Tremelimumab-actl 20 mg/ml intravenous solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$51,292.80
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.
$187,200.00
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.
$20,592.00 with WCMG vs $187,200.00 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $20,592.00 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $46,800.00 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $76,752.00 | ↑ +50% |
| Kaiser | Commercial|All Plans | $101,088.00 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $138,528.00 | ↑ +170% |
| First Health | Commercial|All Plans | $140,400.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $140,400.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $149,760.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $155,376.00 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $174,096.00 | ↑ +239% |
| BCBS - Anthem | Commercial|MCS | $187,200.00 | ↑ +265% |
| United | Commercial|HMO | $187,200.00 | ↑ +265% |
| United | Commercial|All Other Plans | $187,200.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $187,200.00 | ↑ +265% |
| United | Commercial|Options PPO | $187,200.00 | ↑ +265% |
Visitor-reported prices
Comments
Tremelimumab-actl 20 mg/ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $66,774.33 | $141.00 – $141.00 |
| Santa Clara Medical Center | SANTA CLARA | $66,774.33 | $141.00 – $141.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $62,004.74 | $141.00 – $141.00 |
| Riverside Medical Center | RIVERSIDE | $62,004.74 | $141.00 – $141.00 |
| Sacramento Medical Center | SACRAMENTO | $66,774.33 | $141.00 – $141.00 |
| Oakland Medical Center | Oakland | $66,774.33 | $141.00 – $141.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $66,774.33 | $141.00 – $141.00 |
| Bakersfield Memorial Hospital | Bakersfield | $68,358.89 | $100.00 – $184,401.36 |