Pegaspargase injection 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

$21,525.44

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.

$78,560.00

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.

$2,134.95 with BCBS - Anthem vs $83,972.78 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
BCBS - Anthem Commercial|Connection EPO $2,134.95 ↓ -90%
BCBS - Anthem Commercial|All Other Plans $2,668.69 ↓ -88%
WCMG Commercial|All Plans $2,744.28 ↓ -87%
BCBS - Anthem Commercial|MCS $3,732.24 ↓ -83%
Kaiser Medicaid|All Plans $10,228.68 ↓ -52%
Kaiser Commercial|All Plans $13,471.92 ↓ -37%
Western Health Advantage Commercial|All Plans $16,854.80 ↓ -22%
First Health Commercial|All Plans $18,711.00 ↓ -13%
Healthsmart Commercial|All Plans $18,711.00 ↓ -13%
Sutter Health Commercial|All Plans $19,958.40 ↓ -7%
MultiPlan Commercial|All Plans $20,706.84 ↓ -4%
BCBS - Anthem Medicare|All Other Plans $23,525.97 ↑ +9%
Health Net Medicaid|All Plans $24,948.00 ↑ +16%
Health Net Commercial|FFS $24,948.00 ↑ +16%
Health Net Commercial|EPPO $24,948.00 ↑ +16%
BCBS - Anthem Medicaid|All Plans $24,948.00 ↑ +16%
Blue Shield CA Commercial|CalPers $24,948.00 ↑ +16%
Humana Medicare|All Plans $24,948.00 ↑ +16%
Aetna Commercial|All Other Plans $24,948.00 ↑ +16%
Aetna Commercial|PPO $24,948.00 ↑ +16%
Aetna Medicare|All Plans $24,948.00 ↑ +16%
Aetna Commercial|HMO $24,948.00 ↑ +16%
Molina Medicare|All Plans $24,948.00 ↑ +16%
United Commercial|All Other Plans $24,948.00 ↑ +16%
United Medicare|All Plans $24,948.00 ↑ +16%
United Commercial|HMO $24,948.00 ↑ +16%
United Commercial|Options PPO $24,948.00 ↑ +16%
United Commercial|Non-Options PPO $24,948.00 ↑ +16%
Blue Shield CA Commercial|Exchange $24,948.00 ↑ +16%
Blue Shield CA Commercial|HMO $24,948.00 ↑ +16%
Blue Shield CA Commercial|ACO Trio $24,948.00 ↑ +16%
Blue Shield CA Commercial|ACO Trio CalPers $24,948.00 ↑ +16%
Humana Commercial|All Plans $24,948.00 ↑ +16%
Blue Shield CA Medicare|PPO $24,948.00 ↑ +16%
Blue Shield CA Commercial|PPO Tandem $24,948.00 ↑ +16%
California Health & Wellness Medicaid|All Plans $24,948.00 ↑ +16%
Hill Physicians Commercial|All Plans $24,948.00 ↑ +16%
Hill Physicians Medicaid|All Plans $24,948.00 ↑ +16%
Blue Shield CA Commercial|PPO $24,948.00 ↑ +16%
BCBS - Anthem Medicare|Imperial $25,696.44 ↑ +19%
Partnership Health Plan Medicaid|All Plans $27,074.99 ↑ +26%
BrightHealth Commercial|All Plans $27,442.80 ↑ +27%
BlueShield Medicare|Trauma $31,185.00 ↑ +45%
Kaiser Medicare|All Plans $37,352.06 ↑ +74%
Blue Shield CA Medicare|HMO $37,352.06 ↑ +74%
Molina Medicaid|All Plans $50,900.98 ↑ +136%
Prison Healthcare Medicaid|All Plans $56,028.09 ↑ +160%
Cigna Commercial|LocalPlus $62,966.05 ↑ +193%
Cigna Commercial|All Other Plans $83,972.78 ↑ +290%

Visitor-reported prices

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Pegaspargase injection at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $17,924.72 $1,780.12 – $46,568.98
Arroyo Grande Hospital Santa Maria $16,050.00 $2,952.12 – $37,500.00
French Hospital San Luis Obispo $14,700.00 $10,125.00 – $36,750.00
Mercy Hospitals – Bakersfield Bakersfield $28,999.96 $6,342.10 – $27,074.99
Bakersfield Memorial Hospital Bakersfield $28,687.29 $2,660.44 – $24,824.00
Santa Rosa Memorial Hospital Santa Rosa $46,524.80 $1,791.47 – $58,201.64
Mercy Medical Center Merced Merced $20,229.20 $1,913.18 – $13,721.40
Dominican Hospital Santa Cruz $20,926.80 $2,448.94 – $122,228.63

All California hospitals for this procedure →