Coronary thrombolysis/iv infusion 92977 at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$543.07
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.
$1,982.00
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.
$59.93 with Hill Physicians vs $17,696.00 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 | $59.93 | ↓ -89% |
| WCMG | Commercial|All Plans | $218.02 | ↓ -60% |
| United | Medicaid|> 21 | $286.23 | ↓ -47% |
| United | Medicaid|< 21 | $286.23 | ↓ -47% |
| BCBS - Anthem | Medicare|All Other Plans | $411.03 | ↓ -24% |
| Aetna | Medicare|All Plans | $435.87 | ↓ -20% |
| Humana | Commercial|All Plans | $435.87 | ↓ -20% |
| Humana | Medicare|All Plans | $435.87 | ↓ -20% |
| Molina | Medicare|All Plans | $435.87 | ↓ -20% |
| United | Medicare|All Plans | $435.87 | ↓ -20% |
| Kaiser | Medicare|All Plans | $435.87 | ↓ -20% |
| Blue Shield CA | Medicare|HMO | $435.87 | ↓ -20% |
| Blue Shield CA | Medicare|PPO | $435.87 | ↓ -20% |
| BCBS - Anthem | Medicare|Imperial | $448.95 | ↓ -17% |
| Molina | Medicaid|All Plans | $468.93 | ↓ -14% |
| BrightHealth | Commercial|All Plans | $479.46 | ↓ -12% |
| Hill Physicians | Medicaid|All Plans | $499.15 | ↓ -8% |
| BlueShield | Medicare|Trauma | $544.84 | ↑ +0% |
| Prison Healthcare | Medicaid|All Plans | $653.80 | ↑ +20% |
| BCBS - Anthem | Medicaid|All Plans | $679.78 | ↑ +25% |
| Western Health Advantage | Commercial|All Plans | $693.70 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $812.62 | ↑ +50% |
| California Health & Wellness | Medicaid|All Plans | $1,039.13 | ↑ +91% |
| Health Net | Medicaid|All Plans | $1,039.13 | ↑ +91% |
| Kaiser | Commercial|All Plans | $1,070.28 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $1,486.50 | ↑ +174% |
| First Health | Commercial|All Plans | $1,486.50 | ↑ +174% |
| Partnership Health Plan | Medicaid|All Plans | $1,538.46 | ↑ +183% |
| Sutter Health | Commercial|All Plans | $1,585.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $1,645.06 | ↑ +203% |
| United | Commercial|HMO | $1,982.00 | ↑ +265% |
| United | Commercial|Options PPO | $1,982.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,982.00 | ↑ +265% |
| United | Commercial|All Other Plans | $1,982.00 | ↑ +265% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +489% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +969% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +1762% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +2228% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +2952% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +2952% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +2952% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +3159% |
Visitor-reported prices
Comments
Coronary thrombolysis/iv infusion 92977 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $257.55 | $84.64 – $834.88 |
| Petaluma Valley Hospital | Petaluma | $673.71 | $1,333.00 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $2,487.97 | $286.23 – $5,696.74 |
| French Hospital | San Luis Obispo | $265.78 | $183.06 – $664.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $211.85 | $285.50 – $571.00 |
| Bakersfield Memorial Hospital | Bakersfield | $209.56 | $274.50 – $549.00 |
| Queen of The Valley Medical Center | Napa | $645.66 | $1,333.00 – $7,745.00 |
| Providence St Joseph Hospital Eureka | Eureka | $507.45 | $1,333.00 – $9,008.00 |