Warde lipoprotein-associated phospholipase a2 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$12.46
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.
$45.45
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.
$4.18 with WCMG vs $136.74 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 | $4.18 | ↓ -66% |
| Blue Shield CA | Commercial|ACO Trio | $11.77 | ↓ -6% |
| Western Health Advantage | Commercial|All Plans | $13.28 | ↑ +7% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $15.18 | ↑ +22% |
| Kaiser | Medicaid|All Plans | $15.56 | ↑ +25% |
| Blue Shield CA | Commercial|Exchange | $15.94 | ↑ +28% |
| Kaiser | Commercial|All Plans | $20.49 | ↑ +64% |
| Blue Shield CA | Commercial|PPO Tandem | $20.87 | ↑ +67% |
| Blue Shield CA | Commercial|HMO | $22.39 | ↑ +80% |
| Blue Shield CA | Commercial|CalPers | $23.53 | ↑ +89% |
| Blue Shield CA | Commercial|PPO | $25.05 | ↑ +101% |
| Healthsmart | Commercial|All Plans | $28.46 | ↑ +128% |
| First Health | Commercial|All Plans | $28.46 | ↑ +128% |
| BCBS - Anthem | Commercial|Connection EPO | $30.36 | ↑ +144% |
| Sutter Health | Commercial|All Plans | $30.36 | ↑ +144% |
| MultiPlan | Commercial|All Plans | $31.50 | ↑ +153% |
| BCBS - Anthem | Medicare|All Other Plans | $35.78 | ↑ +187% |
| United | Medicaid|< 21 | $36.95 | ↑ +197% |
| United | Medicaid|> 21 | $36.95 | ↑ +197% |
| Partnership Health Plan | Medicaid|All Plans | $36.95 | ↑ +197% |
| Hill Physicians | Commercial|All Plans | $37.94 | ↑ +204% |
| Humana | Medicare|All Plans | $37.94 | ↑ +204% |
| Aetna | Commercial|All Other Plans | $37.94 | ↑ +204% |
| Aetna | Commercial|PPO | $37.94 | ↑ +204% |
| Aetna | Medicare|All Plans | $37.94 | ↑ +204% |
| Aetna | Commercial|HMO | $37.94 | ↑ +204% |
| Molina | Medicaid|All Plans | $37.94 | ↑ +204% |
| Molina | Medicare|All Plans | $37.94 | ↑ +204% |
| United | Commercial|All Other Plans | $37.94 | ↑ +204% |
| United | Medicare|All Plans | $37.94 | ↑ +204% |
| United | Commercial|HMO | $37.94 | ↑ +204% |
| United | Commercial|Options PPO | $37.94 | ↑ +204% |
| United | Commercial|Non-Options PPO | $37.94 | ↑ +204% |
| Health Net | Medicaid|All Plans | $37.94 | ↑ +204% |
| Kaiser | Medicare|All Plans | $37.94 | ↑ +204% |
| BCBS - Anthem | Commercial|All Other Plans | $37.94 | ↑ +204% |
| BCBS - Anthem | Medicaid|All Plans | $37.94 | ↑ +204% |
| BCBS - Anthem | Commercial|MCS | $37.94 | ↑ +204% |
| Blue Shield CA | Medicare|HMO | $37.94 | ↑ +204% |
| Blue Shield CA | Medicare|PPO | $37.94 | ↑ +204% |
| California Health & Wellness | Medicaid|All Plans | $37.94 | ↑ +204% |
| Humana | Commercial|All Plans | $37.94 | ↑ +204% |
| Hill Physicians | Medicaid|All Plans | $37.94 | ↑ +204% |
| BCBS - Anthem | Medicare|Imperial | $39.08 | ↑ +214% |
| BrightHealth | Commercial|All Plans | $41.74 | ↑ +235% |
| BlueShield | Medicare|Trauma | $47.43 | ↑ +281% |
| Prison Healthcare | Medicaid|All Plans | $56.91 | ↑ +357% |
| Cigna | Commercial|LocalPlus | $102.55 | ↑ +723% |
| Cigna | Commercial|All Other Plans | $136.74 | ↑ +997% |
Visitor-reported prices
Comments
Warde lipoprotein-associated phospholipase a2 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $80.08 | $43.00 – $43.00 |
| Antioch Medical Center | ANTIOCH | $80.08 | $43.00 – $43.00 |
| Redwood City Medical Center | Redwood City | $80.08 | $43.00 – $43.00 |
| Santa Clara Medical Center | SANTA CLARA | $80.08 | $43.00 – $43.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $273.00 | $32.00 – $32.00 |
| Riverside Medical Center | RIVERSIDE | $273.00 | $32.00 – $32.00 |
| Fremont Medical Center | FREMONT | $80.08 | $43.00 – $43.00 |
| Banner Lassen Medical Center | Susanville | $31.30 | $9.26 – $60.97 |