Eptinezumab-jjmr 100 mg/ml intravenous solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,966.23
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.
$7,176.00
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.
$19.32 with Partnership Health Plan vs $5,956.08 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $19.32 | ↓ -99% |
| Hill Physicians | Commercial|All Plans | $20.48 | ↓ -99% |
| Hill Physicians | Medicaid|All Plans | $21.25 | ↓ -99% |
| Blue Shield CA | Commercial|HMO | $22.66 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $22.66 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $22.66 | ↓ -99% |
| Blue Shield CA | Commercial|PPO Tandem | $22.66 | ↓ -99% |
| Blue Shield CA | Commercial|PPO | $22.66 | ↓ -99% |
| Blue Shield CA | Commercial|CalPers | $22.66 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $22.66 | ↓ -99% |
| BCBS - Anthem | Medicare|All Other Plans | $24.59 | ↓ -99% |
| BCBS - Anthem | Commercial|Connection EPO | $25.50 | ↓ -99% |
| United | Medicare|All Plans | $26.08 | ↓ -99% |
| Humana | Medicare|All Plans | $26.08 | ↓ -99% |
| Aetna | Medicare|All Plans | $26.08 | ↓ -99% |
| Molina | Medicare|All Plans | $26.08 | ↓ -99% |
| Humana | Commercial|All Plans | $26.08 | ↓ -99% |
| Kaiser | Medicare|All Plans | $26.08 | ↓ -99% |
| Blue Shield CA | Medicare|HMO | $26.08 | ↓ -99% |
| Blue Shield CA | Medicare|PPO | $26.08 | ↓ -99% |
| United | Commercial|Non-Options PPO | $26.42 | ↓ -99% |
| BCBS - Anthem | Medicare|Imperial | $26.86 | ↓ -99% |
| BrightHealth | Commercial|All Plans | $28.69 | ↓ -99% |
| Health Net | Commercial|EPPO | $31.80 | ↓ -98% |
| BCBS - Anthem | Commercial|All Other Plans | $31.87 | ↓ -98% |
| United | Commercial|Options PPO | $31.88 | ↓ -98% |
| United | Commercial|HMO | $31.88 | ↓ -98% |
| United | Commercial|All Other Plans | $31.88 | ↓ -98% |
| BlueShield | Medicare|Trauma | $32.60 | ↓ -98% |
| Molina | Medicaid|All Plans | $36.32 | ↓ -98% |
| Prison Healthcare | Medicaid|All Plans | $39.12 | ↓ -98% |
| Aetna | Commercial|HMO | $41.46 | ↓ -98% |
| Aetna | Commercial|PPO | $41.46 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $41.46 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $41.59 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $44.24 | ↓ -98% |
| Health Net | Medicaid|All Plans | $44.24 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $44.57 | ↓ -98% |
| Cigna | Commercial|LocalPlus | $44.94 | ↓ -98% |
| Health Net | Commercial|FFS | $59.82 | ↓ -97% |
| Cigna | Commercial|All Other Plans | $59.93 | ↓ -97% |
| WCMG | Commercial|All Plans | $789.36 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $1,794.00 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $2,942.16 | ↑ +50% |
| Kaiser | Commercial|All Plans | $3,875.04 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $5,382.00 | ↑ +174% |
| First Health | Commercial|All Plans | $5,382.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $5,740.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $5,956.08 | ↑ +203% |
Visitor-reported prices
Comments
Eptinezumab-jjmr 100 mg/ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $2,620.75 | $25.22 – $5,641.39 |
| Queen of The Valley Medical Center | Napa | $4,718.14 | $20.55 – $41.54 |
| Providence St Joseph Hospital Eureka | Eureka | $4,718.14 | $20.55 – $41.54 |
| Redwood Memorial Hospital | Fortuna | $4,718.14 | $25.76 – $39.69 |
| Mercy Medical Center Merced | Merced | $3,603.46 | $19.32 – $6,577.18 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $19.32 – $6,800.00 |
| Mercy General Hospital | Sacramento | $1,564.37 | $15.60 – $5,740.80 |
| Woodland Memorial Hospital | Woodland | $1,966.23 | $19.32 – $7,176.00 |