Staph a dna amp probe at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$129.61
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.
$473.00
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.
$31.19 with Partnership Health Plan vs $473.00 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 | $31.19 | ↓ -76% |
| United | Medicaid|> 21 | $31.19 | ↓ -76% |
| United | Medicaid|< 21 | $31.19 | ↓ -76% |
| BCBS - Anthem | Medicare|All Other Plans | $33.09 | ↓ -74% |
| Hill Physicians | Medicaid|All Plans | $34.31 | ↓ -74% |
| Blue Shield CA | Medicare|PPO | $35.09 | ↓ -73% |
| Blue Shield CA | Medicare|HMO | $35.09 | ↓ -73% |
| Kaiser | Medicare|All Plans | $35.09 | ↓ -73% |
| United | Medicare|All Plans | $35.09 | ↓ -73% |
| Molina | Medicare|All Plans | $35.09 | ↓ -73% |
| Humana | Medicare|All Plans | $35.09 | ↓ -73% |
| Humana | Commercial|All Plans | $35.09 | ↓ -73% |
| Hill Physicians | Commercial|All Plans | $35.09 | ↓ -73% |
| Aetna | Medicare|All Plans | $35.09 | ↓ -73% |
| BCBS - Anthem | Medicare|Imperial | $36.14 | ↓ -72% |
| BrightHealth | Commercial|All Plans | $38.60 | ↓ -70% |
| United | Commercial|Options PPO | $42.11 | ↓ -68% |
| United | Commercial|Non-Options PPO | $42.11 | ↓ -68% |
| United | Commercial|HMO | $42.11 | ↓ -68% |
| United | Commercial|All Other Plans | $42.11 | ↓ -68% |
| BlueShield | Medicare|Trauma | $43.86 | ↓ -66% |
| WCMG | Commercial|All Plans | $52.03 | ↓ -60% |
| Prison Healthcare | Medicaid|All Plans | $52.64 | ↓ -59% |
| Molina | Medicaid|All Plans | $58.64 | ↓ -55% |
| BCBS - Anthem | Medicaid|All Plans | $59.26 | ↓ -54% |
| Health Net | Medicaid|All Plans | $71.43 | ↓ -45% |
| California Health & Wellness | Medicaid|All Plans | $71.43 | ↓ -45% |
| Cigna | Commercial|LocalPlus | $77.71 | ↓ -40% |
| Cigna | Commercial|All Other Plans | $103.63 | ↓ -20% |
| Aetna | Commercial|PPO | $132.23 | ↑ +2% |
| Aetna | Commercial|All Other Plans | $132.23 | ↑ +2% |
| Aetna | Commercial|HMO | $132.23 | ↑ +2% |
| Blue Shield CA | Commercial|ACO Trio | $146.63 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $165.55 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $189.20 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $193.93 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $198.66 | ↑ +53% |
| Kaiser | Commercial|All Plans | $255.42 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $260.15 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $279.07 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $293.26 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $312.18 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $354.75 | ↑ +174% |
| First Health | Commercial|All Plans | $354.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $378.40 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $378.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $392.59 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $473.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $473.00 | ↑ +265% |
Visitor-reported prices
Comments
Staph a dna amp probe at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Sierra Nevada Memorial Hospital | Grass Valley | $210.37 | $31.19 – $378.28 |
| Mercy General Hospital | Sacramento | $103.12 | $31.19 – $378.40 |
| Mercy Hospital of Folsom | Folsom | $184.00 | $31.19 – $387.86 |
| Woodland Memorial Hospital | Woodland | $129.61 | $31.19 – $473.00 |
| Methodist Hospital of Sacramento | Sacramento | $136.23 | $31.19 – $392.59 |
| Petaluma Valley Hospital | Petaluma | not published | $34.39 – $280.28 |
| Queen of The Valley Medical Center | Napa | not published | $35.09 – $354.21 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $35.09 – $401.67 |