Infect ag na influenza r/amp 1st 2 types at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$217.56
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.
$794.00
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.
$76.64 with Partnership Health Plan vs $794.00 with BCBS - Anthem — 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 | $76.64 | ↓ -65% |
| United | Medicaid|> 21 | $76.64 | ↓ -65% |
| United | Medicaid|< 21 | $76.64 | ↓ -65% |
| Hill Physicians | Medicaid|All Plans | $84.30 | ↓ -61% |
| WCMG | Commercial|All Plans | $87.34 | ↓ -60% |
| BCBS - Anthem | Medicare|All Other Plans | $90.34 | ↓ -58% |
| Kaiser | Medicare|All Plans | $95.80 | ↓ -56% |
| United | Medicare|All Plans | $95.80 | ↓ -56% |
| Molina | Medicare|All Plans | $95.80 | ↓ -56% |
| Humana | Medicare|All Plans | $95.80 | ↓ -56% |
| Humana | Commercial|All Plans | $95.80 | ↓ -56% |
| Hill Physicians | Commercial|All Plans | $95.80 | ↓ -56% |
| Aetna | Medicare|All Plans | $95.80 | ↓ -56% |
| Blue Shield CA | Medicare|PPO | $95.80 | ↓ -56% |
| Blue Shield CA | Medicare|HMO | $95.80 | ↓ -56% |
| BCBS - Anthem | Medicare|Imperial | $98.67 | ↓ -55% |
| BrightHealth | Commercial|All Plans | $105.38 | ↓ -52% |
| United | Commercial|Non-Options PPO | $114.96 | ↓ -47% |
| United | Commercial|HMO | $114.96 | ↓ -47% |
| United | Commercial|All Other Plans | $114.96 | ↓ -47% |
| United | Commercial|Options PPO | $114.96 | ↓ -47% |
| BlueShield | Medicare|Trauma | $119.75 | ↓ -45% |
| Prison Healthcare | Medicaid|All Plans | $143.70 | ↓ -34% |
| Molina | Medicaid|All Plans | $144.08 | ↓ -34% |
| BCBS - Anthem | Medicaid|All Plans | $145.62 | ↓ -33% |
| California Health & Wellness | Medicaid|All Plans | $175.51 | ↓ -19% |
| Health Net | Medicaid|All Plans | $175.51 | ↓ -19% |
| Cigna | Commercial|LocalPlus | $212.15 | ↓ -2% |
| Blue Shield CA | Commercial|ACO Trio | $246.14 | ↑ +13% |
| Western Health Advantage | Commercial|All Plans | $277.90 | ↑ +28% |
| Cigna | Commercial|All Other Plans | $282.89 | ↑ +30% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $317.60 | ↑ +46% |
| Aetna | Commercial|HMO | $320.63 | ↑ +47% |
| Aetna | Commercial|PPO | $320.63 | ↑ +47% |
| Aetna | Commercial|All Other Plans | $320.63 | ↑ +47% |
| Kaiser | Medicaid|All Plans | $325.54 | ↑ +50% |
| Blue Shield CA | Commercial|Exchange | $333.48 | ↑ +53% |
| Kaiser | Commercial|All Plans | $428.76 | ↑ +97% |
| Blue Shield CA | Commercial|PPO Tandem | $436.70 | ↑ +101% |
| Blue Shield CA | Commercial|HMO | $468.46 | ↑ +115% |
| Blue Shield CA | Commercial|CalPers | $492.28 | ↑ +126% |
| Blue Shield CA | Commercial|PPO | $524.04 | ↑ +141% |
| Healthsmart | Commercial|All Plans | $595.50 | ↑ +174% |
| First Health | Commercial|All Plans | $595.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $635.20 | ↑ +192% |
| BCBS - Anthem | Commercial|Connection EPO | $635.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $659.02 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $794.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $794.00 | ↑ +265% |
Visitor-reported prices
Comments
Infect ag na influenza r/amp 1st 2 types at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $167.85 | $93.96 – $271.44 |
| Banner Lassen Medical Center | Susanville | $71.98 | $19.16 – $126.46 |
| Petaluma Valley Hospital | Petaluma | $566.61 | $93.88 – $527.37 |
| Arroyo Grande Hospital | Santa Maria | $204.16 | $76.64 – $294.98 |
| Mark Twain Medical Center | San Andreas | $205.80 | $76.64 – $234.71 |
| French Hospital | San Luis Obispo | $186.99 | $76.64 – $294.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $23.00 – $275.30 |
| Bakersfield Memorial Hospital | Bakersfield | $139.10 | $23.00 – $275.30 |