Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$153.99
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.
?
What you pay up front if you don't use insurance.
$562.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$28.38 with WCMG vs $406.77 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $28.38 | ↓ -82% |
| BCBS - Anthem | Commercial|Connection EPO | $29.07 | ↓ -81% |
| BCBS - Anthem | Commercial|All Other Plans | $36.33 | ↓ -76% |
| BCBS - Anthem | Medicare|All Other Plans | $43.79 | ↓ -72% |
| Humana | Commercial|All Plans | $46.44 | ↓ -70% |
| Blue Shield CA | Medicare|PPO | $46.44 | ↓ -70% |
| Aetna | Medicare|All Plans | $46.44 | ↓ -70% |
| Molina | Medicare|All Plans | $46.44 | ↓ -70% |
| Humana | Medicare|All Plans | $46.44 | ↓ -70% |
| BCBS - Anthem | Medicare|Imperial | $47.84 | ↓ -69% |
| BCBS - Anthem | Commercial|MCS | $50.81 | ↓ -67% |
| Kaiser | Medicare|All Plans | $51.60 | ↓ -66% |
| United | Medicare|All Plans | $51.60 | ↓ -66% |
| Blue Shield CA | Medicare|HMO | $51.60 | ↓ -66% |
| BrightHealth | Commercial|All Plans | $56.76 | ↓ -63% |
| BlueShield | Medicare|Trauma | $58.05 | ↓ -62% |
| Prison Healthcare | Medicaid|All Plans | $69.66 | ↓ -55% |
| Kaiser | Medicaid|All Plans | $105.78 | ↓ -31% |
| Western Health Advantage | Commercial|All Plans | $108.62 | ↓ -29% |
| Partnership Health Plan | Medicaid|All Plans | $137.93 | ↓ -10% |
| Kaiser | Commercial|All Plans | $139.32 | ↓ -10% |
| Blue Shield CA | Commercial|PPO Tandem | $140.50 | ↓ -9% |
| Blue Shield CA | Commercial|PPO | $140.50 | ↓ -9% |
| Blue Shield CA | Commercial|Exchange | $140.50 | ↓ -9% |
| Blue Shield CA | Commercial|HMO | $140.50 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio | $140.50 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $140.50 | ↓ -9% |
| Blue Shield CA | Commercial|CalPers | $140.50 | ↓ -9% |
| Hill Physicians | Commercial|All Plans | $141.48 | ↓ -8% |
| Hill Physicians | Medicaid|All Plans | $151.72 | ↓ -1% |
| Healthsmart | Commercial|All Plans | $193.50 | ↑ +26% |
| First Health | Commercial|All Plans | $193.50 | ↑ +26% |
| Health Net | Commercial|EPPO | $203.73 | ↑ +32% |
| Sutter Health | Commercial|All Plans | $206.40 | ↑ +34% |
| MultiPlan | Commercial|All Plans | $214.14 | ↑ +39% |
| United | Commercial|Non-Options PPO | $220.23 | ↑ +43% |
| United | Commercial|HMO | $220.23 | ↑ +43% |
| United | Commercial|All Other Plans | $220.23 | ↑ +43% |
| United | Commercial|Options PPO | $220.23 | ↑ +43% |
| BCBS - Anthem | Medicaid|All Plans | $258.00 | ↑ +68% |
| California Health & Wellness | Medicaid|All Plans | $258.00 | ↑ +68% |
| Health Net | Medicaid|All Plans | $258.00 | ↑ +68% |
| Health Net | Commercial|FFS | $258.00 | ↑ +68% |
| Molina | Medicaid|All Plans | $259.31 | ↑ +68% |
| Cigna | Commercial|LocalPlus | $305.01 | ↑ +98% |
| Cigna | Commercial|All Other Plans | $406.77 | ↑ +164% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $196.32 | $24.72 – $405.12 |
| Petaluma Valley Hospital | Petaluma | $383.88 | $22.68 – $286.96 |
| Mark Twain Medical Center | San Andreas | $382.08 | $148.42 – $562.22 |
| French Hospital | San Luis Obispo | $550.76 | $130.38 – $1,376.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $207.76 | $59.11 – $205.60 |
| Bakersfield Memorial Hospital | Bakersfield | $205.52 | $36.95 – $203.03 |
| Queen of The Valley Medical Center | Napa | $383.88 | $24.56 – $286.96 |
| Providence St Joseph Hospital Eureka | Eureka | $383.88 | $29.29 – $286.96 |