Pegloticase 8 mg/ml intravenous solution at Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
$34,248.36
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.
$124,994.00
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.
$490.25 with BCBS - Anthem vs $55,776.00 with MultiPlan — 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 | $490.25 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $612.81 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $857.04 | ↓ -97% |
| Western Health Advantage | Commercial|All Plans | $2,757.10 | ↓ -92% |
| Partnership Health Plan | Medicaid|All Plans | $3,565.32 | ↓ -90% |
| Hill Physicians | Commercial|All Plans | $3,779.24 | ↓ -89% |
| Hill Physicians | Medicaid|All Plans | $3,921.85 | ↓ -89% |
| Blue Shield CA | Commercial|CalPers | $4,503.37 | ↓ -87% |
| Blue Shield CA | Commercial|PPO | $4,503.37 | ↓ -87% |
| Blue Shield CA | Commercial|Exchange | $4,503.37 | ↓ -87% |
| Blue Shield CA | Commercial|HMO | $4,503.37 | ↓ -87% |
| Blue Shield CA | Commercial|ACO Trio | $4,503.37 | ↓ -87% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $4,503.37 | ↓ -87% |
| Blue Shield CA | Commercial|PPO Tandem | $4,503.37 | ↓ -87% |
| BCBS - Anthem | Medicare|All Other Plans | $4,509.27 | ↓ -87% |
| United | Medicare|All Plans | $4,781.83 | ↓ -86% |
| Molina | Medicare|All Plans | $4,781.83 | ↓ -86% |
| Aetna | Medicare|All Plans | $4,781.83 | ↓ -86% |
| Blue Shield CA | Medicare|HMO | $4,781.83 | ↓ -86% |
| Humana | Medicare|All Plans | $4,781.83 | ↓ -86% |
| Kaiser | Medicare|All Plans | $4,781.83 | ↓ -86% |
| Blue Shield CA | Medicare|PPO | $4,781.83 | ↓ -86% |
| Humana | Commercial|All Plans | $4,781.83 | ↓ -86% |
| United | Commercial|Non-Options PPO | $4,898.21 | ↓ -86% |
| BCBS - Anthem | Medicare|Imperial | $4,925.28 | ↓ -86% |
| BrightHealth | Commercial|All Plans | $5,260.01 | ↓ -85% |
| United | Commercial|Options PPO | $5,857.58 | ↓ -83% |
| United | Commercial|All Other Plans | $5,857.58 | ↓ -83% |
| United | Commercial|HMO | $5,857.58 | ↓ -83% |
| BlueShield | Medicare|Trauma | $5,977.29 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $6,291.87 | ↓ -82% |
| Health Net | Commercial|EPPO | $6,376.84 | ↓ -81% |
| Molina | Medicaid|All Plans | $6,702.80 | ↓ -80% |
| Prison Healthcare | Medicaid|All Plans | $7,172.74 | ↓ -79% |
| WCMG | Commercial|All Plans | $7,392.00 | ↓ -78% |
| Aetna | Commercial|PPO | $7,651.18 | ↓ -78% |
| Aetna | Commercial|All Other Plans | $7,651.18 | ↓ -78% |
| Aetna | Commercial|HMO | $7,651.18 | ↓ -78% |
| California Health & Wellness | Medicaid|All Plans | $8,164.58 | ↓ -76% |
| Health Net | Medicaid|All Plans | $8,164.58 | ↓ -76% |
| Cigna | Commercial|LocalPlus | $8,292.93 | ↓ -76% |
| Cigna | Commercial|All Other Plans | $11,059.62 | ↓ -68% |
| Health Net | Commercial|FFS | $11,888.89 | ↓ -65% |
| Kaiser | Medicaid|All Plans | $27,552.00 | ↓ -20% |
| Kaiser | Commercial|All Plans | $36,288.00 | ↑ +6% |
| First Health | Commercial|All Plans | $50,400.00 | ↑ +47% |
| Healthsmart | Commercial|All Plans | $50,400.00 | ↑ +47% |
| Sutter Health | Commercial|All Plans | $53,760.00 | ↑ +57% |
| MultiPlan | Commercial|All Plans | $55,776.00 | ↑ +63% |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $45,643.43 | $610.92 – $52,822.56 |
| Dominican Hospital | Santa Cruz | $21,369.60 | $562.35 – $40,364.80 |
| St Jude Medical Center | Fullerton | $58,731.42 | $512.76 – $7,665.44 |
| Woodland Memorial Hospital | Woodland | $34,248.36 | $441.78 – $67,200.00 |
| Providence Holy Cross Medical Center | Mission Hills | $72,846.22 | $1,230.19 – $7,665.44 |
| Petaluma Valley Hospital | Petaluma | not published | $382.62 – $7,665.44 |
| Queen of The Valley Medical Center | Napa | not published | $414.17 – $7,665.44 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $494.04 – $7,665.44 |