Warde apolipoprotein b at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$7.29
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.
?
What you pay up front if you don't use insurance.
$26.60
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.
?
The hospital's undiscounted list price — almost no one pays this.
$0.58 with WCMG vs $62.28 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $0.58 | ↓ -92% |
| Blue Shield CA | Commercial|ACO Trio | $1.63 | ↓ -78% |
| Western Health Advantage | Commercial|All Plans | $1.84 | ↓ -75% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2.10 | ↓ -71% |
| Kaiser | Medicaid|All Plans | $2.15 | ↓ -71% |
| Blue Shield CA | Commercial|Exchange | $2.21 | ↓ -70% |
| Kaiser | Commercial|All Plans | $2.83 | ↓ -61% |
| Blue Shield CA | Commercial|PPO Tandem | $2.89 | ↓ -60% |
| Blue Shield CA | Commercial|HMO | $3.10 | ↓ -57% |
| Blue Shield CA | Commercial|CalPers | $3.25 | ↓ -55% |
| Blue Shield CA | Commercial|PPO | $3.46 | ↓ -53% |
| First Health | Commercial|All Plans | $3.93 | ↓ -46% |
| Healthsmart | Commercial|All Plans | $3.93 | ↓ -46% |
| Sutter Health | Commercial|All Plans | $4.20 | ↓ -42% |
| BCBS - Anthem | Commercial|Connection EPO | $4.20 | ↓ -42% |
| MultiPlan | Commercial|All Plans | $4.35 | ↓ -40% |
| BCBS - Anthem | Medicare|All Other Plans | $4.95 | ↓ -32% |
| BCBS - Anthem | Commercial|All Other Plans | $5.24 | ↓ -28% |
| BCBS - Anthem | Medicaid|All Plans | $5.24 | ↓ -28% |
| BCBS - Anthem | Commercial|MCS | $5.24 | ↓ -28% |
| Blue Shield CA | Medicare|HMO | $5.24 | ↓ -28% |
| Blue Shield CA | Medicare|PPO | $5.24 | ↓ -28% |
| Partnership Health Plan | Medicaid|All Plans | $5.24 | ↓ -28% |
| Hill Physicians | Commercial|All Plans | $5.24 | ↓ -28% |
| Humana | Medicare|All Plans | $5.24 | ↓ -28% |
| Aetna | Commercial|All Other Plans | $5.24 | ↓ -28% |
| Aetna | Commercial|PPO | $5.24 | ↓ -28% |
| Aetna | Medicare|All Plans | $5.24 | ↓ -28% |
| Aetna | Commercial|HMO | $5.24 | ↓ -28% |
| Molina | Medicaid|All Plans | $5.24 | ↓ -28% |
| Molina | Medicare|All Plans | $5.24 | ↓ -28% |
| United | Commercial|All Other Plans | $5.24 | ↓ -28% |
| United | Medicare|All Plans | $5.24 | ↓ -28% |
| United | Commercial|HMO | $5.24 | ↓ -28% |
| United | Commercial|Options PPO | $5.24 | ↓ -28% |
| United | Commercial|Non-Options PPO | $5.24 | ↓ -28% |
| United | Medicaid|< 21 | $5.24 | ↓ -28% |
| United | Medicaid|> 21 | $5.24 | ↓ -28% |
| Health Net | Medicaid|All Plans | $5.24 | ↓ -28% |
| Kaiser | Medicare|All Plans | $5.24 | ↓ -28% |
| California Health & Wellness | Medicaid|All Plans | $5.24 | ↓ -28% |
| Humana | Commercial|All Plans | $5.24 | ↓ -28% |
| Hill Physicians | Medicaid|All Plans | $5.24 | ↓ -28% |
| BCBS - Anthem | Medicare|Imperial | $5.40 | ↓ -26% |
| BrightHealth | Commercial|All Plans | $5.77 | ↓ -21% |
| BlueShield | Medicare|Trauma | $6.55 | ↓ -10% |
| Prison Healthcare | Medicaid|All Plans | $7.86 | ↑ +8% |
| Cigna | Commercial|LocalPlus | $46.71 | ↑ +541% |
| Cigna | Commercial|All Other Plans | $62.28 | ↑ +754% |
Visitor-reported prices
Comments
Warde apolipoprotein b at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4.38 | $2.70 – $55.96 |
| Banner Lassen Medical Center | Susanville | $40.06 | $2.05 – $21.70 |
| Petaluma Valley Hospital | Petaluma | $27.08 | $20.67 – $95.79 |
| Arroyo Grande Hospital | Santa Maria | $24.40 | $5.00 – $54.35 |
| Mark Twain Medical Center | San Andreas | $40.88 | $5.42 – $10.00 |
| French Hospital | San Luis Obispo | $22.35 | $2.70 – $63.89 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4.09 | $2.62 – $60.61 |
| Bakersfield Memorial Hospital | Bakersfield | $4.04 | $2.62 – $60.61 |