Irinotecan liposomal 4.3 mg/ml intravenous at Mercy San Juan Medical Center

6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$3,822.03

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$13,949.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$54.05 with Western Health Advantage vs $6,454.08 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 →

Payer
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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
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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
Western Health Advantage Commercial|All Plans $54.05 ↓ -99%
BCBS - Anthem Commercial|Connection EPO $64.21 ↓ -98%
Partnership Health Plan Medicaid|All Plans $65.28 ↓ -98%
Hill Physicians Commercial|All Plans $69.19 ↓ -98%
Hill Physicians Medicaid|All Plans $71.81 ↓ -98%
BCBS - Anthem Commercial|All Other Plans $80.26 ↓ -98%
BCBS - Anthem Medicare|All Other Plans $80.86 ↓ -98%
Blue Shield CA Commercial|CalPers $81.10 ↓ -98%
Blue Shield CA Commercial|PPO $81.10 ↓ -98%
Blue Shield CA Commercial|Exchange $81.10 ↓ -98%
Blue Shield CA Commercial|HMO $81.10 ↓ -98%
Blue Shield CA Commercial|ACO Trio $81.10 ↓ -98%
Blue Shield CA Commercial|ACO Trio CalPers $81.10 ↓ -98%
Blue Shield CA Commercial|PPO Tandem $81.10 ↓ -98%
Aetna Medicare|All Plans $85.75 ↓ -98%
Blue Shield CA Medicare|HMO $85.75 ↓ -98%
Humana Medicare|All Plans $85.75 ↓ -98%
Kaiser Medicare|All Plans $85.75 ↓ -98%
United Medicare|All Plans $85.75 ↓ -98%
Molina Medicare|All Plans $85.75 ↓ -98%
Blue Shield CA Medicare|PPO $85.75 ↓ -98%
Humana Commercial|All Plans $85.75 ↓ -98%
BCBS - Anthem Medicare|Imperial $88.32 ↓ -98%
BrightHealth Commercial|All Plans $94.33 ↓ -98%
United Commercial|Non-Options PPO $94.66 ↓ -98%
United Commercial|Options PPO $105.96 ↓ -97%
United Commercial|All Other Plans $105.96 ↓ -97%
United Commercial|HMO $105.96 ↓ -97%
BlueShield Medicare|Trauma $107.19 ↓ -97%
BCBS - Anthem Commercial|MCS $112.25 ↓ -97%
Health Net Commercial|EPPO $114.72 ↓ -97%
Molina Medicaid|All Plans $122.73 ↓ -97%
BCBS - Anthem Medicaid|All Plans $127.21 ↓ -97%
Prison Healthcare Medicaid|All Plans $128.63 ↓ -97%
Aetna Commercial|PPO $140.09 ↓ -96%
Aetna Commercial|HMO $140.09 ↓ -96%
Aetna Commercial|All Other Plans $140.09 ↓ -96%
California Health & Wellness Medicaid|All Plans $149.49 ↓ -96%
Health Net Medicaid|All Plans $149.49 ↓ -96%
Cigna Commercial|LocalPlus $151.84 ↓ -96%
Cigna Commercial|All Other Plans $202.50 ↓ -95%
Health Net Commercial|FFS $214.10 ↓ -94%
WCMG Commercial|All Plans $855.36 ↓ -78%
Kaiser Medicaid|All Plans $3,188.16 ↓ -17%
Kaiser Commercial|All Plans $4,199.04 ↑ +10%
First Health Commercial|All Plans $5,832.00 ↑ +53%
Healthsmart Commercial|All Plans $5,832.00 ↑ +53%
Sutter Health Commercial|All Plans $6,220.80 ↑ +63%
MultiPlan Commercial|All Plans $6,454.08 ↑ +69%

Visitor-reported prices

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Irinotecan liposomal 4.3 mg/ml intravenous at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $5,149.48 $41.93 – $6,190.40
Bakersfield Memorial Hospital Bakersfield $5,093.96 $80.01 – $6,113.02
Queen of The Valley Medical Center Napa $9,139.59 $54.25 – $140.35
Providence St Joseph Hospital Eureka Eureka $9,139.59 $64.71 – $140.35
Dominican Hospital Santa Cruz $3,923.10 $45.53 – $7,410.30
Northridge Hospital Medical Center Northridge $2,237.86 $49.05 – $8,021.00
Sierra Nevada Memorial Hospital Grass Valley $7,222.34 $69.17 – $7,240.24
Providence Saint Joseph Medical Center Burbank $10,986.98 $66.37 – $140.35

All California hospitals for this procedure →