Semen analysis w/count at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$33.16
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.
$121.00
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.
$8.12 with BCBS - Anthem vs $121.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $8.12 | ↓ -76% |
| Humana | Medicare|All Plans | $8.61 | ↓ -74% |
| Humana | Commercial|All Plans | $8.61 | ↓ -74% |
| Hill Physicians | Commercial|All Plans | $8.61 | ↓ -74% |
| Blue Shield CA | Medicare|PPO | $8.61 | ↓ -74% |
| Aetna | Medicare|All Plans | $8.61 | ↓ -74% |
| Blue Shield CA | Medicare|HMO | $8.61 | ↓ -74% |
| Kaiser | Medicare|All Plans | $8.61 | ↓ -74% |
| Molina | Medicare|All Plans | $8.61 | ↓ -74% |
| United | Medicare|All Plans | $8.61 | ↓ -74% |
| BCBS - Anthem | Medicare|Imperial | $8.87 | ↓ -73% |
| BrightHealth | Commercial|All Plans | $9.47 | ↓ -71% |
| United | Commercial|All Other Plans | $10.33 | ↓ -69% |
| United | Commercial|HMO | $10.33 | ↓ -69% |
| United | Commercial|Options PPO | $10.33 | ↓ -69% |
| United | Commercial|Non-Options PPO | $10.33 | ↓ -69% |
| BlueShield | Medicare|Trauma | $10.76 | ↓ -68% |
| Prison Healthcare | Medicaid|All Plans | $12.91 | ↓ -61% |
| WCMG | Commercial|All Plans | $13.31 | ↓ -60% |
| Cigna | Commercial|LocalPlus | $19.08 | ↓ -42% |
| Cigna | Commercial|All Other Plans | $25.44 | ↓ -23% |
| Aetna | Commercial|HMO | $32.42 | ↓ -2% |
| Aetna | Commercial|All Other Plans | $32.42 | ↓ -2% |
| Aetna | Commercial|PPO | $32.42 | ↓ -2% |
| Blue Shield CA | Commercial|ACO Trio | $37.51 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $42.35 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $48.40 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $49.61 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $50.82 | ↑ +53% |
| Kaiser | Commercial|All Plans | $65.34 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $66.55 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $71.39 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $75.02 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $79.86 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $90.75 | ↑ +174% |
| First Health | Commercial|All Plans | $90.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $96.80 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $96.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $100.43 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $121.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $121.00 | ↑ +265% |
Visitor-reported prices
Comments
Semen analysis w/count at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $17.99 | $1.72 – $25.22 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $88.70 | $8.61 – $59.28 |
| Sierra Nevada Memorial Hospital | Grass Valley | $124.26 | $8.61 – $61.74 |
| California Hospital Medical Center | Los Angeles | $84.88 | $8.61 – $138.25 |
| Providence Saint Joseph Medical Center | Burbank | $290.50 | $8.61 – $50.41 |
| Mercy General Hospital | Sacramento | $26.38 | $8.12 – $96.80 |
| Mercy Hospital of Folsom | Folsom | $47.07 | $8.12 – $99.22 |
| Woodland Memorial Hospital | Woodland | $33.16 | $8.12 – $121.00 |