Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im at Mercy San Juan Medical Center

6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$73.71

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$269.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$7.04 with WCMG vs $224.12 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 →

Payer
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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
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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 $7.04 ↓ -90%
BCBS - Anthem Medicare|All Other Plans $10.87 ↓ -85%
Molina Medicare|All Plans $11.52 ↓ -84%
Aetna Medicare|All Plans $11.52 ↓ -84%
Humana Medicare|All Plans $11.52 ↓ -84%
Humana Commercial|All Plans $11.52 ↓ -84%
Blue Shield CA Medicare|PPO $11.52 ↓ -84%
BCBS - Anthem Medicare|Imperial $11.87 ↓ -84%
Kaiser Medicare|All Plans $12.80 ↓ -83%
United Medicare|All Plans $12.80 ↓ -83%
Blue Shield CA Medicare|HMO $12.80 ↓ -83%
BrightHealth Commercial|All Plans $14.08 ↓ -81%
BlueShield Medicare|Trauma $14.40 ↓ -80%
Prison Healthcare Medicaid|All Plans $17.28 ↓ -77%
Kaiser Medicaid|All Plans $26.24 ↓ -64%
United Commercial|HMO $32.00 ↓ -57%
United Commercial|All Other Plans $32.00 ↓ -57%
United Commercial|Options PPO $32.00 ↓ -57%
Kaiser Commercial|All Plans $34.56 ↓ -53%
Healthsmart Commercial|All Plans $48.00 ↓ -35%
First Health Commercial|All Plans $48.00 ↓ -35%
Western Health Advantage Commercial|All Plans $50.56 ↓ -31%
BCBS - Anthem Commercial|Connection EPO $51.20 ↓ -31%
Sutter Health Commercial|All Plans $51.20 ↓ -31%
MultiPlan Commercial|All Plans $53.12 ↓ -28%
Health Net Commercial|FFS $64.00 ↓ -13%
Blue Shield CA Commercial|PPO $64.00 ↓ -13%
Blue Shield CA Commercial|Exchange $64.00 ↓ -13%
Blue Shield CA Commercial|HMO $64.00 ↓ -13%
Blue Shield CA Commercial|ACO Trio $64.00 ↓ -13%
Health Net Medicaid|All Plans $64.00 ↓ -13%
Blue Shield CA Commercial|ACO Trio CalPers $64.00 ↓ -13%
Blue Shield CA Commercial|CalPers $64.00 ↓ -13%
United Commercial|Non-Options PPO $64.00 ↓ -13%
Blue Shield CA Commercial|PPO Tandem $64.00 ↓ -13%
California Health & Wellness Medicaid|All Plans $64.00 ↓ -13%
Hill Physicians Medicaid|All Plans $64.00 ↓ -13%
BCBS - Anthem Commercial|All Other Plans $64.00 ↓ -13%
BCBS - Anthem Medicaid|All Plans $64.00 ↓ -13%
Health Net Commercial|EPPO $64.00 ↓ -13%
BCBS - Anthem Commercial|MCS $64.00 ↓ -13%
Partnership Health Plan Medicaid|All Plans $77.86 ↑ +6%
Molina Medicaid|All Plans $146.38 ↑ +99%
Cigna Commercial|LocalPlus $168.05 ↑ +128%
Cigna Commercial|All Other Plans $224.12 ↑ +204%

Visitor-reported prices

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Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $44.80 not published
Antioch Medical Center ANTIOCH $44.80 not published
Redwood City Medical Center Redwood City $44.80 not published
Santa Clara Medical Center SANTA CLARA $44.80 not published
Fremont Medical Center FREMONT $44.80 not published
Sacramento Medical Center SACRAMENTO $44.80 not published
Oakland Medical Center Oakland $44.80 not published
Walnut Creek Medical Center WALNUT CREEK $44.80 not published

All California hospitals for this procedure →