Vaccine dtap < 7 years im at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$41.38
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.
$151.00
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.
$11.99 with WCMG vs $102.80 with Cigna — 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 | $11.99 | ↓ -71% |
| Western Health Advantage | Commercial|All Plans | $30.05 | ↓ -27% |
| Partnership Health Plan | Medicaid|All Plans | $32.25 | ↓ -22% |
| BCBS - Anthem | Commercial|Connection EPO | $32.60 | ↓ -21% |
| Blue Shield CA | Commercial|ACO Trio | $35.06 | ↓ -15% |
| Blue Shield CA | Commercial|HMO | $35.06 | ↓ -15% |
| Blue Shield CA | Commercial|Exchange | $35.06 | ↓ -15% |
| Blue Shield CA | Commercial|PPO Tandem | $35.06 | ↓ -15% |
| Blue Shield CA | Commercial|CalPers | $35.06 | ↓ -15% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $35.06 | ↓ -15% |
| Blue Shield CA | Commercial|PPO | $35.06 | ↓ -15% |
| Hill Physicians | Medicaid|All Plans | $35.48 | ↓ -14% |
| BCBS - Anthem | Commercial|All Other Plans | $40.75 | ↓ -2% |
| Kaiser | Medicaid|All Plans | $44.69 | ↑ +8% |
| Health Net | Commercial|EPPO | $46.07 | ↑ +11% |
| BCBS - Anthem | Commercial|MCS | $56.99 | ↑ +38% |
| BCBS - Anthem | Medicaid|All Plans | $57.44 | ↑ +39% |
| United | Commercial|All Other Plans | $58.38 | ↑ +41% |
| United | Commercial|Options PPO | $58.38 | ↑ +41% |
| United | Commercial|HMO | $58.38 | ↑ +41% |
| Kaiser | Commercial|All Plans | $58.86 | ↑ +42% |
| Molina | Medicaid|All Plans | $60.63 | ↑ +47% |
| United | Commercial|Non-Options PPO | $61.69 | ↑ +49% |
| California Health & Wellness | Medicaid|All Plans | $73.85 | ↑ +78% |
| Health Net | Medicaid|All Plans | $73.85 | ↑ +78% |
| Cigna | Commercial|LocalPlus | $77.08 | ↑ +86% |
| Healthsmart | Commercial|All Plans | $81.75 | ↑ +98% |
| First Health | Commercial|All Plans | $81.75 | ↑ +98% |
| Sutter Health | Commercial|All Plans | $87.20 | ↑ +111% |
| MultiPlan | Commercial|All Plans | $90.47 | ↑ +119% |
| Health Net | Commercial|FFS | $92.56 | ↑ +124% |
| Cigna | Commercial|All Other Plans | $102.80 | ↑ +148% |
Visitor-reported prices
Comments
Vaccine dtap < 7 years im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $52.08 | not published |
| St. John's Camarillo Hospital | Camarillo | $74.46 | $25.92 – $74.88 |
| Antioch Medical Center | ANTIOCH | $52.08 | not published |
| Redwood City Medical Center | Redwood City | $52.08 | not published |
| Santa Clara Medical Center | SANTA CLARA | $52.08 | not published |
| Fremont Medical Center | FREMONT | $52.08 | not published |
| Sacramento Medical Center | SACRAMENTO | $52.08 | not published |
| Oakland Medical Center | Oakland | $52.08 | not published |