Pegaspargase injection at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$21,525.44
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.
$78,560.00
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.
$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 →
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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 |
|---|---|---|---|
| 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
Comments
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 |