Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$3,288.00
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.
$12,000.00
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.
$1,320.00 with WCMG vs $12,000.00 with United — 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 | $1,320.00 | ↓ -60% |
| Western Health Advantage | Commercial|All Plans | $3,000.00 | ↓ -9% |
| Kaiser | Medicaid|All Plans | $4,920.00 | ↑ +50% |
| Kaiser | Commercial|All Plans | $6,480.00 | ↑ +97% |
| BCBS - Anthem | Commercial|Connection EPO | $8,880.00 | ↑ +170% |
| First Health | Commercial|All Plans | $9,000.00 | ↑ +174% |
| Healthsmart | Commercial|All Plans | $9,000.00 | ↑ +174% |
| Sutter Health | Commercial|All Plans | $9,600.00 | ↑ +192% |
| MultiPlan | Commercial|All Plans | $9,960.00 | ↑ +203% |
| BCBS - Anthem | Commercial|All Other Plans | $11,160.00 | ↑ +239% |
| BCBS - Anthem | Commercial|MCS | $12,000.00 | ↑ +265% |
| United | Commercial|HMO | $12,000.00 | ↑ +265% |
| United | Commercial|All Other Plans | $12,000.00 | ↑ +265% |
| United | Commercial|Non-Options PPO | $12,000.00 | ↑ +265% |
| United | Commercial|Options PPO | $12,000.00 | ↑ +265% |
Visitor-reported prices
Comments
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $9,790.20 | $3,802.89 – $14,406.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $5,446.00 | $1,680.00 – $6,860.00 |
| Northridge Hospital Medical Center | Northridge | $1,925.10 | $100.00 – $6,900.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $5,722.50 | $5,145.00 – $10,290.00 |
| Sequoia Hospital | Redwood City | $2,366.00 | $1,430.00 – $5,655.00 |
| Mercy Medical Center Redding | Redding | $2,281.50 | $3,420.00 – $4,410.00 |
| Mercy General Hospital | Sacramento | $2,616.00 | $3,000.00 – $12,000.00 |
| Woodland Memorial Hospital | Woodland | $3,288.00 | $1,320.00 – $12,000.00 |