Sargramostim 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

$486.35

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.

$1,775.00

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.

$56.67 with Western Health Advantage vs $680.60 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 →

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
Western Health Advantage Commercial|All Plans $56.67 ↓ -88%
Hill Physicians Commercial|All Plans $63.48 ↓ -87%
Partnership Health Plan Medicaid|All Plans $64.34 ↓ -87%
BCBS - Anthem Medicare|All Other Plans $69.51 ↓ -86%
Hill Physicians Medicaid|All Plans $70.77 ↓ -85%
Blue Shield CA Medicare|HMO $73.71 ↓ -85%
Molina Medicare|All Plans $73.71 ↓ -85%
Kaiser Medicare|All Plans $73.71 ↓ -85%
United Medicare|All Plans $73.71 ↓ -85%
Humana Medicare|All Plans $73.71 ↓ -85%
Aetna Medicare|All Plans $73.71 ↓ -85%
Blue Shield CA Medicare|PPO $73.71 ↓ -85%
Humana Commercial|All Plans $73.71 ↓ -85%
Blue Shield CA Commercial|CalPers $74.03 ↓ -85%
Blue Shield CA Commercial|PPO $74.03 ↓ -85%
Blue Shield CA Commercial|Exchange $74.03 ↓ -85%
Blue Shield CA Commercial|HMO $74.03 ↓ -85%
Blue Shield CA Commercial|ACO Trio $74.03 ↓ -85%
Blue Shield CA Commercial|ACO Trio CalPers $74.03 ↓ -85%
Blue Shield CA Commercial|PPO Tandem $74.03 ↓ -85%
BCBS - Anthem Medicare|Imperial $75.92 ↓ -84%
BrightHealth Commercial|All Plans $81.08 ↓ -83%
United Commercial|Non-Options PPO $88.37 ↓ -82%
WCMG Commercial|All Plans $90.20 ↓ -81%
BlueShield Medicare|Trauma $92.14 ↓ -81%
United Commercial|Options PPO $99.03 ↓ -80%
United Commercial|All Other Plans $99.03 ↓ -80%
United Commercial|HMO $99.03 ↓ -80%
Health Net Commercial|EPPO $107.34 ↓ -78%
Prison Healthcare Medicaid|All Plans $110.56 ↓ -77%
BCBS - Anthem Medicaid|All Plans $119.17 ↓ -75%
Molina Medicaid|All Plans $120.96 ↓ -75%
Aetna Commercial|PPO $128.50 ↓ -74%
Aetna Commercial|HMO $128.50 ↓ -74%
Aetna Commercial|All Other Plans $128.50 ↓ -74%
Cigna Commercial|LocalPlus $139.28 ↓ -71%
Health Net Medicaid|All Plans $147.34 ↓ -70%
California Health & Wellness Medicaid|All Plans $147.34 ↓ -70%
Cigna Commercial|All Other Plans $185.75 ↓ -62%
Health Net Commercial|FFS $195.44 ↓ -60%
BCBS - Anthem Commercial|Connection EPO $217.38 ↓ -55%
BCBS - Anthem Commercial|All Other Plans $271.73 ↓ -44%
Kaiser Medicaid|All Plans $336.20 ↓ -31%
BCBS - Anthem Commercial|MCS $380.02 ↓ -22%
Kaiser Commercial|All Plans $442.80 ↓ -9%
First Health Commercial|All Plans $615.00 ↑ +26%
Healthsmart Commercial|All Plans $615.00 ↑ +26%
Sutter Health Commercial|All Plans $656.00 ↑ +35%
MultiPlan Commercial|All Plans $680.60 ↑ +40%

Visitor-reported prices

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Sargramostim injection at other California hospitals

Hospital City Cash price Negotiated range
Redwood City Medical Center Redwood City $552.52 $56.00 – $56.00
Santa Clara Medical Center SANTA CLARA $552.52 $56.00 – $56.00
Baldwin Park Medical Center BALDWIN PARK $513.05 $56.00 – $56.00
Riverside Medical Center RIVERSIDE $513.05 $56.00 – $56.00
Sacramento Medical Center SACRAMENTO $552.52 $56.00 – $56.00
Oakland Medical Center Oakland $552.52 $56.00 – $56.00
Walnut Creek Medical Center WALNUT CREEK $552.52 $56.00 – $56.00
Arroyo Grande Hospital Santa Maria $1,271.59 $53.97 – $2,911.58

All California hospitals for this procedure →