Imuglucerase injection at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,159.67
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.
$7,882.00
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.
$43.14 with Partnership Health Plan vs $6,542.06 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 | $43.14 | ↓ -98% |
| Western Health Advantage | Commercial|All Plans | $44.33 | ↓ -98% |
| Hill Physicians | Commercial|All Plans | $45.73 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $47.45 | ↓ -98% |
| Blue Shield CA | Commercial|Exchange | $52.02 | ↓ -98% |
| Blue Shield CA | Commercial|HMO | $52.02 | ↓ -98% |
| Blue Shield CA | Commercial|PPO Tandem | $52.02 | ↓ -98% |
| Blue Shield CA | Commercial|CalPers | $52.02 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $52.02 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio | $52.02 | ↓ -98% |
| Blue Shield CA | Commercial|PPO | $52.02 | ↓ -98% |
| BCBS - Anthem | Medicare|All Other Plans | $53.65 | ↓ -98% |
| United | Medicare|All Plans | $56.89 | ↓ -97% |
| Humana | Medicare|All Plans | $56.89 | ↓ -97% |
| Aetna | Medicare|All Plans | $56.89 | ↓ -97% |
| Molina | Medicare|All Plans | $56.89 | ↓ -97% |
| Humana | Commercial|All Plans | $56.89 | ↓ -97% |
| Kaiser | Medicare|All Plans | $56.89 | ↓ -97% |
| Blue Shield CA | Medicare|HMO | $56.89 | ↓ -97% |
| Blue Shield CA | Medicare|PPO | $56.89 | ↓ -97% |
| BCBS - Anthem | Medicare|Imperial | $58.60 | ↓ -97% |
| BrightHealth | Commercial|All Plans | $62.58 | ↓ -97% |
| BCBS - Anthem | Commercial|Connection EPO | $67.64 | ↓ -97% |
| BlueShield | Medicare|Trauma | $71.11 | ↓ -97% |
| United | Commercial|HMO | $71.58 | ↓ -97% |
| United | Commercial|All Other Plans | $71.58 | ↓ -97% |
| United | Commercial|Options PPO | $71.58 | ↓ -97% |
| United | Commercial|Non-Options PPO | $72.55 | ↓ -97% |
| Health Net | Commercial|EPPO | $74.69 | ↓ -97% |
| Molina | Medicaid|All Plans | $81.10 | ↓ -96% |
| BCBS - Anthem | Commercial|All Other Plans | $84.54 | ↓ -96% |
| Prison Healthcare | Medicaid|All Plans | $85.33 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $92.34 | ↓ -96% |
| Aetna | Commercial|PPO | $92.58 | ↓ -96% |
| Aetna | Commercial|All Other Plans | $92.58 | ↓ -96% |
| Aetna | Commercial|HMO | $92.58 | ↓ -96% |
| California Health & Wellness | Medicaid|All Plans | $98.79 | ↓ -95% |
| Health Net | Medicaid|All Plans | $98.79 | ↓ -95% |
| Cigna | Commercial|LocalPlus | $100.34 | ↓ -95% |
| BCBS - Anthem | Commercial|MCS | $118.24 | ↓ -95% |
| Cigna | Commercial|All Other Plans | $133.82 | ↓ -94% |
| Health Net | Commercial|FFS | $137.33 | ↓ -94% |
| WCMG | Commercial|All Plans | $867.02 | ↓ -60% |
| Kaiser | Medicaid|All Plans | $3,231.62 | ↑ +50% |
| Kaiser | Commercial|All Plans | $4,256.28 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $5,911.50 | ↑ +174% |
| First Health | Commercial|All Plans | $5,911.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $6,305.60 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $6,542.06 | ↑ +203% |
Visitor-reported prices
Comments
Imuglucerase injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $2,878.39 | $55.01 – $6,195.97 |
| Petaluma Valley Hospital | Petaluma | not published | $41.97 – $92.75 |
| Queen of The Valley Medical Center | Napa | not published | $42.82 – $92.75 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $42.82 – $92.75 |
| Healdsburg Hospital | Healdsburg | not published | $42.82 – $134.59 |
| Redwood Memorial Hospital | Fortuna | not published | $68.33 – $86.58 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $41.97 – $92.75 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $36.40 – $92.75 |