Factor viii fc fusion recomb at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3.29
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.
?
What you pay up front if you don't use insurance.
$12.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1.32 with WCMG vs $9.96 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1.32 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $2.28 | ↓ -31% |
| Western Health Advantage | Commercial|All Plans | $2.34 | ↓ -29% |
| Humana | Medicare|All Plans | $2.42 | ↓ -26% |
| Aetna | Medicare|All Plans | $2.42 | ↓ -26% |
| Molina | Medicare|All Plans | $2.42 | ↓ -26% |
| Humana | Commercial|All Plans | $2.42 | ↓ -26% |
| United | Medicare|All Plans | $2.42 | ↓ -26% |
| Blue Shield CA | Medicare|PPO | $2.42 | ↓ -26% |
| Blue Shield CA | Medicare|HMO | $2.42 | ↓ -26% |
| Kaiser | Medicare|All Plans | $2.42 | ↓ -26% |
| Hill Physicians | Commercial|All Plans | $2.46 | ↓ -25% |
| BCBS - Anthem | Medicare|Imperial | $2.49 | ↓ -24% |
| BrightHealth | Commercial|All Plans | $2.66 | ↓ -19% |
| BlueShield | Medicare|Trauma | $3.02 | ↓ -8% |
| Blue Shield CA | Commercial|HMO | $3.22 | ↓ -2% |
| Blue Shield CA | Commercial|PPO Tandem | $3.22 | ↓ -2% |
| Blue Shield CA | Commercial|PPO | $3.22 | ↓ -2% |
| Blue Shield CA | Commercial|CalPers | $3.22 | ↓ -2% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3.22 | ↓ -2% |
| Blue Shield CA | Commercial|Exchange | $3.22 | ↓ -2% |
| Blue Shield CA | Commercial|ACO Trio | $3.22 | ↓ -2% |
| BCBS - Anthem | Commercial|Connection EPO | $3.43 | ↑ +4% |
| United | Commercial|Non-Options PPO | $3.50 | ↑ +6% |
| Prison Healthcare | Medicaid|All Plans | $3.63 | ↑ +10% |
| United | Commercial|All Other Plans | $3.86 | ↑ +17% |
| United | Commercial|HMO | $3.86 | ↑ +17% |
| United | Commercial|Options PPO | $3.86 | ↑ +17% |
| BCBS - Anthem | Medicaid|All Plans | $4.22 | ↑ +28% |
| BCBS - Anthem | Commercial|All Other Plans | $4.28 | ↑ +30% |
| Health Net | Commercial|EPPO | $4.50 | ↑ +37% |
| Kaiser | Medicaid|All Plans | $4.92 | ↑ +50% |
| Aetna | Commercial|HMO | $4.98 | ↑ +51% |
| Aetna | Commercial|All Other Plans | $4.98 | ↑ +51% |
| Aetna | Commercial|PPO | $4.98 | ↑ +51% |
| Cigna | Commercial|LocalPlus | $5.40 | ↑ +64% |
| BCBS - Anthem | Commercial|MCS | $5.99 | ↑ +82% |
| Health Net | Medicaid|All Plans | $6.00 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $6.00 | ↑ +82% |
| Kaiser | Commercial|All Plans | $6.48 | ↑ +97% |
| Cigna | Commercial|All Other Plans | $7.20 | ↑ +119% |
| Health Net | Commercial|FFS | $8.50 | ↑ +158% |
| Healthsmart | Commercial|All Plans | $9.00 | ↑ +174% |
| First Health | Commercial|All Plans | $9.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $9.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $9.96 | ↑ +203% |
Visitor-reported prices
Comments
Factor viii fc fusion recomb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $4.78 | $2.42 – $9.48 |
| Mercy Medical Center Redding | Redding | $7.10 | $2.42 – $13.72 |
| Petaluma Valley Hospital | Petaluma | not published | $2.41 – $4.99 |
| Queen of The Valley Medical Center | Napa | not published | $2.46 – $4.99 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $2.46 – $4.99 |
| Healdsburg Hospital | Healdsburg | not published | $2.46 – $6.82 |
| Redwood Memorial Hospital | Fortuna | not published | $3.46 – $4.84 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $2.41 – $4.99 |