Inj, bupivacaine liposome at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$414.29
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.
$1,512.00
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.
$158.40 with WCMG vs $1,440.00 with United — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $158.40 | ↓ -62% |
| Western Health Advantage | Commercial|All Plans | $360.00 | ↓ -13% |
| Kaiser | Medicaid|All Plans | $590.40 | ↑ +43% |
| Kaiser | Commercial|All Plans | $777.60 | ↑ +88% |
| BCBS - Anthem | Commercial|Connection EPO | $1,065.60 | ↑ +157% |
| First Health | Commercial|All Plans | $1,080.00 | ↑ +161% |
| Healthsmart | Commercial|All Plans | $1,080.00 | ↑ +161% |
| Sutter Health | Commercial|All Plans | $1,152.00 | ↑ +178% |
| MultiPlan | Commercial|All Plans | $1,195.20 | ↑ +188% |
| BCBS - Anthem | Commercial|All Other Plans | $1,339.20 | ↑ +223% |
| BCBS - Anthem | Commercial|MCS | $1,440.00 | ↑ +248% |
| United | Commercial|HMO | $1,440.00 | ↑ +248% |
| United | Commercial|All Other Plans | $1,440.00 | ↑ +248% |
| United | Commercial|Non-Options PPO | $1,440.00 | ↑ +248% |
| United | Commercial|Options PPO | $1,440.00 | ↑ +248% |
Visitor-reported prices
Comments
Inj, bupivacaine liposome at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,617.84 | $1,701.00 – $3,704.40 |
| French Hospital | San Luis Obispo | $1,481.76 | $1,020.60 – $3,704.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $558.36 | $100.00 – $1,146.40 |
| St. Joseph's Medical Center Stockton | Stockton | $361.33 | $100.00 – $982.80 |
| Santa Rosa Memorial Hospital | Santa Rosa | $116.67 | $1.38 – $3.05 |
| Mercy Medical Center Merced | Merced | $759.63 | $351.00 – $1,389.96 |
| Dominican Hospital | Santa Cruz | $1,360.79 | $876.95 – $2,751.81 |
| Sierra Nevada Memorial Hospital | Grass Valley | $721.04 | $617.40 – $1,234.80 |