IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$121.39
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.
$443.00
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.
$29.72 with Hill Physicians vs $4,671.00 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 | $29.72 | ↓ -76% |
| United | Medicaid|< 21 | $35.63 | ↓ -71% |
| United | Medicaid|> 21 | $35.63 | ↓ -71% |
| Hill Physicians | Medicaid|All Plans | $43.31 | ↓ -64% |
| WCMG | Commercial|All Plans | $48.73 | ↓ -60% |
| Molina | Medicaid|All Plans | $58.37 | ↓ -52% |
| BCBS - Anthem | Medicaid|All Plans | $59.00 | ↓ -51% |
| BCBS - Anthem | Medicare|All Other Plans | $88.19 | ↓ -27% |
| Health Net | Medicaid|All Plans | $90.16 | ↓ -26% |
| California Health & Wellness | Medicaid|All Plans | $90.16 | ↓ -26% |
| Molina | Medicare|All Plans | $93.52 | ↓ -23% |
| Humana | Medicare|All Plans | $93.52 | ↓ -23% |
| Humana | Commercial|All Plans | $93.52 | ↓ -23% |
| Aetna | Medicare|All Plans | $93.52 | ↓ -23% |
| Kaiser | Medicare|All Plans | $93.52 | ↓ -23% |
| Blue Shield CA | Medicare|PPO | $93.52 | ↓ -23% |
| United | Medicare|All Plans | $93.52 | ↓ -23% |
| Blue Shield CA | Medicare|HMO | $93.52 | ↓ -23% |
| BCBS - Anthem | Medicare|Imperial | $96.33 | ↓ -21% |
| BrightHealth | Commercial|All Plans | $102.87 | ↓ -15% |
| BlueShield | Medicare|Trauma | $116.90 | ↓ -4% |
| Partnership Health Plan | Medicaid|All Plans | $133.52 | ↑ +10% |
| Aetna | Commercial|All Other Plans | $135.83 | ↑ +12% |
| Aetna | Commercial|HMO | $135.83 | ↑ +12% |
| Aetna | Commercial|PPO | $135.83 | ↑ +12% |
| Prison Healthcare | Medicaid|All Plans | $140.28 | ↑ +16% |
| Western Health Advantage | Commercial|All Plans | $155.05 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $181.63 | ↑ +50% |
| Blue Shield CA | Commercial|ACO Trio | $225.93 | ↑ +86% |
| Kaiser | Commercial|All Plans | $239.22 | ↑ +97% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $287.95 | ↑ +137% |
| Cigna | Commercial|LocalPlus | $292.38 | ↑ +141% |
| Blue Shield CA | Commercial|Exchange | $301.24 | ↑ +148% |
| Healthsmart | Commercial|All Plans | $332.25 | ↑ +174% |
| First Health | Commercial|All Plans | $332.25 | ↑ +174% |
| Blue Shield CA | Commercial|PPO Tandem | $354.40 | ↑ +192% |
| Sutter Health | Commercial|All Plans | $354.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $367.69 | ↑ +203% |
| Cigna | Commercial|All Other Plans | $389.84 | ↑ +221% |
| Blue Shield CA | Commercial|PPO | $398.70 | ↑ +228% |
| Blue Shield CA | Commercial|HMO | $398.70 | ↑ +228% |
| Blue Shield CA | Commercial|CalPers | $407.56 | ↑ +236% |
| United | Commercial|Options PPO | $443.00 | ↑ +265% |
| United | Commercial|All Other Plans | $443.00 | ↑ +265% |
| BCBS - Anthem | Commercial|Connection EPO | $443.00 | ↑ +265% |
| BCBS - Anthem | Commercial|MCS | $443.00 | ↑ +265% |
| United | Commercial|HMO | $443.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $1,583.00 | ↑ +1204% |
| BCBS - Anthem | Commercial|All Other Plans | $4,671.00 | ↑ +3748% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $240.90 | $43.82 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $146.51 | $14.23 – $212.43 |
| Petaluma Valley Hospital | Petaluma | $134.64 | $97.03 – $99.01 |
| Arroyo Grande Hospital | Santa Maria | $153.23 | $35.63 – $995.00 |
| Mark Twain Medical Center | San Andreas | $692.64 | $35.63 – $1,002.54 |
| French Hospital | San Luis Obispo | $140.34 | $35.63 – $325.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $287.53 | $35.63 – $706.00 |
| Bakersfield Memorial Hospital | Bakersfield | $284.43 | $35.63 – $621.56 |