Vaccine rotavirus pentavalent (rv5) live 3 dose oral at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$118.10
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.
$431.00
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.
$33.11 with WCMG vs $343.33 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 | $33.11 | ↓ -72% |
| Western Health Advantage | Commercial|All Plans | $89.39 | ↓ -24% |
| United | Medicaid|< 21 | $102.53 | ↓ -13% |
| United | Medicaid|> 21 | $102.53 | ↓ -13% |
| BCBS - Anthem | Commercial|Connection EPO | $112.17 | ↓ -5% |
| Hill Physicians | Medicaid|All Plans | $112.78 | ↓ -5% |
| Blue Shield CA | Commercial|PPO | $118.43 | ↑ +0% |
| Blue Shield CA | Commercial|ACO Trio | $118.43 | ↑ +0% |
| Blue Shield CA | Commercial|PPO Tandem | $118.43 | ↑ +0% |
| Blue Shield CA | Commercial|CalPers | $118.43 | ↑ +0% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $118.43 | ↑ +0% |
| Blue Shield CA | Commercial|HMO | $118.43 | ↑ +0% |
| Blue Shield CA | Commercial|Exchange | $118.43 | ↑ +0% |
| Kaiser | Medicaid|All Plans | $123.41 | ↑ +4% |
| BCBS - Anthem | Commercial|All Other Plans | $140.22 | ↑ +19% |
| Kaiser | Commercial|All Plans | $162.54 | ↑ +38% |
| Health Net | Commercial|EPPO | $171.72 | ↑ +45% |
| United | Commercial|Non-Options PPO | $178.94 | ↑ +52% |
| BCBS - Anthem | Medicaid|All Plans | $189.37 | ↑ +60% |
| Molina | Medicaid|All Plans | $192.76 | ↑ +63% |
| United | Commercial|HMO | $195.41 | ↑ +65% |
| United | Commercial|Options PPO | $195.41 | ↑ +65% |
| United | Commercial|All Other Plans | $195.41 | ↑ +65% |
| BCBS - Anthem | Commercial|MCS | $196.10 | ↑ +66% |
| Healthsmart | Commercial|All Plans | $225.75 | ↑ +91% |
| First Health | Commercial|All Plans | $225.75 | ↑ +91% |
| California Health & Wellness | Medicaid|All Plans | $234.79 | ↑ +99% |
| Health Net | Medicaid|All Plans | $234.79 | ↑ +99% |
| Sutter Health | Commercial|All Plans | $240.80 | ↑ +104% |
| MultiPlan | Commercial|All Plans | $249.83 | ↑ +112% |
| Cigna | Commercial|LocalPlus | $257.44 | ↑ +118% |
| Health Net | Commercial|FFS | $301.00 | ↑ +155% |
| Partnership Health Plan | Medicaid|All Plans | $301.00 | ↑ +155% |
| Cigna | Commercial|All Other Plans | $343.33 | ↑ +191% |
Visitor-reported prices
Comments
Vaccine rotavirus pentavalent (rv5) live 3 dose oral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $225.12 | not published |
| Antioch Medical Center | ANTIOCH | $225.12 | not published |
| Redwood City Medical Center | Redwood City | $225.12 | not published |
| Santa Clara Medical Center | SANTA CLARA | $225.12 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $166.51 | not published |
| Riverside Medical Center | RIVERSIDE | $166.51 | not published |
| Fremont Medical Center | FREMONT | $225.12 | not published |
| Panorama Medical Center | PANORAMA CITY | $166.51 | not published |