Cetuximab 100 mg/50 ml intravenous solution at Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
$59.52
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.
$273.00
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.
$65.48 with Hill Physicians vs $240.47 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 |
|---|---|---|---|
| Hill Physicians | Medicare|All Plans | $65.48 | ↑ +10% |
| Western Health Advantage | Commercial|All Plans | $67.14 | ↑ +13% |
| Health Net | Commercial|EPPO | $69.47 | ↑ +17% |
| Partnership Health Plan | Medicaid|All Plans | $77.52 | ↑ +30% |
| Hill Physicians | Commercial|All Plans | $82.18 | ↑ +38% |
| Hill Physicians | Medicaid|All Plans | $85.27 | ↑ +43% |
| Kaiser | Medicaid|All Plans | $91.43 | ↑ +54% |
| BCBS - Anthem | Medicare|All Other Plans | $97.23 | ↑ +63% |
| Blue Shield CA | Commercial|Exchange | $97.46 | ↑ +64% |
| Blue Shield CA | Commercial|CalPers | $97.46 | ↑ +64% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $97.46 | ↑ +64% |
| Blue Shield CA | Commercial|HMO | $97.46 | ↑ +64% |
| Blue Shield CA | Commercial|All Other Plans | $97.46 | ↑ +64% |
| Humana | Commercial|All Plans | $103.11 | ↑ +73% |
| Aetna | Medicare|All Plans | $103.11 | ↑ +73% |
| Molina | Medicare|All Plans | $103.11 | ↑ +73% |
| United | Medicare|All Plans | $103.11 | ↑ +73% |
| Kaiser | Medicare|All Plans | $103.11 | ↑ +73% |
| Blue Shield CA | Medicare|HMO | $103.11 | ↑ +73% |
| Blue Shield CA | Medicare|PPO | $103.11 | ↑ +73% |
| BCBS - Anthem | Medicare|Imperial | $106.20 | ↑ +78% |
| United | Commercial|Non-Options PPO | $111.57 | ↑ +87% |
| BrightHealth | Commercial|All Plans | $113.42 | ↑ +91% |
| United | Commercial|All Other Plans | $127.22 | ↑ +114% |
| United | Commercial|HMO | $127.22 | ↑ +114% |
| Health Net | Commercial|FFS | $130.59 | ↑ +119% |
| Molina | Medicaid|All Plans | $145.74 | ↑ +145% |
| BCBS - Anthem | Medicaid|All Plans | $145.81 | ↑ +145% |
| BCBS - Anthem | Commercial|Connection EPO | $151.37 | ↑ +154% |
| Prison Healthcare | Medicaid|All Plans | $154.66 | ↑ +160% |
| Aetna | Commercial|HMO | $159.69 | ↑ +168% |
| Aetna | Commercial|PPO | $159.69 | ↑ +168% |
| Aetna | Commercial|All Other Plans | $159.69 | ↑ +168% |
| Healthsmart | Commercial|All Plans | $160.56 | ↑ +170% |
| First Health | Commercial|All Plans | $167.25 | ↑ +181% |
| Kaiser | Commercial|All Plans | $176.17 | ↑ +196% |
| Sutter Health | Commercial|All Plans | $178.40 | ↑ +200% |
| MultiPlan | Commercial|All Plans | $178.40 | ↑ +200% |
| California Health & Wellness | Medicaid|All Plans | $179.85 | ↑ +202% |
| Health Net | Medicaid|All Plans | $179.85 | ↑ +202% |
| Cigna | Commercial|LocalPlus | $180.31 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $189.22 | ↑ +218% |
| BCBS - Anthem | Commercial|MCS | $223.00 | ↑ +275% |
| Cigna | Commercial|All Other Plans | $240.47 | ↑ +304% |
Visitor-reported prices
Comments
Cetuximab 100 mg/50 ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,314.00 | $65.10 – $900.00 |
| Arroyo Grande Hospital | Santa Maria | $5,835.36 | $70.77 – $6,680.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,006.53 | $51.14 – $177.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,991.35 | $88.80 – $175.38 |
| Queen of The Valley Medical Center | Napa | $4,653.19 | $72.08 – $166.67 |
| Providence St Joseph Hospital Eureka | Eureka | $4,653.19 | $80.46 – $166.67 |
| St. Joseph's Medical Center Stockton | Stockton | $1,302.72 | $75.63 – $1,817.12 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,319.41 | $68.39 – $166.67 |