Flebogamma injection at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,872.79
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.
$6,835.00
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.
$50.27 with Western Health Advantage vs $2,836.94 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 |
|---|---|---|---|
| Western Health Advantage | Commercial|All Plans | $50.27 | ↓ -97% |
| Partnership Health Plan | Medicaid|All Plans | $57.40 | ↓ -97% |
| United | Commercial|Non-Options PPO | $59.22 | ↓ -97% |
| Hill Physicians | Medicaid|All Plans | $63.14 | ↓ -97% |
| Blue Shield CA | Commercial|HMO | $63.53 | ↓ -97% |
| Blue Shield CA | Commercial|CalPers | $63.53 | ↓ -97% |
| Blue Shield CA | Commercial|ACO Trio | $63.53 | ↓ -97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $63.53 | ↓ -97% |
| Blue Shield CA | Commercial|PPO | $63.53 | ↓ -97% |
| Blue Shield CA | Commercial|Exchange | $63.53 | ↓ -97% |
| Blue Shield CA | Commercial|PPO Tandem | $63.53 | ↓ -97% |
| BCBS - Anthem | Medicare|All Other Plans | $69.09 | ↓ -96% |
| BCBS - Anthem | Commercial|Connection EPO | $71.61 | ↓ -96% |
| Humana | Medicare|All Plans | $73.27 | ↓ -96% |
| Molina | Medicare|All Plans | $73.27 | ↓ -96% |
| Blue Shield CA | Medicare|PPO | $73.27 | ↓ -96% |
| Aetna | Medicare|All Plans | $73.27 | ↓ -96% |
| Kaiser | Medicare|All Plans | $73.27 | ↓ -96% |
| Humana | Commercial|All Plans | $73.27 | ↓ -96% |
| United | Medicare|All Plans | $73.27 | ↓ -96% |
| Blue Shield CA | Medicare|HMO | $73.27 | ↓ -96% |
| United | Commercial|Options PPO | $73.49 | ↓ -96% |
| United | Commercial|All Other Plans | $73.49 | ↓ -96% |
| United | Commercial|HMO | $73.49 | ↓ -96% |
| BCBS - Anthem | Medicare|Imperial | $75.47 | ↓ -96% |
| BrightHealth | Commercial|All Plans | $80.60 | ↓ -96% |
| BCBS - Anthem | Commercial|All Other Plans | $89.52 | ↓ -95% |
| BlueShield | Medicare|Trauma | $91.59 | ↓ -95% |
| Health Net | Commercial|EPPO | $92.12 | ↓ -95% |
| Molina | Medicaid|All Plans | $107.91 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $109.06 | ↓ -94% |
| Prison Healthcare | Medicaid|All Plans | $109.91 | ↓ -94% |
| BCBS - Anthem | Commercial|MCS | $125.19 | ↓ -93% |
| Cigna | Commercial|LocalPlus | $125.60 | ↓ -93% |
| California Health & Wellness | Medicaid|All Plans | $131.45 | ↓ -93% |
| Health Net | Medicaid|All Plans | $131.45 | ↓ -93% |
| Aetna | Commercial|PPO | $136.34 | ↓ -93% |
| Aetna | Commercial|All Other Plans | $136.34 | ↓ -93% |
| Aetna | Commercial|HMO | $136.34 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $167.51 | ↓ -91% |
| Health Net | Commercial|FFS | $167.72 | ↓ -91% |
| WCMG | Commercial|All Plans | $375.98 | ↓ -80% |
| Kaiser | Medicaid|All Plans | $1,401.38 | ↓ -25% |
| Kaiser | Commercial|All Plans | $1,845.72 | ↓ -1% |
| First Health | Commercial|All Plans | $2,563.50 | ↑ +37% |
| Healthsmart | Commercial|All Plans | $2,563.50 | ↑ +37% |
| Sutter Health | Commercial|All Plans | $2,734.40 | ↑ +46% |
| MultiPlan | Commercial|All Plans | $2,836.94 | ↑ +51% |
Visitor-reported prices
Comments
Flebogamma injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,126.46 | $36.51 – $453.30 |
| Bakersfield Memorial Hospital | Bakersfield | $2,827.01 | $59.22 – $1,343.79 |
| Queen of The Valley Medical Center | Napa | $4,320.44 | $60.50 – $119.88 |
| Providence St Joseph Hospital Eureka | Eureka | $4,320.44 | $72.17 – $119.88 |
| Mercy Medical Center Merced | Merced | $3,431.96 | $47.32 – $3,132.08 |
| Northridge Hospital Medical Center | Northridge | $542.38 | $35.59 – $1,868.00 |
| Community Hospital San Bernardino | San Bernardino | $3,452.53 | $57.81 – $4,446.00 |
| Mercy Medical Center Redding | Redding | $2,281.50 | $57.40 – $213.64 |