Chemo ia infuse each addl hr at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$40.83
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.
$149.00
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.
$16.39 with WCMG vs $19,089.00 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 | $16.39 | ↓ -60% |
| United | Medicaid|> 21 | $23.98 | ↓ -41% |
| United | Medicaid|< 21 | $23.98 | ↓ -41% |
| Hill Physicians | Medicaid|All Plans | $26.38 | ↓ -35% |
| Molina | Medicaid|All Plans | $31.43 | ↓ -23% |
| BCBS - Anthem | Medicaid|All Plans | $45.56 | ↑ +12% |
| Western Health Advantage | Commercial|All Plans | $52.15 | ↑ +28% |
| California Health & Wellness | Medicaid|All Plans | $54.91 | ↑ +34% |
| Health Net | Medicaid|All Plans | $54.91 | ↑ +34% |
| BCBS - Anthem | Medicare|All Other Plans | $57.17 | ↑ +40% |
| Humana | Commercial|All Plans | $60.63 | ↑ +48% |
| Humana | Medicare|All Plans | $60.63 | ↑ +48% |
| Aetna | Medicare|All Plans | $60.63 | ↑ +48% |
| Molina | Medicare|All Plans | $60.63 | ↑ +48% |
| United | Medicare|All Plans | $60.63 | ↑ +48% |
| Kaiser | Medicare|All Plans | $60.63 | ↑ +48% |
| Blue Shield CA | Medicare|HMO | $60.63 | ↑ +48% |
| Blue Shield CA | Medicare|PPO | $60.63 | ↑ +48% |
| Kaiser | Medicaid|All Plans | $61.09 | ↑ +50% |
| BCBS - Anthem | Medicare|Imperial | $62.45 | ↑ +53% |
| BrightHealth | Commercial|All Plans | $66.69 | ↑ +63% |
| BlueShield | Medicare|Trauma | $75.79 | ↑ +86% |
| Hill Physicians | Commercial|All Plans | $75.96 | ↑ +86% |
| Blue Shield CA | Commercial|ACO Trio | $75.99 | ↑ +86% |
| Kaiser | Commercial|All Plans | $80.46 | ↑ +97% |
| Prison Healthcare | Medicaid|All Plans | $90.94 | ↑ +123% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $96.85 | ↑ +137% |
| Cigna | Commercial|LocalPlus | $98.34 | ↑ +141% |
| Blue Shield CA | Commercial|Exchange | $101.32 | ↑ +148% |
| Partnership Health Plan | Medicaid|All Plans | $103.13 | ↑ +153% |
| First Health | Commercial|All Plans | $111.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $111.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $119.20 | ↑ +192% |
| Blue Shield CA | Commercial|PPO Tandem | $119.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $123.67 | ↑ +203% |
| Blue Shield CA | Commercial|HMO | $134.10 | ↑ +228% |
| Blue Shield CA | Commercial|PPO | $134.10 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $137.08 | ↑ +236% |
| United | Commercial|HMO | $149.00 | ↑ +265% |
| Aetna | Commercial|HMO | $149.00 | ↑ +265% |
| Aetna | Commercial|PPO | $149.00 | ↑ +265% |
| Aetna | Commercial|All Other Plans | $149.00 | ↑ +265% |
| United | Commercial|All Other Plans | $149.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $149.00 | ↑ +265% |
| United | Commercial|Options PPO | $149.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $19,089.00 | ↑ +46652% |
Visitor-reported prices
Comments
Chemo ia infuse each addl hr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $100.56 | $23.98 – $265.78 |
| Mercy Medical Center Merced | Merced | $163.77 | $23.98 – $1,411.00 |
| Northridge Hospital Medical Center | Northridge | $311.93 | $23.98 – $11,929.00 |
| Mercy General Hospital | Sacramento | $32.49 | $23.98 – $119.20 |
| Mercy Hospital of Folsom | Folsom | $57.97 | $16.39 – $131.12 |
| Woodland Memorial Hospital | Woodland | $40.83 | $16.39 – $149.00 |
| Methodist Hospital of Sacramento | Sacramento | $42.92 | $23.98 – $131.12 |
| Petaluma Valley Hospital | Petaluma | not published | $63.10 – $64.39 |