Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$504.16
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.
$1,840.00
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.
$3.98 with BCBS - Anthem vs $1,527.20 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Connection EPO | $3.98 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $4.97 | ↓ -99% |
| Partnership Health Plan | Medicaid|All Plans | $5.16 | ↓ -99% |
| Hill Physicians | Commercial|All Plans | $5.47 | ↓ -99% |
| Western Health Advantage | Commercial|All Plans | $5.63 | ↓ -99% |
| Hill Physicians | Medicaid|All Plans | $5.68 | ↓ -99% |
| BCBS - Anthem | Medicare|All Other Plans | $6.42 | ↓ -99% |
| United | Medicare|All Plans | $6.81 | ↓ -99% |
| Humana | Commercial|All Plans | $6.81 | ↓ -99% |
| Humana | Medicare|All Plans | $6.81 | ↓ -99% |
| Aetna | Medicare|All Plans | $6.81 | ↓ -99% |
| Blue Shield CA | Medicare|PPO | $6.81 | ↓ -99% |
| Kaiser | Medicare|All Plans | $6.81 | ↓ -99% |
| Blue Shield CA | Medicare|HMO | $6.81 | ↓ -99% |
| Molina | Medicare|All Plans | $6.81 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $6.96 | ↓ -99% |
| BCBS - Anthem | Medicare|Imperial | $7.01 | ↓ -99% |
| Blue Shield CA | Commercial|CalPers | $7.10 | ↓ -99% |
| Blue Shield CA | Commercial|PPO | $7.10 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $7.10 | ↓ -99% |
| Blue Shield CA | Commercial|HMO | $7.10 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $7.10 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $7.10 | ↓ -99% |
| Blue Shield CA | Commercial|PPO Tandem | $7.10 | ↓ -99% |
| BrightHealth | Commercial|All Plans | $7.49 | ↓ -99% |
| United | Commercial|Non-Options PPO | $7.51 | ↓ -99% |
| United | Commercial|Options PPO | $8.40 | ↓ -98% |
| United | Commercial|HMO | $8.40 | ↓ -98% |
| United | Commercial|All Other Plans | $8.40 | ↓ -98% |
| BlueShield | Medicare|Trauma | $8.51 | ↓ -98% |
| Molina | Medicaid|All Plans | $9.70 | ↓ -98% |
| Health Net | Commercial|EPPO | $9.86 | ↓ -98% |
| Prison Healthcare | Medicaid|All Plans | $10.21 | ↓ -98% |
| Aetna | Commercial|PPO | $11.07 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $11.07 | ↓ -98% |
| Aetna | Commercial|HMO | $11.07 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $11.82 | ↓ -98% |
| Health Net | Medicaid|All Plans | $11.82 | ↓ -98% |
| Cigna | Commercial|LocalPlus | $12.00 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $16.01 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $17.61 | ↓ -97% |
| Health Net | Commercial|FFS | $18.74 | ↓ -96% |
| WCMG | Commercial|All Plans | $202.40 | ↓ -60% |
| Kaiser | Medicaid|All Plans | $754.40 | ↑ +50% |
| Kaiser | Commercial|All Plans | $993.60 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,380.00 | ↑ +174% |
| First Health | Commercial|All Plans | $1,380.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $1,472.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,527.20 | ↑ +203% |
Visitor-reported prices
Comments
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7.71 | $3.32 – $10.92 |
| Arroyo Grande Hospital | Santa Maria | $19.69 | $5.50 – $45.08 |
| Bakersfield Memorial Hospital | Bakersfield | $671.98 | $4.96 – $1,446.49 |
| St. Joseph's Medical Center Stockton | Stockton | $439.53 | $4.83 – $1,225.90 |
| Mercy Medical Center Merced | Merced | $9.27 | $1.20 – $2.20 |
| Dominican Hospital | Santa Cruz | $16.65 | $4.46 – $31.45 |
| Sierra Nevada Memorial Hospital | Grass Valley | $752.10 | $0.98 – $5.50 |
| Mercy Medical Center Redding | Redding | $10.65 | $4.27 – $20.58 |