Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$219.20
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.
$800.00
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.
$15.87 with Hill Physicians vs $6,539.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $15.87 | ↓ -93% |
| United | Medicaid|> 21 | $24.43 | ↓ -89% |
| United | Medicaid|< 21 | $24.43 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $29.70 | ↓ -86% |
| Molina | Medicaid|All Plans | $40.03 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $40.45 | ↓ -82% |
| WCMG | Commercial|All Plans | $56.32 | ↓ -74% |
| BCBS - Anthem | Medicare|All Other Plans | $57.17 | ↓ -74% |
| Blue Shield CA | Medicare|HMO | $60.63 | ↓ -72% |
| Molina | Medicare|All Plans | $60.63 | ↓ -72% |
| Humana | Commercial|All Plans | $60.63 | ↓ -72% |
| United | Medicare|All Plans | $60.63 | ↓ -72% |
| Kaiser | Medicare|All Plans | $60.63 | ↓ -72% |
| Humana | Medicare|All Plans | $60.63 | ↓ -72% |
| Aetna | Medicare|All Plans | $60.63 | ↓ -72% |
| Blue Shield CA | Medicare|PPO | $60.63 | ↓ -72% |
| Health Net | Medicaid|All Plans | $61.83 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $61.83 | ↓ -72% |
| BCBS - Anthem | Medicare|Imperial | $62.45 | ↓ -72% |
| BrightHealth | Commercial|All Plans | $66.69 | ↓ -70% |
| BlueShield | Medicare|Trauma | $75.79 | ↓ -65% |
| Prison Healthcare | Medicaid|All Plans | $90.94 | ↓ -59% |
| Partnership Health Plan | Medicaid|All Plans | $91.55 | ↓ -58% |
| Aetna | Commercial|All Other Plans | $93.83 | ↓ -57% |
| Aetna | Commercial|HMO | $93.83 | ↓ -57% |
| Aetna | Commercial|PPO | $93.83 | ↓ -57% |
| Western Health Advantage | Commercial|All Plans | $179.20 | ↓ -18% |
| Kaiser | Medicaid|All Plans | $209.92 | ↓ -4% |
| Blue Shield CA | Commercial|ACO Trio | $271.36 | ↑ +24% |
| Cigna | Commercial|LocalPlus | $337.92 | ↑ +54% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $343.04 | ↑ +56% |
| Kaiser | Commercial|All Plans | $373.76 | ↑ +71% |
| First Health | Commercial|All Plans | $384.00 | ↑ +75% |
| Healthsmart | Commercial|All Plans | $384.00 | ↑ +75% |
| Blue Shield CA | Commercial|Exchange | $399.36 | ↑ +82% |
| Sutter Health | Commercial|All Plans | $409.60 | ↑ +87% |
| Blue Shield CA | Commercial|PPO Tandem | $424.96 | ↑ +94% |
| MultiPlan | Commercial|All Plans | $424.96 | ↑ +94% |
| Cigna | Commercial|All Other Plans | $450.56 | ↑ +106% |
| Blue Shield CA | Commercial|HMO | $460.80 | ↑ +110% |
| Blue Shield CA | Commercial|PPO | $460.80 | ↑ +110% |
| Blue Shield CA | Commercial|CalPers | $471.04 | ↑ +115% |
| BCBS - Anthem | Commercial|All Other Plans | $512.00 | ↑ +134% |
| United | Commercial|All Other Plans | $800.00 | ↑ +265% |
| United | Commercial|HMO | $800.00 | ↑ +265% |
| United | Commercial|Options PPO | $800.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,583.00 | ↑ +622% |
| Health Net | Commercial|EPPO | $3,200.00 | ↑ +1360% |
| BCBS - Anthem | Commercial|Connection EPO | $3,737.00 | ↑ +1605% |
| Health Net | Commercial|FFS | $5,805.00 | ↑ +2548% |
| BCBS - Anthem | Commercial|MCS | $6,539.00 | ↑ +2883% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $121.77 | $26.25 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $83.08 | $9.23 – $125.13 |
| Petaluma Valley Hospital | Petaluma | $157.59 | $63.10 – $64.39 |
| Arroyo Grande Hospital | Santa Maria | $93.74 | $24.43 – $995.00 |
| Mark Twain Medical Center | San Andreas | $230.44 | $24.43 – $124.46 |
| French Hospital | San Luis Obispo | $85.85 | $24.43 – $199.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $243.38 | $24.43 – $549.00 |
| Bakersfield Memorial Hospital | Bakersfield | $240.76 | $24.43 – $437.06 |