Inj, abilify maintena, 1 mg at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$2,991.81
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.
$10,919.00
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.
$0.02 with BCBS - Anthem vs $6,797.70 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $0.02 | ↓ -100% |
| Western Health Advantage | Commercial|All Plans | $5.85 | ↓ -100% |
| BCBS - Anthem | Commercial|Connection EPO | $6.19 | ↓ -100% |
| Hill Physicians | Commercial|All Plans | $7.45 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $7.74 | ↓ -100% |
| Blue Shield CA | Commercial|CalPers | $8.71 | ↓ -100% |
| Blue Shield CA | Commercial|PPO | $8.71 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $8.71 | ↓ -100% |
| Blue Shield CA | Commercial|HMO | $8.71 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio | $8.71 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $8.71 | ↓ -100% |
| Blue Shield CA | Commercial|PPO Tandem | $8.71 | ↓ -100% |
| BCBS - Anthem | Medicare|All Other Plans | $8.97 | ↓ -100% |
| Humana | Medicare|All Plans | $9.51 | ↓ -100% |
| Aetna | Medicare|All Plans | $9.51 | ↓ -100% |
| Blue Shield CA | Medicare|PPO | $9.51 | ↓ -100% |
| Humana | Commercial|All Plans | $9.51 | ↓ -100% |
| Kaiser | Medicare|All Plans | $9.51 | ↓ -100% |
| Blue Shield CA | Medicare|HMO | $9.51 | ↓ -100% |
| United | Medicare|All Plans | $9.51 | ↓ -100% |
| Molina | Medicare|All Plans | $9.51 | ↓ -100% |
| BCBS - Anthem | Medicare|Imperial | $9.80 | ↓ -100% |
| United | Commercial|Non-Options PPO | $9.88 | ↓ -100% |
| BrightHealth | Commercial|All Plans | $10.46 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $10.82 | ↓ -100% |
| Partnership Health Plan | Medicaid|All Plans | $11.49 | ↓ -100% |
| United | Commercial|All Other Plans | $11.67 | ↓ -100% |
| United | Commercial|HMO | $11.67 | ↓ -100% |
| United | Commercial|Options PPO | $11.67 | ↓ -100% |
| BlueShield | Medicare|Trauma | $11.89 | ↓ -100% |
| Health Net | Commercial|EPPO | $12.27 | ↓ -100% |
| Hill Physicians | Medicaid|All Plans | $12.64 | ↓ -100% |
| Prison Healthcare | Medicaid|All Plans | $14.27 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $15.09 | ↓ -99% |
| Aetna | Commercial|PPO | $15.09 | ↓ -99% |
| Aetna | Commercial|HMO | $15.09 | ↓ -99% |
| Cigna | Commercial|LocalPlus | $16.35 | ↓ -99% |
| Molina | Medicaid|All Plans | $21.60 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $21.81 | ↓ -99% |
| Health Net | Commercial|FFS | $23.00 | ↓ -99% |
| Health Net | Medicaid|All Plans | $26.31 | ↓ -99% |
| California Health & Wellness | Medicaid|All Plans | $26.31 | ↓ -99% |
| WCMG | Commercial|All Plans | $900.90 | ↓ -70% |
| Kaiser | Medicaid|All Plans | $3,357.90 | ↑ +12% |
| Kaiser | Commercial|All Plans | $4,422.60 | ↑ +48% |
| First Health | Commercial|All Plans | $6,142.50 | ↑ +105% |
| Healthsmart | Commercial|All Plans | $6,142.50 | ↑ +105% |
| Sutter Health | Commercial|All Plans | $6,552.00 | ↑ +119% |
| MultiPlan | Commercial|All Plans | $6,797.70 | ↑ +127% |
Visitor-reported prices
Comments
Inj, abilify maintena, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $9,478.36 | $2,761.32 – $10,460.35 |
| St. Joseph's Behavioral Health Center | Stockton | $4,754.15 | $9.66 – $4,996.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,608.37 | $8.27 – $7,275.04 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $5.24 – $6,800.00 |
| Community Hospital San Bernardino | San Bernardino | $3,452.53 | $0.02 – $8,830.00 |
| Glendale Memorial Hospital Health Center | Glendale | $6,900.12 | $0.01 – $15,728.00 |
| Mercy Medical Center Redding | Redding | $2,281.50 | $0.02 – $4,410.00 |
| Woodland Memorial Hospital | Woodland | $2,991.81 | $5.58 – $8,190.00 |