3d ech img cgen car anomal at Sierra Nevada Memorial Hospital

155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$535.74

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.

$983.00

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.

$658.61 with United vs $26,207.00 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 →

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
United Commercial|Non-Options PPO $658.61 ↑ +23%
Kaiser Commercial|All Plans $756.91 ↑ +41%
Cigna Commercial|All Other Plans $855.21 ↑ +60%
Cigna Commercial|PPO $855.21 ↑ +60%
First Health Commercial|All Plans $933.85 ↑ +74%
Healthsmart Commercial|All Plans $963.34 ↑ +80%
MultiPlan Commercial|All Plans $963.34 ↑ +80%
United Commercial|HMO $16,607.00 ↑ +3000%
United Commercial|All Other Plans $26,207.00 ↑ +4792%

Visitor-reported prices

visitor-reported
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3d ech img cgen car anomal at other California hospitals

Hospital City Cash price Negotiated range
French Hospital San Luis Obispo $1,319.48 $908.82 – $3,298.68
Queen of The Valley Medical Center Napa $795.60 $144.01 – $584.37
Santa Rosa Memorial Hospital Santa Rosa $795.60 $145.67 – $497.16
Providence Mission Hospital - Mission Viejo Mission Viejo $317.28 $126.24 – $778.08
Mercy Medical Center Mt. Shasta Mt Shasta $1,820.52 $561.60 – $2,293.20
Dominican Hospital Santa Cruz $395.10 $570.70 – $781.42
Providence Cedars-Sinai Tarzana Medical Center Tarzana $284.20 $381.35 – $381.35
St. Mary Medical Center Long Beach $406.35 $236.25 – $945.00

All California hospitals for this procedure →