Abciximab injection at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,773.33
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.
$6,472.00
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.
$446.27 with WCMG vs $4,432.98 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 | $446.27 | ↓ -75% |
| BCBS - Anthem | Commercial|Connection EPO | $852.63 | ↓ -52% |
| United | Commercial|All Other Plans | $921.72 | ↓ -48% |
| United | Commercial|Options PPO | $921.72 | ↓ -48% |
| United | Commercial|HMO | $921.72 | ↓ -48% |
| United | Commercial|Non-Options PPO | $986.12 | ↓ -44% |
| BCBS - Anthem | Commercial|All Other Plans | $1,065.79 | ↓ -40% |
| Western Health Advantage | Commercial|All Plans | $1,456.04 | ↓ -18% |
| BCBS - Anthem | Commercial|MCS | $1,490.54 | ↓ -16% |
| Blue Shield CA | Commercial|PPO Tandem | $1,617.82 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio | $1,617.82 | ↓ -9% |
| Blue Shield CA | Commercial|HMO | $1,617.82 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,617.82 | ↓ -9% |
| Blue Shield CA | Commercial|PPO | $1,617.82 | ↓ -9% |
| Blue Shield CA | Commercial|Exchange | $1,617.82 | ↓ -9% |
| Blue Shield CA | Commercial|CalPers | $1,617.82 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $1,663.37 | ↓ -6% |
| Kaiser | Commercial|All Plans | $2,190.78 | ↑ +24% |
| Health Net | Commercial|EPPO | $2,345.84 | ↑ +32% |
| Healthsmart | Commercial|All Plans | $3,042.75 | ↑ +72% |
| First Health | Commercial|All Plans | $3,042.75 | ↑ +72% |
| Sutter Health | Commercial|All Plans | $3,245.60 | ↑ +83% |
| Cigna | Commercial|LocalPlus | $3,324.02 | ↑ +87% |
| MultiPlan | Commercial|All Plans | $3,367.31 | ↑ +90% |
| Aetna | Commercial|PPO | $3,471.84 | ↑ +96% |
| Aetna | Commercial|HMO | $3,471.84 | ↑ +96% |
| Aetna | Commercial|All Other Plans | $3,471.84 | ↑ +96% |
| Health Net | Commercial|FFS | $4,057.00 | ↑ +129% |
| Cigna | Commercial|All Other Plans | $4,432.98 | ↑ +150% |
Visitor-reported prices
Comments
Abciximab injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $2,388.87 | $857.44 – $3,228.80 |
| St. Joseph's Medical Center Stockton | Stockton | $1,545.86 | $856.96 – $4,718.79 |
| Mercy Medical Center Merced | Merced | $3,249.65 | $764.06 – $3,955.00 |
| Petaluma Valley Hospital | Petaluma | not published | $665.45 – $1,201.03 |
| Queen of The Valley Medical Center | Napa | not published | $720.32 – $1,201.03 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $859.22 – $1,201.03 |
| Healdsburg Hospital | Healdsburg | not published | $1,375.15 – $2,685.58 |
| Redwood Memorial Hospital | Fortuna | not published | $861.33 – $861.33 |