Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,019.76
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.
$11,021.00
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.
$28.90 with Partnership Health Plan vs $9,147.43 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 | $28.90 | ↓ -99% |
| Hill Physicians | Commercial|All Plans | $30.64 | ↓ -99% |
| Hill Physicians | Medicaid|All Plans | $31.79 | ↓ -99% |
| Blue Shield CA | Commercial|HMO | $35.22 | ↓ -99% |
| Blue Shield CA | Commercial|CalPers | $35.22 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $35.22 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $35.22 | ↓ -99% |
| Blue Shield CA | Commercial|PPO Tandem | $35.22 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $35.22 | ↓ -99% |
| Blue Shield CA | Commercial|PPO | $35.22 | ↓ -99% |
| BCBS - Anthem | Medicare|All Other Plans | $37.18 | ↓ -99% |
| United | Medicare|All Plans | $39.43 | ↓ -99% |
| Humana | Medicare|All Plans | $39.43 | ↓ -99% |
| Aetna | Medicare|All Plans | $39.43 | ↓ -99% |
| Molina | Medicare|All Plans | $39.43 | ↓ -99% |
| Humana | Commercial|All Plans | $39.43 | ↓ -99% |
| Kaiser | Medicare|All Plans | $39.43 | ↓ -99% |
| Blue Shield CA | Medicare|HMO | $39.43 | ↓ -99% |
| Blue Shield CA | Medicare|PPO | $39.43 | ↓ -99% |
| BCBS - Anthem | Commercial|Connection EPO | $39.72 | ↓ -99% |
| United | Commercial|Non-Options PPO | $40.59 | ↓ -99% |
| BCBS - Anthem | Medicare|Imperial | $40.61 | ↓ -99% |
| BrightHealth | Commercial|All Plans | $43.37 | ↓ -99% |
| United | Commercial|All Other Plans | $47.54 | ↓ -98% |
| United | Commercial|Options PPO | $47.54 | ↓ -98% |
| United | Commercial|HMO | $47.54 | ↓ -98% |
| Health Net | Commercial|EPPO | $48.87 | ↓ -98% |
| BlueShield | Medicare|Trauma | $49.29 | ↓ -98% |
| BCBS - Anthem | Commercial|All Other Plans | $49.65 | ↓ -98% |
| Molina | Medicaid|All Plans | $54.33 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $58.60 | ↓ -98% |
| Prison Healthcare | Medicaid|All Plans | $59.15 | ↓ -98% |
| Aetna | Commercial|PPO | $62.02 | ↓ -98% |
| Aetna | Commercial|HMO | $62.02 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $62.02 | ↓ -98% |
| Health Net | Medicaid|All Plans | $66.18 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $66.18 | ↓ -98% |
| Cigna | Commercial|LocalPlus | $67.22 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $69.44 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $89.65 | ↓ -97% |
| Health Net | Commercial|FFS | $92.98 | ↓ -97% |
| WCMG | Commercial|All Plans | $1,212.31 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $2,755.25 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $4,518.61 | ↑ +50% |
| Kaiser | Commercial|All Plans | $5,951.34 | ↑ +97% |
| First Health | Commercial|All Plans | $8,265.75 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $8,265.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $8,816.80 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $9,147.43 | ↑ +203% |
Visitor-reported prices
Comments
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $4,024.53 | $38.03 – $8,663.14 |
| Queen of The Valley Medical Center | Napa | $9,238.95 | $31.26 – $62.14 |
| Providence St Joseph Hospital Eureka | Eureka | $9,238.95 | $31.26 – $62.14 |
| Mercy Medical Center Merced | Merced | $4,017.00 | $28.90 – $7,332.00 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $28.90 – $6,800.00 |
| Northridge Hospital Medical Center | Northridge | $1,768.03 | $20.89 – $6,337.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $5,706.15 | $31.80 – $10,260.60 |
| Sequoia Hospital | Redwood City | $2,366.00 | $24.14 – $5,330.00 |