Pemetrexed disodium 100 mg intravenous powder for solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$4,448.94
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.
$16,237.00
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.
$3.77 with Partnership Health Plan vs $125.47 with United — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|All Plans | $3.77 | ↓ -100% |
| Hill Physicians | Commercial|All Plans | $4.00 | ↓ -100% |
| Hill Physicians | Medicaid|All Plans | $4.15 | ↓ -100% |
| BCBS - Anthem | Medicare|All Other Plans | $4.63 | ↓ -100% |
| Kaiser | Medicare|All Plans | $4.91 | ↓ -100% |
| United | Medicare|All Plans | $4.91 | ↓ -100% |
| Humana | Commercial|All Plans | $4.91 | ↓ -100% |
| Aetna | Medicare|All Plans | $4.91 | ↓ -100% |
| Humana | Medicare|All Plans | $4.91 | ↓ -100% |
| Blue Shield CA | Medicare|PPO | $4.91 | ↓ -100% |
| Blue Shield CA | Medicare|HMO | $4.91 | ↓ -100% |
| Molina | Medicare|All Plans | $4.91 | ↓ -100% |
| BCBS - Anthem | Medicare|Imperial | $5.06 | ↓ -100% |
| BrightHealth | Commercial|All Plans | $5.40 | ↓ -100% |
| BlueShield | Medicare|Trauma | $6.14 | ↓ -100% |
| Molina | Medicaid|All Plans | $7.09 | ↓ -100% |
| Prison Healthcare | Medicaid|All Plans | $7.37 | ↓ -100% |
| Aetna | Commercial|HMO | $8.09 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $8.09 | ↓ -100% |
| Aetna | Commercial|PPO | $8.09 | ↓ -100% |
| California Health & Wellness | Medicaid|All Plans | $8.63 | ↓ -100% |
| Health Net | Medicaid|All Plans | $8.63 | ↓ -100% |
| United | Commercial|All Other Plans | $8.70 | ↓ -100% |
| United | Commercial|Options PPO | $8.70 | ↓ -100% |
| United | Commercial|HMO | $8.70 | ↓ -100% |
| Cigna | Commercial|LocalPlus | $8.77 | ↓ -100% |
| Cigna | Commercial|All Other Plans | $11.69 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $11.83 | ↓ -100% |
| Blue Shield CA | Commercial|HMO | $11.83 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio | $11.83 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $11.83 | ↓ -100% |
| Blue Shield CA | Commercial|CalPers | $11.83 | ↓ -100% |
| Blue Shield CA | Commercial|PPO | $11.83 | ↓ -100% |
| Blue Shield CA | Commercial|PPO Tandem | $11.83 | ↓ -100% |
| WCMG | Commercial|All Plans | $14.52 | ↓ -100% |
| BCBS - Anthem | Medicaid|All Plans | $14.59 | ↓ -100% |
| Health Net | Commercial|EPPO | $18.46 | ↓ -100% |
| Health Net | Commercial|FFS | $31.23 | ↓ -99% |
| Kaiser | Medicaid|All Plans | $54.12 | ↓ -99% |
| BCBS - Anthem | Commercial|Connection EPO | $69.29 | ↓ -98% |
| Kaiser | Commercial|All Plans | $71.28 | ↓ -98% |
| Western Health Advantage | Commercial|All Plans | $74.53 | ↓ -98% |
| BCBS - Anthem | Commercial|All Other Plans | $86.62 | ↓ -98% |
| Healthsmart | Commercial|All Plans | $99.00 | ↓ -98% |
| First Health | Commercial|All Plans | $99.00 | ↓ -98% |
| Sutter Health | Commercial|All Plans | $105.60 | ↓ -98% |
| MultiPlan | Commercial|All Plans | $109.56 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $121.14 | ↓ -97% |
| United | Commercial|Non-Options PPO | $125.47 | ↓ -97% |
Visitor-reported prices
Comments
Pemetrexed disodium 100 mg intravenous powder for solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,277.07 | $4.74 – $216.06 |
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $4.74 – $36,750.00 |
| French Hospital | San Luis Obispo | $14,700.00 | $3.77 – $36,750.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,993.88 | $3.77 – $105.60 |
| Bakersfield Memorial Hospital | Bakersfield | $5,929.26 | $4.74 – $104.28 |
| Queen of The Valley Medical Center | Napa | $11,136.42 | $4.04 – $58.54 |
| Providence St Joseph Hospital Eureka | Eureka | $11,136.42 | $4.04 – $69.83 |
| St. Joseph's Medical Center Stockton | Stockton | $3,878.75 | $4.50 – $88.56 |