Target gsa panel organ neop at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$397.30
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.
$1,450.00
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.
$159.50 with WCMG vs $1,765.59 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 | $159.50 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $507.50 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $563.83 | ↑ +42% |
| Kaiser | Medicaid|All Plans | $594.50 | ↑ +50% |
| Humana | Commercial|All Plans | $597.91 | ↑ +50% |
| Humana | Medicare|All Plans | $597.91 | ↑ +50% |
| Aetna | Medicare|All Plans | $597.91 | ↑ +50% |
| Molina | Medicare|All Plans | $597.91 | ↑ +50% |
| United | Medicare|All Plans | $597.91 | ↑ +50% |
| United | Medicaid|< 21 | $597.91 | ↑ +50% |
| United | Medicaid|> 21 | $597.91 | ↑ +50% |
| Kaiser | Medicare|All Plans | $597.91 | ↑ +50% |
| Blue Shield CA | Medicare|HMO | $597.91 | ↑ +50% |
| Blue Shield CA | Medicare|PPO | $597.91 | ↑ +50% |
| Partnership Health Plan | Medicaid|All Plans | $597.91 | ↑ +50% |
| Hill Physicians | Commercial|All Plans | $597.91 | ↑ +50% |
| BCBS - Anthem | Medicare|Imperial | $615.85 | ↑ +55% |
| Hill Physicians | Medicaid|All Plans | $657.70 | ↑ +66% |
| BrightHealth | Commercial|All Plans | $657.70 | ↑ +66% |
| United | Commercial|Non-Options PPO | $717.49 | ↑ +81% |
| United | Commercial|All Other Plans | $717.49 | ↑ +81% |
| United | Commercial|HMO | $717.49 | ↑ +81% |
| United | Commercial|Options PPO | $717.49 | ↑ +81% |
| BlueShield | Medicare|Trauma | $747.39 | ↑ +88% |
| Kaiser | Commercial|All Plans | $783.00 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $896.87 | ↑ +126% |
| Healthsmart | Commercial|All Plans | $1,087.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,087.50 | ↑ +174% |
| Molina | Medicaid|All Plans | $1,124.07 | ↑ +183% |
| BCBS - Anthem | Medicaid|All Plans | $1,136.03 | ↑ +186% |
| Sutter Health | Commercial|All Plans | $1,160.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $1,160.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,203.50 | ↑ +203% |
| Cigna | Commercial|LocalPlus | $1,324.10 | ↑ +233% |
| California Health & Wellness | Medicaid|All Plans | $1,369.21 | ↑ +245% |
| Health Net | Medicaid|All Plans | $1,369.21 | ↑ +245% |
| BCBS - Anthem | Commercial|All Other Plans | $1,450.00 | ↑ +265% |
| Aetna | Commercial|PPO | $1,450.00 | ↑ +265% |
| Aetna | Commercial|HMO | $1,450.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $1,450.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $1,450.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $1,765.59 | ↑ +344% |
Visitor-reported prices
Comments
Target gsa panel organ neop at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,284.00 | $597.91 – $1,540.57 |
| French Hospital | San Luis Obispo | $1,176.00 | $391.50 – $1,811.06 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,890.00 | $597.91 – $4,900.00 |
| Dominican Hospital | Santa Cruz | $346.50 | $500.50 – $5,353.90 |
| Northridge Hospital Medical Center | Northridge | $166.82 | $149.48 – $1,090.14 |
| Sierra Nevada Memorial Hospital | Grass Valley | $790.25 | $597.91 – $1,421.00 |
| St. Mary Medical Center | Long Beach | $1,296.07 | $538.12 – $3,014.10 |
| Community Hospital San Bernardino | San Bernardino | $1,178.52 | $597.91 – $3,014.10 |