Unlisted cytogenetic study at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$126.04
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.
$460.00
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.
$50.60 with WCMG vs $381.80 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $50.60 | ↓ -60% |
| United | Commercial|Non-Options PPO | $59.71 | ↓ -53% |
| United | Commercial|All Other Plans | $59.71 | ↓ -53% |
| United | Commercial|HMO | $59.71 | ↓ -53% |
| United | Commercial|Options PPO | $59.71 | ↓ -53% |
| BCBS - Anthem | Medicare|All Other Plans | $66.21 | ↓ -47% |
| Molina | Medicare|All Plans | $70.21 | ↓ -44% |
| United | Medicare|All Plans | $70.21 | ↓ -44% |
| Kaiser | Medicare|All Plans | $70.21 | ↓ -44% |
| Humana | Medicare|All Plans | $70.21 | ↓ -44% |
| Humana | Commercial|All Plans | $70.21 | ↓ -44% |
| Blue Shield CA | Medicare|PPO | $70.21 | ↓ -44% |
| Aetna | Medicare|All Plans | $70.21 | ↓ -44% |
| Blue Shield CA | Medicare|HMO | $70.21 | ↓ -44% |
| BCBS - Anthem | Medicare|Imperial | $72.32 | ↓ -43% |
| BrightHealth | Commercial|All Plans | $77.23 | ↓ -39% |
| BlueShield | Medicare|Trauma | $87.76 | ↓ -30% |
| Prison Healthcare | Medicaid|All Plans | $105.31 | ↓ -16% |
| Cigna | Commercial|LocalPlus | $112.40 | ↓ -11% |
| Cigna | Commercial|All Other Plans | $149.87 | ↑ +19% |
| Western Health Advantage | Commercial|All Plans | $161.00 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $188.60 | ↑ +50% |
| Health Net | Medicaid|All Plans | $230.00 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $230.00 | ↑ +82% |
| Kaiser | Commercial|All Plans | $248.40 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $345.00 | ↑ +174% |
| First Health | Commercial|All Plans | $345.00 | ↑ +174% |
| Aetna | Commercial|HMO | $345.00 | ↑ +174% |
| Aetna | Commercial|PPO | $345.00 | ↑ +174% |
| Aetna | Commercial|All Other Plans | $345.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $368.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $381.80 | ↑ +203% |
Visitor-reported prices
Comments
Unlisted cytogenetic study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $91.84 | not published |
| Santa Clara Medical Center | SANTA CLARA | $91.84 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $179.40 | not published |
| Riverside Medical Center | RIVERSIDE | $179.40 | not published |
| Sacramento Medical Center | SACRAMENTO | $91.84 | not published |
| Oakland Medical Center | Oakland | $91.84 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $91.84 | not published |
| Sierra Nevada Memorial Hospital | Grass Valley | $250.70 | $59.71 – $450.80 |