Icatibant injection at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$13,928.25
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.
$50,833.00
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.
$83.92 with Blue Shield CA vs $20,252.00 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|CalPers | $83.92 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $83.92 | ↓ -99% |
| Blue Shield CA | Commercial|PPO Tandem | $83.92 | ↓ -99% |
| Blue Shield CA | Commercial|HMO | $83.92 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $83.92 | ↓ -99% |
| Blue Shield CA | Commercial|PPO | $83.92 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $83.92 | ↓ -99% |
| Hill Physicians | Commercial|All Plans | $132.84 | ↓ -99% |
| BCBS - Anthem | Medicare|All Other Plans | $144.26 | ↓ -99% |
| Blue Shield CA | Medicare|HMO | $152.98 | ↓ -99% |
| Humana | Medicare|All Plans | $152.98 | ↓ -99% |
| Blue Shield CA | Medicare|PPO | $152.98 | ↓ -99% |
| Aetna | Medicare|All Plans | $152.98 | ↓ -99% |
| Kaiser | Medicare|All Plans | $152.98 | ↓ -99% |
| Molina | Medicare|All Plans | $152.98 | ↓ -99% |
| United | Medicare|All Plans | $152.98 | ↓ -99% |
| Humana | Commercial|All Plans | $152.98 | ↓ -99% |
| BCBS - Anthem | Medicare|Imperial | $157.57 | ↓ -99% |
| Health Net | Commercial|EPPO | $162.15 | ↓ -99% |
| BrightHealth | Commercial|All Plans | $168.28 | ↓ -99% |
| BlueShield | Medicare|Trauma | $191.22 | ↓ -99% |
| Health Net | Commercial|FFS | $221.55 | ↓ -98% |
| United | Commercial|All Other Plans | $222.85 | ↓ -98% |
| United | Commercial|Options PPO | $222.85 | ↓ -98% |
| United | Commercial|HMO | $222.85 | ↓ -98% |
| Prison Healthcare | Medicaid|All Plans | $229.47 | ↓ -98% |
| Aetna | Commercial|HMO | $268.94 | ↓ -98% |
| Aetna | Commercial|All Other Plans | $268.94 | ↓ -98% |
| Aetna | Commercial|PPO | $268.94 | ↓ -98% |
| Cigna | Commercial|LocalPlus | $291.49 | ↓ -98% |
| United | Commercial|Non-Options PPO | $330.78 | ↓ -98% |
| BCBS - Anthem | Commercial|Connection EPO | $386.47 | ↓ -97% |
| Cigna | Commercial|All Other Plans | $388.74 | ↓ -97% |
| Western Health Advantage | Commercial|All Plans | $389.62 | ↓ -97% |
| BCBS - Anthem | Commercial|All Other Plans | $483.09 | ↓ -97% |
| BCBS - Anthem | Commercial|MCS | $675.62 | ↓ -95% |
| WCMG | Commercial|All Plans | $2,684.00 | ↓ -81% |
| Kaiser | Medicaid|All Plans | $10,004.00 | ↓ -28% |
| Kaiser | Commercial|All Plans | $13,176.00 | ↓ -5% |
| Healthsmart | Commercial|All Plans | $18,300.00 | ↑ +31% |
| First Health | Commercial|All Plans | $18,300.00 | ↑ +31% |
| Sutter Health | Commercial|All Plans | $19,520.00 | ↑ +40% |
| MultiPlan | Commercial|All Plans | $20,252.00 | ↑ +45% |
Visitor-reported prices
Comments
Icatibant injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $12,890.34 | $83.92 – $22,955.40 |
| French Hospital | San Luis Obispo | $14,700.00 | $83.92 – $36,750.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,764.81 | $52.03 – $19,422.40 |
| Bakersfield Memorial Hospital | Bakersfield | $18,562.50 | $107.00 – $19,179.62 |
| St. Joseph's Medical Center Stockton | Stockton | $12,142.79 | $79.72 – $16,256.50 |
| Mercy Medical Center Merced | Merced | $13,089.76 | $83.92 – $11,468.00 |
| Dominican Hospital | Santa Cruz | $15,049.09 | $107.00 – $28,426.06 |
| St. Mary Medical Center | Long Beach | $8,628.38 | $63.78 – $20,066.00 |