Urinalysis qual/semiquant excpt ia at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4.11
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.
$15.00
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.
$0.21 with WCMG vs $6.41 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 | $0.21 | ↓ -95% |
| Blue Shield CA | Commercial|ACO Trio | $0.59 | ↓ -86% |
| Western Health Advantage | Commercial|All Plans | $0.67 | ↓ -84% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $0.76 | ↓ -82% |
| Kaiser | Medicaid|All Plans | $0.78 | ↓ -81% |
| Blue Shield CA | Commercial|Exchange | $0.80 | ↓ -81% |
| Kaiser | Commercial|All Plans | $1.03 | ↓ -75% |
| Blue Shield CA | Commercial|PPO Tandem | $1.05 | ↓ -74% |
| Blue Shield CA | Commercial|HMO | $1.13 | ↓ -73% |
| Blue Shield CA | Commercial|CalPers | $1.18 | ↓ -71% |
| Blue Shield CA | Commercial|PPO | $1.26 | ↓ -69% |
| Healthsmart | Commercial|All Plans | $1.43 | ↓ -65% |
| First Health | Commercial|All Plans | $1.43 | ↓ -65% |
| BCBS - Anthem | Commercial|Connection EPO | $1.52 | ↓ -63% |
| Sutter Health | Commercial|All Plans | $1.52 | ↓ -63% |
| MultiPlan | Commercial|All Plans | $1.58 | ↓ -62% |
| Partnership Health Plan | Medicaid|All Plans | $1.77 | ↓ -57% |
| BCBS - Anthem | Medicare|All Other Plans | $1.80 | ↓ -56% |
| BCBS - Anthem | Medicaid|All Plans | $1.90 | ↓ -54% |
| BCBS - Anthem | Commercial|MCS | $1.90 | ↓ -54% |
| Blue Shield CA | Medicare|HMO | $1.90 | ↓ -54% |
| Blue Shield CA | Medicare|PPO | $1.90 | ↓ -54% |
| Hill Physicians | Commercial|All Plans | $1.90 | ↓ -54% |
| Humana | Medicare|All Plans | $1.90 | ↓ -54% |
| Aetna | Commercial|All Other Plans | $1.90 | ↓ -54% |
| Aetna | Commercial|PPO | $1.90 | ↓ -54% |
| Aetna | Medicare|All Plans | $1.90 | ↓ -54% |
| Aetna | Commercial|HMO | $1.90 | ↓ -54% |
| Molina | Medicaid|All Plans | $1.90 | ↓ -54% |
| Molina | Medicare|All Plans | $1.90 | ↓ -54% |
| United | Commercial|All Other Plans | $1.90 | ↓ -54% |
| United | Medicare|All Plans | $1.90 | ↓ -54% |
| United | Commercial|HMO | $1.90 | ↓ -54% |
| United | Commercial|Options PPO | $1.90 | ↓ -54% |
| United | Commercial|Non-Options PPO | $1.90 | ↓ -54% |
| United | Medicaid|< 21 | $1.90 | ↓ -54% |
| United | Medicaid|> 21 | $1.90 | ↓ -54% |
| Health Net | Medicaid|All Plans | $1.90 | ↓ -54% |
| Kaiser | Medicare|All Plans | $1.90 | ↓ -54% |
| BCBS - Anthem | Commercial|All Other Plans | $1.90 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $1.90 | ↓ -54% |
| Humana | Commercial|All Plans | $1.90 | ↓ -54% |
| Hill Physicians | Medicaid|All Plans | $1.90 | ↓ -54% |
| BCBS - Anthem | Medicare|Imperial | $1.96 | ↓ -52% |
| BrightHealth | Commercial|All Plans | $2.09 | ↓ -49% |
| BlueShield | Medicare|Trauma | $2.38 | ↓ -42% |
| Prison Healthcare | Medicaid|All Plans | $2.85 | ↓ -31% |
| Cigna | Commercial|LocalPlus | $4.80 | ↑ +17% |
| Cigna | Commercial|All Other Plans | $6.41 | ↑ +56% |
Visitor-reported prices
Comments
Urinalysis qual/semiquant excpt ia at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $27.46 | $2.17 – $55.20 |
| Bakersfield Memorial Hospital | Bakersfield | $27.16 | $2.17 – $56.09 |
| St. Joseph's Behavioral Health Center | Stockton | $41.69 | $2.17 – $58.40 |
| St. Joseph's Medical Center Stockton | Stockton | $21.76 | $1.84 – $60.68 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $25.68 | $1.77 – $7.96 |
| Mercy Medical Center Merced | Merced | $40.69 | $2.17 – $74.26 |
| Northridge Hospital Medical Center | Northridge | $33.48 | $2.17 – $120.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $52.32 | $1.28 – $1.90 |