Zoster vaccine-live inj at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$279.76
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.
$1,021.00
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.
$84.70 with WCMG vs $738.87 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 | $84.70 | ↓ -70% |
| Partnership Health Plan | Medicaid|All Plans | $217.13 | ↓ -22% |
| United | Commercial|All Other Plans | $219.35 | ↓ -22% |
| United | Commercial|HMO | $219.35 | ↓ -22% |
| United | Commercial|Options PPO | $219.35 | ↓ -22% |
| Western Health Advantage | Commercial|All Plans | $237.20 | ↓ -15% |
| Hill Physicians | Medicaid|All Plans | $238.84 | ↓ -15% |
| Blue Shield CA | Commercial|PPO | $255.20 | ↓ -9% |
| Blue Shield CA | Commercial|CalPers | $255.20 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $255.20 | ↓ -9% |
| Blue Shield CA | Commercial|ACO Trio | $255.20 | ↓ -9% |
| Blue Shield CA | Commercial|HMO | $255.20 | ↓ -9% |
| Blue Shield CA | Commercial|Exchange | $255.20 | ↓ -9% |
| Blue Shield CA | Commercial|PPO Tandem | $255.20 | ↓ -9% |
| BCBS - Anthem | Commercial|Connection EPO | $286.90 | ↑ +3% |
| Kaiser | Medicaid|All Plans | $315.70 | ↑ +13% |
| BCBS - Anthem | Commercial|All Other Plans | $358.62 | ↑ +28% |
| Health Net | Commercial|EPPO | $370.04 | ↑ +32% |
| Molina | Medicaid|All Plans | $408.20 | ↑ +46% |
| BCBS - Anthem | Medicaid|All Plans | $412.55 | ↑ +47% |
| Kaiser | Commercial|All Plans | $415.80 | ↑ +49% |
| United | Commercial|Non-Options PPO | $431.43 | ↑ +54% |
| Health Net | Medicaid|All Plans | $497.23 | ↑ +78% |
| California Health & Wellness | Medicaid|All Plans | $497.23 | ↑ +78% |
| BCBS - Anthem | Commercial|MCS | $501.55 | ↑ +79% |
| Cigna | Commercial|LocalPlus | $554.03 | ↑ +98% |
| Healthsmart | Commercial|All Plans | $577.50 | ↑ +106% |
| First Health | Commercial|All Plans | $577.50 | ↑ +106% |
| Sutter Health | Commercial|All Plans | $616.00 | ↑ +120% |
| MultiPlan | Commercial|All Plans | $639.10 | ↑ +128% |
| Health Net | Commercial|FFS | $673.72 | ↑ +141% |
| Cigna | Commercial|All Other Plans | $738.87 | ↑ +164% |
Visitor-reported prices
Comments
Zoster vaccine-live inj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $388.08 | not published |
| Antioch Medical Center | ANTIOCH | $388.08 | not published |
| Redwood City Medical Center | Redwood City | $388.08 | not published |
| Santa Clara Medical Center | SANTA CLARA | $388.08 | not published |
| Fremont Medical Center | FREMONT | $388.08 | not published |
| Sacramento Medical Center | SACRAMENTO | $388.08 | not published |
| Oakland Medical Center | Oakland | $388.08 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $388.08 | not published |