Inj. teprotumumab-trbw 10 mg at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$19,596.48
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.
$71,520.00
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.
$352.56 with Partnership Health Plan vs $59,361.60 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 | $352.56 | ↓ -98% |
| Hill Physicians | Commercial|All Plans | $373.72 | ↓ -98% |
| Hill Physicians | Medicaid|All Plans | $387.82 | ↓ -98% |
| Blue Shield CA | Commercial|HMO | $420.27 | ↓ -98% |
| Blue Shield CA | Commercial|CalPers | $420.27 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $420.27 | ↓ -98% |
| Blue Shield CA | Commercial|ACO Trio | $420.27 | ↓ -98% |
| Blue Shield CA | Commercial|PPO Tandem | $420.27 | ↓ -98% |
| Blue Shield CA | Commercial|Exchange | $420.27 | ↓ -98% |
| Blue Shield CA | Commercial|PPO | $420.27 | ↓ -98% |
| BCBS - Anthem | Medicare|All Other Plans | $444.98 | ↓ -98% |
| United | Medicare|All Plans | $471.88 | ↓ -98% |
| Humana | Medicare|All Plans | $471.88 | ↓ -98% |
| Aetna | Medicare|All Plans | $471.88 | ↓ -98% |
| Molina | Medicare|All Plans | $471.88 | ↓ -98% |
| Humana | Commercial|All Plans | $471.88 | ↓ -98% |
| Kaiser | Medicare|All Plans | $471.88 | ↓ -98% |
| Blue Shield CA | Medicare|HMO | $471.88 | ↓ -98% |
| Blue Shield CA | Medicare|PPO | $471.88 | ↓ -98% |
| BCBS - Anthem | Medicare|Imperial | $486.04 | ↓ -98% |
| BCBS - Anthem | Commercial|Connection EPO | $508.12 | ↓ -97% |
| BrightHealth | Commercial|All Plans | $519.07 | ↓ -97% |
| United | Commercial|Non-Options PPO | $521.20 | ↓ -97% |
| United | Commercial|All Other Plans | $572.72 | ↓ -97% |
| United | Commercial|Options PPO | $572.72 | ↓ -97% |
| United | Commercial|HMO | $572.72 | ↓ -97% |
| BlueShield | Medicare|Trauma | $589.85 | ↓ -97% |
| Health Net | Commercial|EPPO | $592.21 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $631.67 | ↓ -97% |
| BCBS - Anthem | Commercial|All Other Plans | $635.15 | ↓ -97% |
| Molina | Medicaid|All Plans | $662.81 | ↓ -97% |
| Prison Healthcare | Medicaid|All Plans | $707.82 | ↓ -96% |
| Aetna | Commercial|PPO | $756.59 | ↓ -96% |
| Aetna | Commercial|HMO | $756.59 | ↓ -96% |
| Aetna | Commercial|All Other Plans | $756.59 | ↓ -96% |
| Health Net | Medicaid|All Plans | $807.36 | ↓ -96% |
| California Health & Wellness | Medicaid|All Plans | $807.36 | ↓ -96% |
| Cigna | Commercial|LocalPlus | $820.05 | ↓ -96% |
| BCBS - Anthem | Commercial|MCS | $888.28 | ↓ -95% |
| Cigna | Commercial|All Other Plans | $1,093.64 | ↓ -94% |
| Health Net | Commercial|FFS | $1,109.51 | ↓ -94% |
| WCMG | Commercial|All Plans | $7,867.20 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $17,880.00 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $29,323.20 | ↑ +50% |
| Kaiser | Commercial|All Plans | $38,620.80 | ↑ +97% |
| First Health | Commercial|All Plans | $53,640.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $53,640.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $57,216.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $59,361.60 | ↑ +203% |
Visitor-reported prices
Comments
Inj. teprotumumab-trbw 10 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $320.34 – $36,750.00 |
| Bakersfield Memorial Hospital | Bakersfield | $26,116.83 | $456.26 – $56,218.77 |
| Mercy Medical Center Merced | Merced | $18,416.40 | $352.56 – $33,614.40 |
| Sierra Nevada Memorial Hospital | Grass Valley | $37,029.48 | $380.63 – $66,585.12 |
| Mercy Medical Center Redding | Redding | $13,597.74 | $352.56 – $26,283.60 |
| Woodland Memorial Hospital | Woodland | $19,596.48 | $352.56 – $71,520.00 |
| Petaluma Valley Hospital | Petaluma | not published | $360.55 – $758.00 |
| Queen of The Valley Medical Center | Napa | not published | $367.91 – $758.00 |