Urine Culture Test at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$55.35
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.
$202.00
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.
$5.65 with Partnership Health Plan vs $202.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $5.65 | ↓ -90% |
| BCBS - Anthem | Medicare|All Other Plans | $7.61 | ↓ -86% |
| Humana | Commercial|All Plans | $8.07 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $8.07 | ↓ -85% |
| Aetna | Medicare|All Plans | $8.07 | ↓ -85% |
| Molina | Medicare|All Plans | $8.07 | ↓ -85% |
| Humana | Medicare|All Plans | $8.07 | ↓ -85% |
| Blue Shield CA | Medicare|PPO | $8.07 | ↓ -85% |
| Blue Shield CA | Medicare|HMO | $8.07 | ↓ -85% |
| Kaiser | Medicare|All Plans | $8.07 | ↓ -85% |
| United | Medicare|All Plans | $8.07 | ↓ -85% |
| United | Medicaid|< 21 | $8.10 | ↓ -85% |
| United | Medicaid|> 21 | $8.10 | ↓ -85% |
| BCBS - Anthem | Medicare|Imperial | $8.31 | ↓ -85% |
| BrightHealth | Commercial|All Plans | $8.88 | ↓ -84% |
| Hill Physicians | Medicaid|All Plans | $8.91 | ↓ -84% |
| United | Commercial|Non-Options PPO | $9.68 | ↓ -83% |
| United | Commercial|HMO | $9.68 | ↓ -83% |
| United | Commercial|Options PPO | $9.68 | ↓ -83% |
| United | Commercial|All Other Plans | $9.68 | ↓ -83% |
| BlueShield | Medicare|Trauma | $10.09 | ↓ -82% |
| Molina | Medicaid|All Plans | $10.62 | ↓ -81% |
| Prison Healthcare | Medicaid|All Plans | $12.11 | ↓ -78% |
| BCBS - Anthem | Medicaid|All Plans | $14.44 | ↓ -74% |
| Cigna | Commercial|LocalPlus | $17.89 | ↓ -68% |
| Health Net | Medicaid|All Plans | $18.55 | ↓ -66% |
| California Health & Wellness | Medicaid|All Plans | $18.55 | ↓ -66% |
| WCMG | Commercial|All Plans | $22.22 | ↓ -60% |
| Cigna | Commercial|All Other Plans | $23.85 | ↓ -57% |
| Aetna | Commercial|PPO | $30.42 | ↓ -45% |
| Aetna | Commercial|All Other Plans | $30.42 | ↓ -45% |
| Aetna | Commercial|HMO | $30.42 | ↓ -45% |
| Blue Shield CA | Commercial|ACO Trio | $62.62 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $70.70 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $80.80 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $82.82 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $84.84 | ↑ +53% |
| Kaiser | Commercial|All Plans | $109.08 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $111.10 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $119.18 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $125.24 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $133.32 | ↑ +141% |
| BCBS - Anthem | Commercial|Connection EPO | $140.19 | ↑ +153% |
| Healthsmart | Commercial|All Plans | $151.50 | ↑ +174% |
| First Health | Commercial|All Plans | $151.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $161.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $167.66 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $175.17 | ↑ +216% |
| BCBS - Anthem | Commercial|MCS | $202.00 | ↑ +265% |
Visitor-reported prices
Comments
Urine Culture Test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $157.92 | $8.00 – $8.00 |
| St. John's Camarillo Hospital | Camarillo | $190.53 | $8.07 – $25.18 |
| Antioch Medical Center | ANTIOCH | $157.92 | $8.00 – $8.00 |
| Redwood City Medical Center | Redwood City | $157.92 | $8.00 – $8.00 |
| Santa Clara Medical Center | SANTA CLARA | $157.92 | $8.00 – $8.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $139.36 | $5.00 – $5.00 |
| Riverside Medical Center | RIVERSIDE | $139.36 | $5.00 – $5.00 |
| Fremont Medical Center | FREMONT | $157.92 | $8.00 – $8.00 |