Methadone injection at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$13.70
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.
$50.00
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.
$0.88 with BCBS - Anthem vs $64.86 with Cigna — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Connection EPO | $0.88 | ↓ -94% |
| BCBS - Anthem | Commercial|All Other Plans | $1.11 | ↓ -92% |
| BCBS - Anthem | Commercial|MCS | $1.55 | ↓ -89% |
| WCMG | Commercial|All Plans | $5.50 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $18.90 | ↑ +38% |
| Kaiser | Medicaid|All Plans | $20.50 | ↑ +50% |
| Hill Physicians | Commercial|All Plans | $22.17 | ↑ +62% |
| Partnership Health Plan | Medicaid|All Plans | $25.37 | ↑ +85% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $25.65 | ↑ +87% |
| Blue Shield CA | Commercial|PPO Tandem | $25.65 | ↑ +87% |
| Blue Shield CA | Commercial|PPO | $25.65 | ↑ +87% |
| Blue Shield CA | Commercial|Exchange | $25.65 | ↑ +87% |
| Blue Shield CA | Commercial|HMO | $25.65 | ↑ +87% |
| Blue Shield CA | Commercial|ACO Trio | $25.65 | ↑ +87% |
| Blue Shield CA | Commercial|CalPers | $25.65 | ↑ +87% |
| Kaiser | Commercial|All Plans | $27.00 | ↑ +97% |
| Hill Physicians | Medicaid|All Plans | $27.91 | ↑ +104% |
| United | Commercial|Non-Options PPO | $28.83 | ↑ +110% |
| United | Commercial|HMO | $34.09 | ↑ +149% |
| United | Commercial|All Other Plans | $34.09 | ↑ +149% |
| United | Commercial|Options PPO | $34.09 | ↑ +149% |
| Health Net | Commercial|EPPO | $37.19 | ↑ +171% |
| First Health | Commercial|All Plans | $37.50 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $37.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $40.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $41.50 | ↑ +203% |
| BCBS - Anthem | Medicaid|All Plans | $41.76 | ↑ +205% |
| Aetna | Commercial|All Other Plans | $44.87 | ↑ +228% |
| Aetna | Commercial|PPO | $44.87 | ↑ +228% |
| Aetna | Commercial|HMO | $44.87 | ↑ +228% |
| Molina | Medicaid|All Plans | $47.70 | ↑ +248% |
| Cigna | Commercial|LocalPlus | $48.64 | ↑ +255% |
| California Health & Wellness | Medicaid|All Plans | $50.00 | ↑ +265% |
| Health Net | Commercial|FFS | $50.00 | ↑ +265% |
| Health Net | Medicaid|All Plans | $50.00 | ↑ +265% |
| Cigna | Commercial|All Other Plans | $64.86 | ↑ +373% |
Visitor-reported prices
Comments
Methadone injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Queen of The Valley Medical Center | Napa | $128.05 | $0.75 – $44.96 |
| Providence St Joseph Hospital Eureka | Eureka | $128.05 | $0.89 – $45.83 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $87.87 | $0.91 – $45.83 |
| Dominican Hospital | Santa Cruz | $805.68 | $1.01 – $108.06 |
| Northridge Hospital Medical Center | Northridge | $241.06 | $1.37 – $116.45 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $101.52 | $1.92 – $44.96 |
| Sequoia Hospital | Redwood City | $651.93 | $1.48 – $26.00 |
| St. Mary Medical Center | Long Beach | $729.28 | $3.38 – $157.00 |