Volume measurement urine timed at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$20.01
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.
$73.00
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.
$1.41 with Partnership Health Plan vs $73.00 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 | $1.41 | ↓ -93% |
| United | Medicaid|> 21 | $2.02 | ↓ -90% |
| United | Medicaid|< 21 | $2.02 | ↓ -90% |
| Hill Physicians | Medicaid|All Plans | $2.22 | ↓ -89% |
| Molina | Medicaid|All Plans | $2.65 | ↓ -87% |
| BCBS - Anthem | Medicare|All Other Plans | $3.43 | ↓ -83% |
| Kaiser | Medicare|All Plans | $3.64 | ↓ -82% |
| United | Medicare|All Plans | $3.64 | ↓ -82% |
| Molina | Medicare|All Plans | $3.64 | ↓ -82% |
| Humana | Medicare|All Plans | $3.64 | ↓ -82% |
| Humana | Commercial|All Plans | $3.64 | ↓ -82% |
| Hill Physicians | Commercial|All Plans | $3.64 | ↓ -82% |
| Aetna | Medicare|All Plans | $3.64 | ↓ -82% |
| Blue Shield CA | Medicare|PPO | $3.64 | ↓ -82% |
| Blue Shield CA | Medicare|HMO | $3.64 | ↓ -82% |
| BCBS - Anthem | Medicare|Imperial | $3.75 | ↓ -81% |
| BrightHealth | Commercial|All Plans | $4.00 | ↓ -80% |
| United | Commercial|Non-Options PPO | $4.37 | ↓ -78% |
| United | Commercial|HMO | $4.37 | ↓ -78% |
| United | Commercial|All Other Plans | $4.37 | ↓ -78% |
| United | Commercial|Options PPO | $4.37 | ↓ -78% |
| BlueShield | Medicare|Trauma | $4.55 | ↓ -77% |
| California Health & Wellness | Medicaid|All Plans | $4.63 | ↓ -77% |
| Health Net | Medicaid|All Plans | $4.63 | ↓ -77% |
| Prison Healthcare | Medicaid|All Plans | $5.46 | ↓ -73% |
| BCBS - Anthem | Medicaid|All Plans | $7.87 | ↓ -61% |
| WCMG | Commercial|All Plans | $8.03 | ↓ -60% |
| Cigna | Commercial|LocalPlus | $8.07 | ↓ -60% |
| Cigna | Commercial|All Other Plans | $10.77 | ↓ -46% |
| Aetna | Commercial|All Other Plans | $11.29 | ↓ -44% |
| Aetna | Commercial|PPO | $11.29 | ↓ -44% |
| Aetna | Commercial|HMO | $11.29 | ↓ -44% |
| Blue Shield CA | Commercial|ACO Trio | $22.63 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $25.55 | ↑ +28% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $29.20 | ↑ +46% |
| Kaiser | Medicaid|All Plans | $29.93 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $30.66 | ↑ +53% |
| Kaiser | Commercial|All Plans | $39.42 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $40.15 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $43.07 | ↑ +115% |
| BCBS - Anthem | Commercial|Connection EPO | $44.83 | ↑ +124% |
| Blue Shield CA | Commercial|CalPers | $45.26 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $48.18 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $54.75 | ↑ +174% |
| First Health | Commercial|All Plans | $54.75 | ↑ +174% |
| BCBS - Anthem | Commercial|All Other Plans | $56.02 | ↑ +180% |
| Sutter Health | Commercial|All Plans | $58.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $60.59 | ↑ +203% |
| BCBS - Anthem | Commercial|MCS | $73.00 | ↑ +265% |
Visitor-reported prices
Comments
Volume measurement urine timed at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $24.97 | $3.05 – $26.52 |
| Banner Lassen Medical Center | Susanville | $6.48 | $0.73 – $10.67 |
| Petaluma Valley Hospital | Petaluma | $5.10 | $3.57 – $20.77 |
| Arroyo Grande Hospital | Santa Maria | $8.14 | $2.02 – $11.76 |
| Mark Twain Medical Center | San Andreas | $39.30 | $2.02 – $8.92 |
| French Hospital | San Luis Obispo | $7.45 | $2.02 – $11.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $33.77 | $1.98 – $10.48 |
| Bakersfield Memorial Hospital | Bakersfield | $27.16 | $1.98 – $10.48 |