Oral busulfan at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$15.35
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.
$56.00
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.
$1.98 with WCMG vs $434.62 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $1.98 | ↓ -87% |
| Kaiser | Medicaid|All Plans | $7.38 | ↓ -52% |
| Kaiser | Commercial|All Plans | $9.72 | ↓ -37% |
| BCBS - Anthem | Commercial|Connection EPO | $13.32 | ↓ -13% |
| Healthsmart | Commercial|All Plans | $13.50 | ↓ -12% |
| First Health | Commercial|All Plans | $13.50 | ↓ -12% |
| Sutter Health | Commercial|All Plans | $14.40 | ↓ -6% |
| MultiPlan | Commercial|All Plans | $14.94 | ↓ -3% |
| BCBS - Anthem | Commercial|All Other Plans | $16.74 | ↑ +9% |
| BCBS - Anthem | Medicare|All Other Plans | $16.98 | ↑ +11% |
| United | Commercial|Options PPO | $18.00 | ↑ +17% |
| United | Commercial|Non-Options PPO | $18.00 | ↑ +17% |
| Health Net | Commercial|FFS | $18.00 | ↑ +17% |
| Health Net | Commercial|EPPO | $18.00 | ↑ +17% |
| Blue Shield CA | Commercial|PPO Tandem | $18.00 | ↑ +17% |
| BCBS - Anthem | Commercial|MCS | $18.00 | ↑ +17% |
| Humana | Commercial|All Plans | $18.00 | ↑ +17% |
| Blue Shield CA | Commercial|PPO | $18.00 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $18.00 | ↑ +17% |
| Blue Shield CA | Commercial|HMO | $18.00 | ↑ +17% |
| Blue Shield CA | Commercial|ACO Trio | $18.00 | ↑ +17% |
| Blue Shield CA | Medicare|PPO | $18.00 | ↑ +17% |
| Blue Shield CA | Commercial|CalPers | $18.00 | ↑ +17% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $18.00 | ↑ +17% |
| Humana | Medicare|All Plans | $18.00 | ↑ +17% |
| Aetna | Commercial|All Other Plans | $18.00 | ↑ +17% |
| Aetna | Commercial|PPO | $18.00 | ↑ +17% |
| Aetna | Medicare|All Plans | $18.00 | ↑ +17% |
| Aetna | Commercial|HMO | $18.00 | ↑ +17% |
| Molina | Medicare|All Plans | $18.00 | ↑ +17% |
| United | Commercial|All Other Plans | $18.00 | ↑ +17% |
| United | Medicare|All Plans | $18.00 | ↑ +17% |
| United | Commercial|HMO | $18.00 | ↑ +17% |
| BCBS - Anthem | Medicare|Imperial | $18.54 | ↑ +21% |
| BrightHealth | Commercial|All Plans | $19.80 | ↑ +29% |
| BlueShield | Medicare|Trauma | $22.50 | ↑ +47% |
| Western Health Advantage | Commercial|All Plans | $25.30 | ↑ +65% |
| Blue Shield CA | Medicare|HMO | $110.66 | ↑ +621% |
| Kaiser | Medicare|All Plans | $110.66 | ↑ +621% |
| Prison Healthcare | Medicaid|All Plans | $165.99 | ↑ +981% |
| Cigna | Commercial|LocalPlus | $325.90 | ↑ +2023% |
| Cigna | Commercial|All Other Plans | $434.62 | ↑ +2731% |
Visitor-reported prices
Comments
Oral busulfan at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $20.78 | $7.20 – $18.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13.53 | $3.64 – $14.00 |
| Northridge Hospital Medical Center | Northridge | $373.31 | $24.18 – $1,338.00 |
| St. Bernardine Medical Center | San Bernardino | $632.70 | $42.58 – $1,558.00 |
| Methodist Hospital of Sacramento | Sacramento | $16.13 | $7.38 – $325.90 |
| Petaluma Valley Hospital | Petaluma | not published | $9.92 – $181.05 |
| Queen of The Valley Medical Center | Napa | not published | $10.12 – $181.05 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $10.12 – $181.05 |