Trg gene rearrangement anal at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$71.24
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.
$260.00
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.
$28.60 with WCMG vs $595.04 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 | $28.60 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $91.00 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $106.60 | ↑ +50% |
| United | Medicaid|> 21 | $118.50 | ↑ +66% |
| United | Medicaid|< 21 | $118.50 | ↑ +66% |
| Partnership Health Plan | Medicaid|All Plans | $118.50 | ↑ +66% |
| Hill Physicians | Medicaid|All Plans | $130.35 | ↑ +83% |
| Kaiser | Commercial|All Plans | $140.40 | ↑ +97% |
| BCBS - Anthem | Medicare|All Other Plans | $190.01 | ↑ +167% |
| Healthsmart | Commercial|All Plans | $195.00 | ↑ +174% |
| First Health | Commercial|All Plans | $195.00 | ↑ +174% |
| Blue Shield CA | Medicare|PPO | $201.50 | ↑ +183% |
| Humana | Medicare|All Plans | $201.50 | ↑ +183% |
| Aetna | Medicare|All Plans | $201.50 | ↑ +183% |
| Molina | Medicare|All Plans | $201.50 | ↑ +183% |
| United | Medicare|All Plans | $201.50 | ↑ +183% |
| Kaiser | Medicare|All Plans | $201.50 | ↑ +183% |
| Blue Shield CA | Medicare|HMO | $201.50 | ↑ +183% |
| Humana | Commercial|All Plans | $201.50 | ↑ +183% |
| Hill Physicians | Commercial|All Plans | $201.50 | ↑ +183% |
| BCBS - Anthem | Medicare|Imperial | $207.55 | ↑ +191% |
| Sutter Health | Commercial|All Plans | $208.00 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $208.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $215.80 | ↑ +203% |
| BrightHealth | Commercial|All Plans | $221.65 | ↑ +211% |
| Molina | Medicaid|All Plans | $222.78 | ↑ +213% |
| BCBS - Anthem | Medicaid|All Plans | $225.15 | ↑ +216% |
| United | Commercial|Non-Options PPO | $241.80 | ↑ +239% |
| United | Commercial|HMO | $241.80 | ↑ +239% |
| United | Commercial|All Other Plans | $241.80 | ↑ +239% |
| United | Commercial|Options PPO | $241.80 | ↑ +239% |
| BlueShield | Medicare|Trauma | $251.88 | ↑ +254% |
| Aetna | Commercial|All Other Plans | $260.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $260.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $260.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $260.00 | ↑ +265% |
| Aetna | Commercial|HMO | $260.00 | ↑ +265% |
| California Health & Wellness | Medicaid|All Plans | $260.00 | ↑ +265% |
| Aetna | Commercial|PPO | $260.00 | ↑ +265% |
| Prison Healthcare | Medicaid|All Plans | $302.25 | ↑ +324% |
| Cigna | Commercial|LocalPlus | $446.25 | ↑ +526% |
| Cigna | Commercial|All Other Plans | $595.04 | ↑ +735% |
Visitor-reported prices
Comments
Trg gene rearrangement anal at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $131.40 | $67.50 – $534.66 |
| Banner Lassen Medical Center | Susanville | $152.59 | $40.30 – $263.84 |
| Arroyo Grande Hospital | Santa Maria | $282.48 | $118.50 – $519.20 |
| Mark Twain Medical Center | San Andreas | $199.80 | $118.50 – $294.00 |
| French Hospital | San Luis Obispo | $258.72 | $70.20 – $610.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $111.30 | $118.50 – $579.06 |
| Bakersfield Memorial Hospital | Bakersfield | $110.10 | $118.50 – $579.06 |
| St. Joseph's Behavioral Health Center | Stockton | $171.30 | $30.00 – $240.00 |