Agalsidase beta 35 mg intravenous solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$7,448.15
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.
$27,183.00
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.
$187.29 with Western Health Advantage vs $3,223.72 with MultiPlan — 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $187.29 | ↓ -97% |
| BCBS - Anthem | Commercial|Connection EPO | $202.91 | ↓ -97% |
| Partnership Health Plan | Medicaid|All Plans | $222.84 | ↓ -97% |
| Hill Physicians | Commercial|All Plans | $236.21 | ↓ -97% |
| Hill Physicians | Medicaid|All Plans | $245.12 | ↓ -97% |
| BCBS - Anthem | Commercial|All Other Plans | $253.63 | ↓ -97% |
| Blue Shield CA | Commercial|CalPers | $268.32 | ↓ -96% |
| Blue Shield CA | Commercial|PPO | $268.32 | ↓ -96% |
| Blue Shield CA | Commercial|Exchange | $268.32 | ↓ -96% |
| Blue Shield CA | Commercial|HMO | $268.32 | ↓ -96% |
| Blue Shield CA | Commercial|ACO Trio | $268.32 | ↓ -96% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $268.32 | ↓ -96% |
| Blue Shield CA | Commercial|PPO Tandem | $268.32 | ↓ -96% |
| BCBS - Anthem | Medicare|All Other Plans | $285.34 | ↓ -96% |
| Blue Shield CA | Medicare|PPO | $302.59 | ↓ -96% |
| Blue Shield CA | Medicare|HMO | $302.59 | ↓ -96% |
| Humana | Medicare|All Plans | $302.59 | ↓ -96% |
| Kaiser | Medicare|All Plans | $302.59 | ↓ -96% |
| Aetna | Medicare|All Plans | $302.59 | ↓ -96% |
| United | Medicare|All Plans | $302.59 | ↓ -96% |
| Molina | Medicare|All Plans | $302.59 | ↓ -96% |
| Humana | Commercial|All Plans | $302.59 | ↓ -96% |
| BCBS - Anthem | Medicare|Imperial | $311.67 | ↓ -96% |
| United | Commercial|Non-Options PPO | $327.94 | ↓ -96% |
| BrightHealth | Commercial|All Plans | $332.85 | ↓ -96% |
| BCBS - Anthem | Commercial|MCS | $354.72 | ↓ -95% |
| United | Commercial|HMO | $368.81 | ↓ -95% |
| United | Commercial|Options PPO | $368.81 | ↓ -95% |
| United | Commercial|All Other Plans | $368.81 | ↓ -95% |
| Health Net | Commercial|EPPO | $370.55 | ↓ -95% |
| BlueShield | Medicare|Trauma | $378.24 | ↓ -95% |
| Molina | Medicaid|All Plans | $418.94 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $421.91 | ↓ -94% |
| WCMG | Commercial|All Plans | $427.24 | ↓ -94% |
| Prison Healthcare | Medicaid|All Plans | $453.88 | ↓ -94% |
| Aetna | Commercial|PPO | $478.21 | ↓ -94% |
| Aetna | Commercial|All Other Plans | $478.21 | ↓ -94% |
| Aetna | Commercial|HMO | $478.21 | ↓ -94% |
| Health Net | Medicaid|All Plans | $510.30 | ↓ -93% |
| California Health & Wellness | Medicaid|All Plans | $510.30 | ↓ -93% |
| Cigna | Commercial|LocalPlus | $518.33 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $691.25 | ↓ -91% |
| Health Net | Commercial|FFS | $708.37 | ↓ -90% |
| Kaiser | Medicaid|All Plans | $1,592.44 | ↓ -79% |
| Kaiser | Commercial|All Plans | $2,097.36 | ↓ -72% |
| First Health | Commercial|All Plans | $2,913.00 | ↓ -61% |
| Healthsmart | Commercial|All Plans | $2,913.00 | ↓ -61% |
| Sutter Health | Commercial|All Plans | $3,107.20 | ↓ -58% |
| MultiPlan | Commercial|All Plans | $3,223.72 | ↓ -57% |
Visitor-reported prices
Comments
Agalsidase beta 35 mg intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $200.68 – $6,714.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $10,034.44 | $135.44 – $3,091.20 |
| Bakersfield Memorial Hospital | Bakersfield | $9,926.25 | $252.85 – $3,052.56 |
| Mercy Medical Center Merced | Merced | $6,999.88 | $181.83 – $12,776.48 |
| Dominican Hospital | Santa Cruz | $8,439.75 | $175.62 – $15,941.75 |
| Mercy General Hospital | Sacramento | $5,925.90 | $184.00 – $3,107.20 |
| Petaluma Valley Hospital | Petaluma | not published | $158.36 – $479.11 |
| Queen of The Valley Medical Center | Napa | not published | $171.42 – $479.11 |