Factor ix recombinant nos at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1.65
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.
$6.00
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.
$0.02 with BCBS - Anthem vs $5.74 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $0.02 | ↓ -99% |
| WCMG | Commercial|All Plans | $0.55 | ↓ -67% |
| Western Health Advantage | Commercial|All Plans | $1.65 | ↑ +0% |
| BCBS - Anthem | Medicare|All Other Plans | $1.76 | ↑ +7% |
| Humana | Medicare|All Plans | $1.87 | ↑ +13% |
| Aetna | Medicare|All Plans | $1.87 | ↑ +13% |
| Molina | Medicare|All Plans | $1.87 | ↑ +13% |
| Blue Shield CA | Medicare|PPO | $1.87 | ↑ +13% |
| United | Medicare|All Plans | $1.87 | ↑ +13% |
| Blue Shield CA | Medicare|HMO | $1.87 | ↑ +13% |
| Kaiser | Medicare|All Plans | $1.87 | ↑ +13% |
| Humana | Commercial|All Plans | $1.87 | ↑ +13% |
| BCBS - Anthem | Commercial|Connection EPO | $1.88 | ↑ +14% |
| BCBS - Anthem | Medicare|Imperial | $1.93 | ↑ +17% |
| Hill Physicians | Commercial|All Plans | $1.96 | ↑ +19% |
| Kaiser | Medicaid|All Plans | $2.05 | ↑ +24% |
| BrightHealth | Commercial|All Plans | $2.06 | ↑ +25% |
| Blue Shield CA | Commercial|Exchange | $2.09 | ↑ +27% |
| Blue Shield CA | Commercial|ACO Trio | $2.09 | ↑ +27% |
| Blue Shield CA | Commercial|PPO | $2.09 | ↑ +27% |
| Blue Shield CA | Commercial|PPO Tandem | $2.09 | ↑ +27% |
| Blue Shield CA | Commercial|CalPers | $2.09 | ↑ +27% |
| Blue Shield CA | Commercial|HMO | $2.09 | ↑ +27% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $2.09 | ↑ +27% |
| BlueShield | Medicare|Trauma | $2.34 | ↑ +42% |
| BCBS - Anthem | Commercial|All Other Plans | $2.35 | ↑ +42% |
| Health Net | Medicaid|All Plans | $2.50 | ↑ +52% |
| California Health & Wellness | Medicaid|All Plans | $2.50 | ↑ +52% |
| United | Commercial|Non-Options PPO | $2.62 | ↑ +59% |
| Kaiser | Commercial|All Plans | $2.70 | ↑ +64% |
| Prison Healthcare | Medicaid|All Plans | $2.81 | ↑ +70% |
| Health Net | Commercial|EPPO | $2.96 | ↑ +79% |
| United | Commercial|Options PPO | $3.04 | ↑ +84% |
| United | Commercial|All Other Plans | $3.04 | ↑ +84% |
| United | Commercial|HMO | $3.04 | ↑ +84% |
| BCBS - Anthem | Commercial|MCS | $3.28 | ↑ +99% |
| First Health | Commercial|All Plans | $3.75 | ↑ +127% |
| Healthsmart | Commercial|All Plans | $3.75 | ↑ +127% |
| Aetna | Commercial|All Other Plans | $3.97 | ↑ +141% |
| Aetna | Commercial|HMO | $3.97 | ↑ +141% |
| Aetna | Commercial|PPO | $3.97 | ↑ +141% |
| Sutter Health | Commercial|All Plans | $4.00 | ↑ +142% |
| MultiPlan | Commercial|All Plans | $4.15 | ↑ +152% |
| Cigna | Commercial|LocalPlus | $4.30 | ↑ +161% |
| Health Net | Commercial|FFS | $5.00 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $5.74 | ↑ +248% |
Visitor-reported prices
Comments
Factor ix recombinant nos at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $2.23 | $1.08 – $4.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1.77 | $1.56 – $4.92 |
| Dominican Hospital | Santa Cruz | $5.40 | $1.50 – $8.00 |
| Northridge Hospital Medical Center | Northridge | $1.68 | $0.01 – $5.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $2.18 | $0.01 – $3.92 |
| California Hospital Medical Center | Los Angeles | $3.88 | $0.01 – $6.32 |
| Glendale Memorial Hospital Health Center | Glendale | $4.89 | $0.01 – $12.00 |
| Mercy Medical Center Redding | Redding | $4.06 | $0.02 – $4.90 |