Surgical pathology level 3 gross & microscopic examination at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$231.53
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.
$845.00
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.
$30.48 with Partnership Health Plan vs $701.35 with MultiPlan — 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 | $30.48 | ↓ -87% |
| Hill Physicians | Commercial|All Plans | $35.33 | ↓ -85% |
| United | Medicaid|< 21 | $43.72 | ↓ -81% |
| United | Medicaid|> 21 | $43.72 | ↓ -81% |
| Hill Physicians | Medicaid|All Plans | $48.09 | ↓ -79% |
| Molina | Medicaid|All Plans | $57.30 | ↓ -75% |
| United | Commercial|Non-Options PPO | $59.71 | ↓ -74% |
| United | Commercial|Options PPO | $59.71 | ↓ -74% |
| United | Commercial|HMO | $59.71 | ↓ -74% |
| United | Commercial|All Other Plans | $59.71 | ↓ -74% |
| BCBS - Anthem | Medicare|All Other Plans | $66.21 | ↓ -71% |
| Cigna | Commercial|LocalPlus | $68.21 | ↓ -71% |
| Blue Shield CA | Medicare|PPO | $70.21 | ↓ -70% |
| Humana | Medicare|All Plans | $70.21 | ↓ -70% |
| Aetna | Medicare|All Plans | $70.21 | ↓ -70% |
| Molina | Medicare|All Plans | $70.21 | ↓ -70% |
| United | Medicare|All Plans | $70.21 | ↓ -70% |
| Kaiser | Medicare|All Plans | $70.21 | ↓ -70% |
| Blue Shield CA | Medicare|HMO | $70.21 | ↓ -70% |
| Humana | Commercial|All Plans | $70.21 | ↓ -70% |
| BCBS - Anthem | Medicare|Imperial | $72.32 | ↓ -69% |
| BrightHealth | Commercial|All Plans | $77.23 | ↓ -67% |
| BlueShield | Medicare|Trauma | $87.76 | ↓ -62% |
| Cigna | Commercial|All Other Plans | $90.95 | ↓ -61% |
| WCMG | Commercial|All Plans | $92.95 | ↓ -60% |
| Health Net | Medicaid|All Plans | $100.12 | ↓ -57% |
| California Health & Wellness | Medicaid|All Plans | $100.12 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $103.57 | ↓ -55% |
| Prison Healthcare | Medicaid|All Plans | $105.31 | ↓ -55% |
| Aetna | Commercial|All Other Plans | $148.59 | ↓ -36% |
| Aetna | Commercial|PPO | $148.59 | ↓ -36% |
| Aetna | Commercial|HMO | $148.59 | ↓ -36% |
| BCBS - Anthem | Commercial|Connection EPO | $173.16 | ↓ -25% |
| BCBS - Anthem | Commercial|All Other Plans | $216.37 | ↓ -7% |
| Western Health Advantage | Commercial|All Plans | $295.75 | ↑ +28% |
| BCBS - Anthem | Commercial|MCS | $302.95 | ↑ +31% |
| Kaiser | Medicaid|All Plans | $346.45 | ↑ +50% |
| Kaiser | Commercial|All Plans | $456.30 | ↑ +97% |
| First Health | Commercial|All Plans | $633.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $633.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $676.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $701.35 | ↑ +203% |
Visitor-reported prices
Comments
Surgical pathology level 3 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $165.57 | $59.71 – $294.84 |
| Banner Lassen Medical Center | Susanville | $12.66 | $10.69 – $50.29 |
| Petaluma Valley Hospital | Petaluma | $316.71 | $70.23 – $98.94 |
| Arroyo Grande Hospital | Santa Maria | $14.30 | $16.70 – $79.36 |
| Mark Twain Medical Center | San Andreas | $85.25 | $8.65 – $33.41 |
| French Hospital | San Luis Obispo | $13.09 | $9.02 – $93.29 |
| Mercy Hospitals – Bakersfield | Bakersfield | $105.37 | $22.59 – $88.51 |
| Bakersfield Memorial Hospital | Bakersfield | $104.23 | $22.59 – $88.51 |