Inj., emapalumab-lzsg, 1 mg at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$22,207.43
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.
$81,049.00
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.
$381.50 with Partnership Health Plan vs $67,270.67 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 | $381.50 | ↓ -98% |
| Hill Physicians | Commercial|All Plans | $404.39 | ↓ -98% |
| Blue Shield CA | Commercial|PPO | $405.24 | ↓ -98% |
| Blue Shield CA | Commercial|HMO | $405.24 | ↓ -98% |
| Blue Shield CA | Commercial|PPO Tandem | $405.24 | ↓ -98% |
| Blue Shield CA | Commercial|Exchange | $405.24 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $405.24 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio | $405.24 | ↓ -98% |
| Blue Shield CA | Commercial|CalPers | $405.24 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $419.65 | ↓ -98% |
| BCBS - Anthem | Medicare|All Other Plans | $472.92 | ↓ -98% |
| United | Medicare|All Plans | $501.51 | ↓ -98% |
| Humana | Medicare|All Plans | $501.51 | ↓ -98% |
| Aetna | Medicare|All Plans | $501.51 | ↓ -98% |
| Molina | Medicare|All Plans | $501.51 | ↓ -98% |
| Humana | Commercial|All Plans | $501.51 | ↓ -98% |
| Kaiser | Medicare|All Plans | $501.51 | ↓ -98% |
| Blue Shield CA | Medicare|HMO | $501.51 | ↓ -98% |
| Blue Shield CA | Medicare|PPO | $501.51 | ↓ -98% |
| BCBS - Anthem | Medicare|Imperial | $516.56 | ↓ -98% |
| BrightHealth | Commercial|All Plans | $551.66 | ↓ -98% |
| BCBS - Anthem | Commercial|Connection EPO | $575.82 | ↓ -97% |
| Health Net | Commercial|EPPO | $587.60 | ↓ -97% |
| United | Commercial|Non-Options PPO | $597.81 | ↓ -97% |
| United | Commercial|Options PPO | $621.34 | ↓ -97% |
| United | Commercial|HMO | $621.34 | ↓ -97% |
| United | Commercial|All Other Plans | $621.34 | ↓ -97% |
| BlueShield | Medicare|Trauma | $626.89 | ↓ -97% |
| Molina | Medicaid|All Plans | $717.22 | ↓ -97% |
| BCBS - Anthem | Commercial|All Other Plans | $719.77 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $749.78 | ↓ -97% |
| Prison Healthcare | Medicaid|All Plans | $752.26 | ↓ -97% |
| Aetna | Commercial|All Other Plans | $818.70 | ↓ -96% |
| Aetna | Commercial|PPO | $818.70 | ↓ -96% |
| Aetna | Commercial|HMO | $818.70 | ↓ -96% |
| California Health & Wellness | Medicaid|All Plans | $873.64 | ↓ -96% |
| Health Net | Medicaid|All Plans | $873.64 | ↓ -96% |
| Cigna | Commercial|LocalPlus | $887.37 | ↓ -96% |
| BCBS - Anthem | Commercial|MCS | $1,006.63 | ↓ -95% |
| Health Net | Commercial|FFS | $1,069.83 | ↓ -95% |
| Cigna | Commercial|All Other Plans | $1,183.41 | ↓ -95% |
| WCMG | Commercial|All Plans | $8,915.39 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $20,262.25 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $33,230.09 | ↑ +50% |
| Kaiser | Commercial|All Plans | $43,766.46 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $60,786.75 | ↑ +174% |
| First Health | Commercial|All Plans | $60,786.75 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $64,839.20 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $67,270.67 | ↑ +203% |
Visitor-reported prices
Comments
Inj., emapalumab-lzsg, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | not published | $376.45 – $820.23 |
| Queen of The Valley Medical Center | Napa | not published | $384.14 – $820.23 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $384.14 – $820.23 |
| Healdsburg Hospital | Healdsburg | not published | $370.42 – $1,145.88 |
| Redwood Memorial Hospital | Fortuna | not published | $581.69 – $763.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $376.45 – $820.23 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $326.51 – $820.23 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $370.42 – $820.23 |