Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$227.97
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.
$832.00
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.
$44.39 with Hill Physicians vs $463.00 with Health Net — 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 | $44.39 | ↓ -81% |
| United | Medicaid|< 21 | $48.27 | ↓ -79% |
| United | Medicaid|> 21 | $48.27 | ↓ -79% |
| Partnership Health Plan | Medicaid|All Plans | $50.24 | ↓ -78% |
| WCMG | Commercial|All Plans | $50.93 | ↓ -78% |
| Hill Physicians | Medicaid|All Plans | $53.10 | ↓ -77% |
| United | Commercial|HMO | $68.66 | ↓ -70% |
| United | Commercial|All Other Plans | $68.66 | ↓ -70% |
| United | Commercial|Options PPO | $68.66 | ↓ -70% |
| United | Commercial|Non-Options PPO | $76.15 | ↓ -67% |
| Aetna | Commercial|PPO | $89.87 | ↓ -61% |
| Aetna | Commercial|All Other Plans | $89.87 | ↓ -61% |
| Aetna | Commercial|HMO | $89.87 | ↓ -61% |
| Molina | Medicaid|All Plans | $90.75 | ↓ -60% |
| BCBS - Anthem | Medicaid|All Plans | $95.46 | ↓ -58% |
| Cigna | Commercial|LocalPlus | $97.41 | ↓ -57% |
| BCBS - Anthem | Commercial|Connection EPO | $97.81 | ↓ -57% |
| California Health & Wellness | Medicaid|All Plans | $110.54 | ↓ -52% |
| Health Net | Medicaid|All Plans | $110.54 | ↓ -52% |
| BCBS - Anthem | Commercial|All Other Plans | $122.26 | ↓ -46% |
| Cigna | Commercial|All Other Plans | $129.91 | ↓ -43% |
| Western Health Advantage | Commercial|All Plans | $136.61 | ↓ -40% |
| BCBS - Anthem | Commercial|MCS | $170.98 | ↓ -25% |
| Blue Shield CA | Commercial|CalPers | $186.00 | ↓ -18% |
| Blue Shield CA | Commercial|PPO | $186.00 | ↓ -18% |
| Blue Shield CA | Commercial|Exchange | $186.00 | ↓ -18% |
| Blue Shield CA | Commercial|HMO | $186.00 | ↓ -18% |
| Blue Shield CA | Commercial|ACO Trio | $186.00 | ↓ -18% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $186.00 | ↓ -18% |
| Blue Shield CA | Commercial|PPO Tandem | $186.00 | ↓ -18% |
| Kaiser | Medicaid|All Plans | $189.83 | ↓ -17% |
| Kaiser | Commercial|All Plans | $250.02 | ↑ +10% |
| Health Net | Commercial|EPPO | $260.04 | ↑ +14% |
| Healthsmart | Commercial|All Plans | $347.25 | ↑ +52% |
| First Health | Commercial|All Plans | $347.25 | ↑ +52% |
| Sutter Health | Commercial|All Plans | $370.40 | ↑ +62% |
| MultiPlan | Commercial|All Plans | $384.29 | ↑ +69% |
| Health Net | Commercial|FFS | $463.00 | ↑ +103% |
Visitor-reported prices
Comments
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $275.51 | $68.66 – $490.62 |
| Arroyo Grande Hospital | Santa Maria | $896.66 | $48.27 – $2,053.10 |
| French Hospital | San Luis Obispo | $821.24 | $48.27 – $2,053.10 |
| Bakersfield Memorial Hospital | Bakersfield | $303.88 | $48.27 – $364.19 |
| Queen of The Valley Medical Center | Napa | $162.95 | $82.63 – $90.04 |
| Providence St Joseph Hospital Eureka | Eureka | $162.95 | $82.40 – $98.56 |
| Redwood Memorial Hospital | Fortuna | $162.95 | $82.40 – $98.80 |
| St. Joseph's Medical Center Stockton | Stockton | $198.75 | $48.27 – $308.32 |