All Plans | $3.08 | ↓ -60% |
| United | Commercial|HMO | $3.24 | ↓ -58% |
| United | Commercial|All Other Plans | $3.24 | ↓ -58% |
| United | Commercial|Options PPO | $3.24 | ↓ -58% |
| United | Commercial|Non-Options PPO | $3.24 | ↓ -58% |
| BlueShield | Medicare|Trauma | $3.38 | ↓ -56% |
| United | Medicaid|> 21 | $3.44 | ↓ -55% |
| United | Medicaid|< 21 | $3.44 | ↓ -55% |
| Hill Physicians | Medicaid|All Plans | $3.78 | ↓ -51% |
| Prison Healthcare | Medicaid|All Plans | $4.05 | ↓ -47% |
| Molina | Medicaid|All Plans | $4.51 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $5.89 | ↓ -23% |
| Cigna | Commercial|LocalPlus | $6.00 | ↓ -22% |
| California Health & Wellness | Medicaid|All Plans | $7.88 | ↑ +3% |
| Health Net | Medicaid|All Plans | $7.88 | ↑ +3% |
| Cigna | Commercial|All Other Plans | $8.00 | ↑ +4% |
| Blue Shield CA | Commercial|ACO Trio | $8.68 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $9.80 | ↑ +28% |
| Aetna | Commercial|PPO | $10.16 | ↑ +32% |
| Aetna | Commercial|HMO | $10.16 | ↑ +32% |
| Aetna | Commercial|All Other Plans | $10.16 | ↑ +32% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11.20 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $11.48 | ↑ +49% |
| Blue Shield CA | Commercial|Exchange | $11.76 | ↑ +53% |
| Kaiser | Commercial|All Plans | $15.12 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $15.40 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $16.52 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $17.36 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $18.48 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $21.00 | ↑ +173% |
| First Health | Commercial|All Plans | $21.00 | ↑ +173% |
| Sutter Health | Commercial|All Plans | $22.40 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $22.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $23.24 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $28.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $28.00 | ↑ +265% |
Visitor-reported prices
Comments
Sedimentation rate erythrocyte automated at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $5.36 | $0.54 – $8.73 |
| Petaluma Valley Hospital | Petaluma | $85.17 | $2.65 – $21.32 |
| Arroyo Grande Hospital | Santa Maria | $150.66 | $2.70 – $6.98 |
| Mark Twain Medical Center | San Andreas | $115.22 | $2.70 – $169.54 |
| French Hospital | San Luis Obispo | $137.99 | $1.89 – $8.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $103.14 | $2.70 – $131.20 |
| Bakersfield Memorial Hospital | Bakersfield | $102.03 | $2.70 – $129.56 |
| Queen of The Valley Medical Center | Napa | $207.57 | $2.70 – $26.95 |