Liletta, 52 mg at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$1,000.10
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.
$3,650.00
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.
$401.50 with WCMG vs $3,029.50 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 →
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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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $401.50 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $809.35 | ↓ -19% |
| United | Medicaid|< 21 | $931.73 | ↓ -7% |
| Partnership Health Plan | Medicaid|All Plans | $931.73 | ↓ -7% |
| United | Medicaid|> 21 | $931.73 | ↓ -7% |
| Hill Physicians | Medicaid|All Plans | $1,024.90 | ↑ +2% |
| BCBS - Anthem | Commercial|Connection EPO | $1,065.71 | ↑ +7% |
| Blue Shield CA | Commercial|HMO | $1,118.08 | ↑ +12% |
| Blue Shield CA | Commercial|PPO | $1,118.08 | ↑ +12% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,118.08 | ↑ +12% |
| Blue Shield CA | Commercial|ACO Trio | $1,118.08 | ↑ +12% |
| Blue Shield CA | Commercial|Exchange | $1,118.08 | ↑ +12% |
| Blue Shield CA | Commercial|PPO Tandem | $1,118.08 | ↑ +12% |
| Blue Shield CA | Commercial|CalPers | $1,118.08 | ↑ +12% |
| BCBS - Anthem | Commercial|All Other Plans | $1,332.13 | ↑ +33% |
| Kaiser | Medicaid|All Plans | $1,496.50 | ↑ +50% |
| Health Net | Commercial|EPPO | $1,544.00 | ↑ +54% |
| BCBS - Anthem | Medicaid|All Plans | $1,605.69 | ↑ +61% |
| United | Commercial|Non-Options PPO | $1,673.30 | ↑ +67% |
| Molina | Medicaid|All Plans | $1,751.65 | ↑ +75% |
| United | Commercial|Options PPO | $1,756.97 | ↑ +76% |
| United | Commercial|All Other Plans | $1,756.97 | ↑ +76% |
| United | Commercial|HMO | $1,756.97 | ↑ +76% |
| BCBS - Anthem | Commercial|MCS | $1,863.03 | ↑ +86% |
| Kaiser | Commercial|All Plans | $1,971.00 | ↑ +97% |
| California Health & Wellness | Medicaid|All Plans | $2,133.66 | ↑ +113% |
| Health Net | Medicaid|All Plans | $2,133.66 | ↑ +113% |
| Cigna | Commercial|LocalPlus | $2,210.56 | ↑ +121% |
| Aetna | Commercial|HMO | $2,399.40 | ↑ +140% |
| Aetna | Commercial|All Other Plans | $2,399.40 | ↑ +140% |
| Aetna | Commercial|PPO | $2,399.40 | ↑ +140% |
| Healthsmart | Commercial|All Plans | $2,737.50 | ↑ +174% |
| First Health | Commercial|All Plans | $2,737.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $2,920.00 | ↑ +192% |
| Cigna | Commercial|All Other Plans | $2,948.05 | ↑ +195% |
| Health Net | Commercial|FFS | $2,951.73 | ↑ +195% |
| MultiPlan | Commercial|All Plans | $3,029.50 | ↑ +203% |
Visitor-reported prices
Comments
Liletta, 52 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $3,195.45 | $845.10 – $7,316.68 |
| Mark Twain Medical Center | San Andreas | $3,040.61 | $417.81 – $1,582.70 |
| Healdsburg Hospital | Healdsburg | $2,844.61 | $950.37 – $2,120.75 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,139.50 | $660.00 – $2,695.00 |
| Northridge Hospital Medical Center | Northridge | $804.08 | $576.40 – $4,276.64 |
| Sequoia Hospital | Redwood City | $2,174.18 | $931.73 – $5,973.00 |
| St. Mary Medical Center | Long Beach | $3,165.66 | $660.19 – $7,362.00 |
| Mercy Medical Center Redding | Redding | $1,145.32 | $931.73 – $2,213.82 |