Target gsa panel hmtlmph neop at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$712.40
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.
$2,600.00
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.
$88.00 with WCMG vs $2,242.83 with Cigna — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $88.00 | ↓ -88% |
| Western Health Advantage | Commercial|All Plans | $280.00 | ↓ -61% |
| Kaiser | Medicaid|All Plans | $328.00 | ↓ -54% |
| Kaiser | Commercial|All Plans | $432.00 | ↓ -39% |
| Healthsmart | Commercial|All Plans | $600.00 | ↓ -16% |
| First Health | Commercial|All Plans | $600.00 | ↓ -16% |
| BCBS - Anthem | Commercial|Connection EPO | $640.00 | ↓ -10% |
| Sutter Health | Commercial|All Plans | $640.00 | ↓ -10% |
| MultiPlan | Commercial|All Plans | $664.00 | ↓ -7% |
| BCBS - Anthem | Medicare|All Other Plans | $716.24 | ↑ +1% |
| Humana | Commercial|All Plans | $759.53 | ↑ +7% |
| Humana | Medicare|All Plans | $759.53 | ↑ +7% |
| Aetna | Medicare|All Plans | $759.53 | ↑ +7% |
| Molina | Medicare|All Plans | $759.53 | ↑ +7% |
| United | Medicare|All Plans | $759.53 | ↑ +7% |
| Kaiser | Medicare|All Plans | $759.53 | ↑ +7% |
| Blue Shield CA | Medicare|HMO | $759.53 | ↑ +7% |
| Blue Shield CA | Medicare|PPO | $759.53 | ↑ +7% |
| Hill Physicians | Commercial|All Plans | $759.53 | ↑ +7% |
| BCBS - Anthem | Medicare|Imperial | $782.32 | ↑ +10% |
| BCBS - Anthem | Commercial|All Other Plans | $800.00 | ↑ +12% |
| United | Commercial|HMO | $800.00 | ↑ +12% |
| BCBS - Anthem | Commercial|MCS | $800.00 | ↑ +12% |
| United | Commercial|All Other Plans | $800.00 | ↑ +12% |
| Aetna | Commercial|PPO | $800.00 | ↑ +12% |
| Aetna | Commercial|All Other Plans | $800.00 | ↑ +12% |
| United | Commercial|Options PPO | $800.00 | ↑ +12% |
| Aetna | Commercial|HMO | $800.00 | ↑ +12% |
| United | Commercial|Non-Options PPO | $800.00 | ↑ +12% |
| BrightHealth | Commercial|All Plans | $835.48 | ↑ +17% |
| BlueShield | Medicare|Trauma | $949.41 | ↑ +33% |
| Prison Healthcare | Medicaid|All Plans | $1,139.30 | ↑ +60% |
| Cigna | Commercial|LocalPlus | $1,682.00 | ↑ +136% |
| Cigna | Commercial|All Other Plans | $2,242.83 | ↑ +215% |
Visitor-reported prices
Comments
Target gsa panel hmtlmph neop at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,423.50 | $432.00 – $2,015.24 |
| Banner Lassen Medical Center | Susanville | $1,315.55 | $151.91 – $2,274.65 |
| Arroyo Grande Hospital | Santa Maria | $1,391.00 | $90.00 – $1,956.99 |
| Mark Twain Medical Center | San Andreas | $1,731.60 | $759.53 – $2,352.00 |
| French Hospital | San Luis Obispo | $1,274.00 | $48.60 – $2,300.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $819.91 | $759.53 – $2,182.60 |
| Bakersfield Memorial Hospital | Bakersfield | $811.07 | $759.53 – $2,182.60 |
| St. Joseph's Medical Center Stockton | Stockton | $649.74 | $464.10 – $1,812.20 |