Inst fibrinolysis agent ini day at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,153.00
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.
$4,208.00
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.
$65.84 with Hill Physicians vs $7,484.00 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 | $65.84 | ↓ -94% |
| United | Medicaid|< 21 | $79.67 | ↓ -93% |
| United | Medicaid|> 21 | $79.67 | ↓ -93% |
| Hill Physicians | Medicaid|All Plans | $87.64 | ↓ -92% |
| Molina | Medicaid|All Plans | $149.78 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $151.37 | ↓ -87% |
| Health Net | Medicaid|All Plans | $182.44 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $182.44 | ↓ -84% |
| Partnership Health Plan | Medicaid|All Plans | $342.58 | ↓ -70% |
| WCMG | Commercial|All Plans | $445.17 | ↓ -61% |
| BCBS - Anthem | Medicare|All Other Plans | $766.15 | ↓ -34% |
| Molina | Medicare|All Plans | $812.46 | ↓ -30% |
| Humana | Medicare|All Plans | $812.46 | ↓ -30% |
| Humana | Commercial|All Plans | $812.46 | ↓ -30% |
| Aetna | Medicare|All Plans | $812.46 | ↓ -30% |
| Kaiser | Medicare|All Plans | $812.46 | ↓ -30% |
| United | Medicare|All Plans | $812.46 | ↓ -30% |
| Blue Shield CA | Medicare|PPO | $812.46 | ↓ -30% |
| Blue Shield CA | Medicare|HMO | $812.46 | ↓ -30% |
| BCBS - Anthem | Medicare|Imperial | $836.83 | ↓ -27% |
| BrightHealth | Commercial|All Plans | $893.71 | ↓ -22% |
| BlueShield | Medicare|Trauma | $1,015.58 | ↓ -12% |
| Prison Healthcare | Medicaid|All Plans | $1,218.69 | ↑ +6% |
| Western Health Advantage | Commercial|All Plans | $1,416.45 | ↑ +23% |
| Kaiser | Medicaid|All Plans | $1,659.27 | ↑ +44% |
| Kaiser | Commercial|All Plans | $2,185.38 | ↑ +90% |
| Healthsmart | Commercial|All Plans | $3,035.25 | ↑ +163% |
| First Health | Commercial|All Plans | $3,035.25 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $3,237.60 | ↑ +181% |
| Blue Shield CA | Commercial|ACO Trio | $3,310.00 | ↑ +187% |
| MultiPlan | Commercial|All Plans | $3,359.01 | ↑ +191% |
| Health Net | Commercial|EPPO | $3,898.00 | ↑ +238% |
| United | Commercial|All Other Plans | $4,047.00 | ↑ +251% |
| United | Commercial|Non-Options PPO | $4,047.00 | ↑ +251% |
| United | Commercial|Options PPO | $4,047.00 | ↑ +251% |
| United | Commercial|HMO | $4,047.00 | ↑ +251% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,218.00 | ↑ +266% |
| BCBS - Anthem | Commercial|Connection EPO | $4,277.00 | ↑ +271% |
| Blue Shield CA | Commercial|Exchange | $4,280.00 | ↑ +271% |
| Aetna | Commercial|PPO | $5,178.00 | ↑ +349% |
| Aetna | Commercial|All Other Plans | $5,178.00 | ↑ +349% |
| Aetna | Commercial|HMO | $5,178.00 | ↑ +349% |
| BCBS - Anthem | Commercial|All Other Plans | $5,346.00 | ↑ +364% |
| Blue Shield CA | Commercial|PPO Tandem | $5,625.00 | ↑ +388% |
| Blue Shield CA | Commercial|HMO | $6,255.00 | ↑ +442% |
| Blue Shield CA | Commercial|CalPers | $6,584.00 | ↑ +471% |
| Blue Shield CA | Commercial|PPO | $6,776.00 | ↑ +488% |
| Health Net | Commercial|FFS | $7,070.00 | ↑ +513% |
| BCBS - Anthem | Commercial|MCS | $7,484.00 | ↑ +549% |
Visitor-reported prices
Comments
Inst fibrinolysis agent ini day at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $482.24 | $120.53 – $1,452.04 |
| Arroyo Grande Hospital | Santa Maria | $802.93 | $79.67 – $1,838.48 |
| French Hospital | San Luis Obispo | $735.40 | $79.67 – $1,838.48 |
| Queen of The Valley Medical Center | Napa | $2,341.92 | $890.68 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $779.79 | $806.82 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $997.05 | $845.19 – $3,982.87 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,132.71 | $872.87 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,408.32 | $685.79 – $5,171.00 |