Venous sampling s&i at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,642.09
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.
$5,993.00
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.
$89.73 with Hill Physicians vs $25,692.62 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $89.73 | ↓ -95% |
| Aetna | Commercial|All Other Plans | $526.82 | ↓ -68% |
| Aetna | Commercial|HMO | $526.82 | ↓ -68% |
| Aetna | Commercial|PPO | $526.82 | ↓ -68% |
| WCMG | Commercial|All Plans | $659.23 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $807.63 | ↓ -51% |
| Western Health Advantage | Commercial|All Plans | $2,097.55 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $2,457.13 | ↑ +50% |
| Health Net | Medicaid|All Plans | $2,996.50 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $2,996.50 | ↑ +82% |
| Kaiser | Commercial|All Plans | $3,236.22 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $4,494.75 | ↑ +174% |
| First Health | Commercial|All Plans | $4,494.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $4,794.40 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $4,794.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $4,974.19 | ↑ +203% |
| BCBS - Anthem | Medicare|All Other Plans | $5,651.40 | ↑ +244% |
| Humana | Commercial|All Plans | $5,993.00 | ↑ +265% |
| Humana | Medicare|All Plans | $5,993.00 | ↑ +265% |
| Aetna | Medicare|All Plans | $5,993.00 | ↑ +265% |
| Molina | Medicare|All Plans | $5,993.00 | ↑ +265% |
| United | Commercial|All Other Plans | $5,993.00 | ↑ +265% |
| United | Medicare|All Plans | $5,993.00 | ↑ +265% |
| United | Commercial|HMO | $5,993.00 | ↑ +265% |
| United | Commercial|Options PPO | $5,993.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $5,993.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $5,993.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $5,993.00 | ↑ +265% |
| Blue Shield CA | Medicare|PPO | $5,993.00 | ↑ +265% |
| BCBS - Anthem | Medicare|Imperial | $6,172.79 | ↑ +276% |
| BrightHealth | Commercial|All Plans | $6,592.30 | ↑ +301% |
| Blue Shield CA | Medicare|HMO | $7,103.63 | ↑ +333% |
| Kaiser | Medicare|All Plans | $7,103.63 | ↑ +333% |
| BlueShield | Medicare|Trauma | $7,491.25 | ↑ +356% |
| Prison Healthcare | Medicaid|All Plans | $10,655.44 | ↑ +549% |
| Cigna | Commercial|LocalPlus | $19,268.05 | ↑ +1073% |
| Cigna | Commercial|All Other Plans | $25,692.62 | ↑ +1465% |
Visitor-reported prices
Comments
Venous sampling s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,771.23 | $492.55 – $23,085.47 |
| Redwood City Medical Center | Redwood City | $15,271.20 | $7,213.00 – $7,213.00 |
| Santa Clara Medical Center | SANTA CLARA | $15,271.20 | $7,213.00 – $7,213.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $12,173.20 | $4,907.00 – $4,907.00 |
| Riverside Medical Center | RIVERSIDE | $12,173.20 | $4,907.00 – $4,907.00 |
| Sacramento Medical Center | SACRAMENTO | $15,271.20 | $7,213.00 – $7,213.00 |
| Oakland Medical Center | Oakland | $15,271.20 | $7,213.00 – $7,213.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $15,271.20 | $7,213.00 – $7,213.00 |