Troponin quantitative at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$170.98
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.
$624.00
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.
$0.99 with WCMG vs $36.84 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 | $0.99 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $2.77 | ↓ -98% |
| Western Health Advantage | Commercial|All Plans | $3.13 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3.57 | ↓ -98% |
| Kaiser | Medicaid|All Plans | $3.66 | ↓ -98% |
| Blue Shield CA | Commercial|Exchange | $3.75 | ↓ -98% |
| Kaiser | Commercial|All Plans | $4.82 | ↓ -97% |
| Blue Shield CA | Commercial|PPO Tandem | $4.91 | ↓ -97% |
| Blue Shield CA | Commercial|HMO | $5.27 | ↓ -97% |
| Blue Shield CA | Commercial|CalPers | $5.54 | ↓ -97% |
| Blue Shield CA | Commercial|PPO | $5.89 | ↓ -97% |
| Healthsmart | Commercial|All Plans | $6.69 | ↓ -96% |
| First Health | Commercial|All Plans | $6.69 | ↓ -96% |
| BCBS - Anthem | Commercial|Connection EPO | $7.14 | ↓ -96% |
| Sutter Health | Commercial|All Plans | $7.14 | ↓ -96% |
| MultiPlan | Commercial|All Plans | $7.41 | ↓ -96% |
| BCBS - Anthem | Medicare|All Other Plans | $8.42 | ↓ -95% |
| Partnership Health Plan | Medicaid|All Plans | $8.47 | ↓ -95% |
| BCBS - Anthem | Medicaid|All Plans | $8.92 | ↓ -95% |
| BCBS - Anthem | Commercial|MCS | $8.92 | ↓ -95% |
| Blue Shield CA | Medicare|HMO | $8.92 | ↓ -95% |
| Blue Shield CA | Medicare|PPO | $8.92 | ↓ -95% |
| Hill Physicians | Commercial|All Plans | $8.92 | ↓ -95% |
| Humana | Medicare|All Plans | $8.92 | ↓ -95% |
| Aetna | Commercial|All Other Plans | $8.92 | ↓ -95% |
| Aetna | Commercial|PPO | $8.92 | ↓ -95% |
| Aetna | Medicare|All Plans | $8.92 | ↓ -95% |
| Aetna | Commercial|HMO | $8.92 | ↓ -95% |
| Molina | Medicaid|All Plans | $8.92 | ↓ -95% |
| Molina | Medicare|All Plans | $8.92 | ↓ -95% |
| United | Commercial|All Other Plans | $8.92 | ↓ -95% |
| United | Medicare|All Plans | $8.92 | ↓ -95% |
| United | Commercial|HMO | $8.92 | ↓ -95% |
| United | Commercial|Options PPO | $8.92 | ↓ -95% |
| United | Commercial|Non-Options PPO | $8.92 | ↓ -95% |
| United | Medicaid|< 21 | $8.92 | ↓ -95% |
| United | Medicaid|> 21 | $8.92 | ↓ -95% |
| Health Net | Medicaid|All Plans | $8.92 | ↓ -95% |
| Kaiser | Medicare|All Plans | $8.92 | ↓ -95% |
| BCBS - Anthem | Commercial|All Other Plans | $8.92 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $8.92 | ↓ -95% |
| Humana | Commercial|All Plans | $8.92 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $8.92 | ↓ -95% |
| BCBS - Anthem | Medicare|Imperial | $9.19 | ↓ -95% |
| BrightHealth | Commercial|All Plans | $9.82 | ↓ -94% |
| BlueShield | Medicare|Trauma | $11.15 | ↓ -93% |
| Prison Healthcare | Medicaid|All Plans | $13.38 | ↓ -92% |
| Cigna | Commercial|LocalPlus | $27.63 | ↓ -84% |
| Cigna | Commercial|All Other Plans | $36.84 | ↓ -78% |
Visitor-reported prices
Comments
Troponin quantitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $152.43 | $12.47 – $38.91 |
| Banner Lassen Medical Center | Susanville | $86.39 | $2.49 – $133.86 |
| Petaluma Valley Hospital | Petaluma | $489.60 | $12.22 – $155.75 |
| Arroyo Grande Hospital | Santa Maria | $309.45 | $12.15 – $32.15 |
| Mark Twain Medical Center | San Andreas | $210.46 | $12.15 – $29.74 |
| French Hospital | San Luis Obispo | $283.42 | $8.20 – $37.79 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.98 | $11.90 – $35.85 |
| Bakersfield Memorial Hospital | Bakersfield | $139.46 | $11.90 – $35.85 |