Shot (Injection into Muscle or Under the Skin) at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$140.29
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.
$512.00
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.
$15.22 with Hill Physicians vs $6,539.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $15.22 | ↓ -89% |
| United | Medicaid|< 21 | $21.52 | ↓ -85% |
| United | Medicaid|> 21 | $21.52 | ↓ -85% |
| Hill Physicians | Medicaid|All Plans | $26.15 | ↓ -81% |
| Molina | Medicaid|All Plans | $35.25 | ↓ -75% |
| BCBS - Anthem | Medicaid|All Plans | $35.63 | ↓ -75% |
| WCMG | Commercial|All Plans | $44.88 | ↓ -68% |
| California Health & Wellness | Medicaid|All Plans | $54.43 | ↓ -61% |
| Health Net | Medicaid|All Plans | $54.43 | ↓ -61% |
| Partnership Health Plan | Medicaid|All Plans | $80.63 | ↓ -43% |
| BCBS - Anthem | Medicare|All Other Plans | $88.19 | ↓ -37% |
| Humana | Medicare|All Plans | $93.52 | ↓ -33% |
| Aetna | Medicare|All Plans | $93.52 | ↓ -33% |
| United | Medicare|All Plans | $93.52 | ↓ -33% |
| Molina | Medicare|All Plans | $93.52 | ↓ -33% |
| Blue Shield CA | Medicare|HMO | $93.52 | ↓ -33% |
| Blue Shield CA | Medicare|PPO | $93.52 | ↓ -33% |
| Kaiser | Medicare|All Plans | $93.52 | ↓ -33% |
| Humana | Commercial|All Plans | $93.52 | ↓ -33% |
| Aetna | Commercial|All Other Plans | $94.70 | ↓ -32% |
| Aetna | Commercial|HMO | $94.70 | ↓ -32% |
| Aetna | Commercial|PPO | $94.70 | ↓ -32% |
| BCBS - Anthem | Medicare|Imperial | $96.33 | ↓ -31% |
| BrightHealth | Commercial|All Plans | $102.87 | ↓ -27% |
| BlueShield | Medicare|Trauma | $116.90 | ↓ -17% |
| Prison Healthcare | Medicaid|All Plans | $140.28 | ↓ -0% |
| Western Health Advantage | Commercial|All Plans | $142.80 | ↑ +2% |
| Kaiser | Medicaid|All Plans | $167.28 | ↑ +19% |
| Blue Shield CA | Commercial|ACO Trio | $208.08 | ↑ +48% |
| Kaiser | Commercial|All Plans | $220.32 | ↑ +57% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $265.20 | ↑ +89% |
| Cigna | Commercial|LocalPlus | $269.28 | ↑ +92% |
| Blue Shield CA | Commercial|Exchange | $277.44 | ↑ +98% |
| Healthsmart | Commercial|All Plans | $306.00 | ↑ +118% |
| First Health | Commercial|All Plans | $306.00 | ↑ +118% |
| Sutter Health | Commercial|All Plans | $326.40 | ↑ +133% |
| Blue Shield CA | Commercial|PPO Tandem | $326.40 | ↑ +133% |
| MultiPlan | Commercial|All Plans | $338.64 | ↑ +141% |
| Cigna | Commercial|All Other Plans | $359.04 | ↑ +156% |
| Blue Shield CA | Commercial|HMO | $367.20 | ↑ +162% |
| Blue Shield CA | Commercial|PPO | $367.20 | ↑ +162% |
| Blue Shield CA | Commercial|CalPers | $375.36 | ↑ +168% |
| BCBS - Anthem | Commercial|All Other Plans | $408.00 | ↑ +191% |
| United | Commercial|All Other Plans | $408.00 | ↑ +191% |
| United | Commercial|HMO | $408.00 | ↑ +191% |
| United | Commercial|Non-Options PPO | $408.00 | ↑ +191% |
| United | Commercial|Options PPO | $408.00 | ↑ +191% |
| BCBS - Anthem | Commercial|Connection EPO | $3,737.00 | ↑ +2564% |
| BCBS - Anthem | Commercial|MCS | $6,539.00 | ↑ +4561% |
Visitor-reported prices
Comments
Shot (Injection into Muscle or Under the Skin) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $236.88 | not published |
| St. John's Camarillo Hospital | Camarillo | $121.77 | $26.47 – $1,951.00 |
| Antioch Medical Center | ANTIOCH | $236.88 | not published |
| Redwood City Medical Center | Redwood City | $236.88 | not published |
| Santa Clara Medical Center | SANTA CLARA | $236.88 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $135.20 | not published |
| Riverside Medical Center | RIVERSIDE | $135.20 | not published |
| Fremont Medical Center | FREMONT | $236.88 | not published |