Prgr stim/pace a/iv drug at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,007.98
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.
$10,978.00
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.
$338.28 with BCBS - Anthem vs $17,696.00 with BCBS - Anthem — 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 | Medicaid|All Plans | $338.28 | ↓ -89% |
| WCMG | Commercial|All Plans | $1,207.58 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $3,842.30 | ↑ +28% |
| Kaiser | Medicaid|All Plans | $4,500.98 | ↑ +50% |
| Health Net | Medicaid|All Plans | $5,489.00 | ↑ +82% |
| California Health & Wellness | Medicaid|All Plans | $5,489.00 | ↑ +82% |
| Kaiser | Commercial|All Plans | $5,928.12 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $8,233.50 | ↑ +174% |
| First Health | Commercial|All Plans | $8,233.50 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $8,782.40 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $9,111.74 | ↑ +203% |
| BCBS - Anthem | Commercial|Connection EPO | $10,112.00 | ↑ +236% |
| United | Commercial|Non-Options PPO | $10,978.00 | ↑ +265% |
| United | Commercial|HMO | $10,978.00 | ↑ +265% |
| BCBS - Anthem | Commercial|All Other Plans | $12,640.00 | ↑ +320% |
| Aetna | Commercial|PPO | $16,573.00 | ↑ +451% |
| Aetna | Commercial|HMO | $16,573.00 | ↑ +451% |
| Aetna | Commercial|All Other Plans | $16,573.00 | ↑ +451% |
| United | Commercial|All Other Plans | $16,950.00 | ↑ +464% |
| United | Commercial|Options PPO | $16,950.00 | ↑ +464% |
| BCBS - Anthem | Commercial|MCS | $17,696.00 | ↑ +488% |
Visitor-reported prices
Comments
Prgr stim/pace a/iv drug at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,474.66 | $2,141.91 – $6,187.74 |
| Arroyo Grande Hospital | Santa Maria | $752.00 | $878.50 – $1,721.86 |
| French Hospital | San Luis Obispo | $667.97 | $460.08 – $1,669.92 |
| Bakersfield Memorial Hospital | Bakersfield | $2,280.18 | $235.01 – $6,213.00 |
| Queen of The Valley Medical Center | Napa | $2,270.52 | $2,747.00 – $7,745.00 |
| St. Joseph's Medical Center Stockton | Stockton | $513.33 | $366.66 – $1,431.72 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,704.35 | $1,716.00 – $5,318.00 |
| Mercy Medical Center Merced | Merced | $1,283.90 | $204.75 – $2,493.00 |