Cefoxitin 1 gram intravenous solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$26.31
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.
$96.00
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.
$5.31 with Hill Physicians vs $48.11 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 | $5.31 | ↓ -80% |
| WCMG | Commercial|All Plans | $5.50 | ↓ -79% |
| Western Health Advantage | Commercial|All Plans | $6.13 | ↓ -77% |
| United | Commercial|Options PPO | $7.34 | ↓ -72% |
| United | Commercial|All Other Plans | $7.34 | ↓ -72% |
| United | Commercial|HMO | $7.34 | ↓ -72% |
| United | Commercial|Non-Options PPO | $7.72 | ↓ -71% |
| Blue Shield CA | Commercial|PPO | $8.39 | ↓ -68% |
| Blue Shield CA | Commercial|Exchange | $8.39 | ↓ -68% |
| Blue Shield CA | Commercial|HMO | $8.39 | ↓ -68% |
| Blue Shield CA | Commercial|PPO Tandem | $8.39 | ↓ -68% |
| Blue Shield CA | Commercial|CalPers | $8.39 | ↓ -68% |
| Blue Shield CA | Commercial|ACO Trio | $8.39 | ↓ -68% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $8.39 | ↓ -68% |
| Partnership Health Plan | Medicaid|All Plans | $9.47 | ↓ -64% |
| Hill Physicians | Medicaid|All Plans | $10.42 | ↓ -60% |
| Aetna | Commercial|All Other Plans | $10.75 | ↓ -59% |
| Aetna | Commercial|HMO | $10.75 | ↓ -59% |
| Aetna | Commercial|PPO | $10.75 | ↓ -59% |
| Cigna | Commercial|LocalPlus | $11.65 | ↓ -56% |
| Health Net | Commercial|EPPO | $12.17 | ↓ -54% |
| Cigna | Commercial|All Other Plans | $15.54 | ↓ -41% |
| Molina | Medicaid|All Plans | $17.80 | ↓ -32% |
| BCBS - Anthem | Medicaid|All Plans | $18.30 | ↓ -30% |
| Kaiser | Medicaid|All Plans | $20.50 | ↓ -22% |
| California Health & Wellness | Medicaid|All Plans | $21.69 | ↓ -18% |
| Health Net | Medicaid|All Plans | $21.69 | ↓ -18% |
| Health Net | Commercial|FFS | $22.15 | ↓ -16% |
| Kaiser | Commercial|All Plans | $27.00 | ↑ +3% |
| BCBS - Anthem | Commercial|Connection EPO | $27.52 | ↑ +5% |
| BCBS - Anthem | Commercial|All Other Plans | $34.40 | ↑ +31% |
| Healthsmart | Commercial|All Plans | $37.50 | ↑ +43% |
| First Health | Commercial|All Plans | $37.50 | ↑ +43% |
| Sutter Health | Commercial|All Plans | $40.00 | ↑ +52% |
| MultiPlan | Commercial|All Plans | $41.50 | ↑ +58% |
| BCBS - Anthem | Commercial|MCS | $48.11 | ↑ +83% |
Visitor-reported prices
Comments
Cefoxitin 1 gram intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $54.37 | $7.34 – $52.26 |
| Arroyo Grande Hospital | Santa Maria | $100.58 | $7.34 – $70.56 |
| Mark Twain Medical Center | San Andreas | $109.46 | $42.52 – $161.07 |
| French Hospital | San Luis Obispo | $92.12 | $7.34 – $70.56 |
| Mercy Hospitals – Bakersfield | Bakersfield | $35.25 | $4.45 – $20.80 |
| Bakersfield Memorial Hospital | Bakersfield | $34.87 | $7.34 – $23.90 |
| Queen of The Valley Medical Center | Napa | $145.35 | $10.02 – $23.25 |
| Providence St Joseph Hospital Eureka | Eureka | $145.35 | $10.27 – $27.73 |