Bilateral n block inj occipital 64405 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$275.92
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.
$1,007.00
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.
$51.50 with Hill Physicians vs $7,484.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $51.50 | ↓ -81% |
| United | Medicaid|> 21 | $72.20 | ↓ -74% |
| United | Medicaid|< 21 | $72.20 | ↓ -74% |
| WCMG | Commercial|All Plans | $110.77 | ↓ -60% |
| Molina | Medicaid|All Plans | $118.29 | ↓ -57% |
| Hill Physicians | Medicaid|All Plans | $125.20 | ↓ -55% |
| BCBS - Anthem | Medicaid|All Plans | $171.48 | ↓ -38% |
| Health Net | Medicaid|All Plans | $260.65 | ↓ -6% |
| California Health & Wellness | Medicaid|All Plans | $260.65 | ↓ -6% |
| Western Health Advantage | Commercial|All Plans | $352.45 | ↑ +28% |
| BCBS - Anthem | Medicare|All Other Plans | $365.80 | ↑ +33% |
| Humana | Medicare|All Plans | $387.91 | ↑ +41% |
| United | Medicare|All Plans | $387.91 | ↑ +41% |
| Humana | Commercial|All Plans | $387.91 | ↑ +41% |
| Kaiser | Medicare|All Plans | $387.91 | ↑ +41% |
| Blue Shield CA | Medicare|PPO | $387.91 | ↑ +41% |
| Blue Shield CA | Medicare|HMO | $387.91 | ↑ +41% |
| Molina | Medicare|All Plans | $387.91 | ↑ +41% |
| Aetna | Medicare|All Plans | $387.91 | ↑ +41% |
| Partnership Health Plan | Medicaid|All Plans | $388.09 | ↑ +41% |
| BCBS - Anthem | Medicare|Imperial | $399.55 | ↑ +45% |
| Kaiser | Medicaid|All Plans | $412.87 | ↑ +50% |
| BrightHealth | Commercial|All Plans | $426.70 | ↑ +55% |
| BlueShield | Medicare|Trauma | $484.89 | ↑ +76% |
| Kaiser | Commercial|All Plans | $543.78 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $581.87 | ↑ +111% |
| First Health | Commercial|All Plans | $755.25 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $755.25 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $805.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $835.81 | ↑ +203% |
| United | Commercial|All Other Plans | $1,007.00 | ↑ +265% |
| United | Commercial|HMO | $1,007.00 | ↑ +265% |
| United | Commercial|Options PPO | $1,007.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,007.00 | ↑ +265% |
| Blue Shield CA | Commercial|ACO Trio | $1,022.00 | ↑ +270% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,303.00 | ↑ +372% |
| Blue Shield CA | Commercial|Exchange | $1,322.00 | ↑ +379% |
| Blue Shield CA | Commercial|PPO Tandem | $1,737.00 | ↑ +530% |
| Blue Shield CA | Commercial|HMO | $1,932.00 | ↑ +600% |
| Blue Shield CA | Commercial|CalPers | $2,033.00 | ↑ +637% |
| Blue Shield CA | Commercial|PPO | $2,093.00 | ↑ +659% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1060% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +1450% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +1777% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +1777% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +1777% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +1838% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +2004% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +2612% |
Visitor-reported prices
Comments
Bilateral n block inj occipital 64405 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $568.14 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $1,591.74 | $72.20 – $1,037.82 |
| Mark Twain Medical Center | San Andreas | $91.25 | $35.45 – $134.26 |
| French Hospital | San Luis Obispo | $1,457.85 | $72.20 – $3,644.62 |
| Bakersfield Memorial Hospital | Bakersfield | $799.70 | $72.20 – $1,195.27 |
| Queen of The Valley Medical Center | Napa | $1,879.35 | $435.83 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,588.80 | $394.79 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $755.82 | $413.57 – $3,982.87 |