Injection, inclisiran, 1 mg at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,274.40
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.
?
What you pay up front if you don't use insurance.
$15,600.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,716.00 with WCMG vs $15,600.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,716.00 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $3,900.00 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $6,396.00 | ↑ +50% |
| Kaiser | Commercial|All Plans | $8,424.00 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $11,544.00 | ↑ +170% |
| First Health | Commercial|All Plans | $11,700.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $11,700.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $12,480.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $12,948.00 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $14,508.00 | ↑ +239% |
| BCBS - Anthem | Commercial|MCS | $15,600.00 | ↑ +265% |
| United | Commercial|HMO | $15,600.00 | ↑ +265% |
| United | Commercial|All Other Plans | $15,600.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $15,600.00 | ↑ +265% |
| United | Commercial|Options PPO | $15,600.00 | ↑ +265% |
Visitor-reported prices
Comments
Injection, inclisiran, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $11,257.89 | $4,373.00 – $16,565.66 |
| Bakersfield Memorial Hospital | Bakersfield | $5,696.58 | $100.00 – $15,366.78 |
| St. Joseph's Medical Center Stockton | Stockton | $3,726.45 | $100.00 – $10,647.00 |
| Dominican Hospital | Santa Cruz | $4,387.50 | $2,827.50 – $8,872.50 |
| Northridge Hospital Medical Center | Northridge | $2,502.63 | $100.00 – $8,970.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $7,439.25 | $6,688.50 – $13,377.00 |
| Sequoia Hospital | Redwood City | $2,366.00 | $1,430.00 – $5,655.00 |
| Mercy Medical Center Redding | Redding | $2,965.95 | $4,446.00 – $5,733.00 |