Adh-sendout at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$24.53
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.
$45.00
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.
$30.15 with United vs $45.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| United | Commercial|Non-Options PPO | $30.15 | ↑ +23% |
| Humana | Medicare|All Plans | $33.94 | ↑ +38% |
| Humana | Commercial|All Plans | $33.94 | ↑ +38% |
| Aetna | Medicare|All Plans | $33.94 | ↑ +38% |
| United | Medicare|All Plans | $33.94 | ↑ +38% |
| Health Net | Medicare|All Plans | $33.94 | ↑ +38% |
| Kaiser | Medicare|All Plans | $33.94 | ↑ +38% |
| BCBS - Anthem | Medicare|All Plans | $33.94 | ↑ +38% |
| Blue Shield CA | Medicare|All Plans | $33.94 | ↑ +38% |
| Hill Physicians | Commercial|All Plans | $33.94 | ↑ +38% |
| Kaiser | Commercial|All Plans | $34.65 | ↑ +41% |
| Blue Shield CA | Commercial|Exchange | $35.10 | ↑ +43% |
| Blue Shield CA | Commercial|ACO Trio | $37.35 | ↑ +52% |
| BCBS - Anthem | Commercial|Exchange | $38.70 | ↑ +58% |
| Cigna | Commercial|PPO | $39.15 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $39.15 | ↑ +60% |
| United | Commercial|All Other Plans | $40.73 | ↑ +66% |
| United | Commercial|HMO | $40.73 | ↑ +66% |
| Blue Shield CA | Commercial|All Other Plans | $41.85 | ↑ +71% |
| First Health | Commercial|All Plans | $42.75 | ↑ +74% |
| Partnership Health Plan | Medicaid|< 21 | $43.28 | ↑ +76% |
| Partnership Health Plan | Medicaid|> 21 | $43.28 | ↑ +76% |
| Healthsmart | Commercial|All Plans | $44.10 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $44.10 | ↑ +80% |
| BCBS - Anthem | Commercial|All Other Plans | $44.55 | ↑ +82% |
| Aetna | Commercial|All Other Plans | $45.00 | ↑ +83% |
| Aetna | Commercial|PPO | $45.00 | ↑ +83% |
| California Health & Wellness | Medicaid|All Plans | $45.00 | ↑ +83% |
| Aetna | Commercial|HMO | $45.00 | ↑ +83% |
| BCBS - Anthem | Medicaid|All Plans | $45.00 | ↑ +83% |
| Health Net | Medicaid|All Plans | $45.00 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $45.00 | ↑ +83% |
Visitor-reported prices
Comments
Adh-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $19.71 | $12.15 – $90.05 |
| Banner Lassen Medical Center | Susanville | $29.42 | $6.79 – $49.78 |
| Petaluma Valley Hospital | Petaluma | $15.30 | $33.26 – $278.14 |
| Arroyo Grande Hospital | Santa Maria | $96.84 | $22.50 – $87.45 |
| Mark Twain Medical Center | San Andreas | $29.97 | $24.36 – $44.10 |
| French Hospital | San Luis Obispo | $88.69 | $12.15 – $102.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16.70 | $8.50 – $97.53 |
| Bakersfield Memorial Hospital | Bakersfield | $16.52 | $8.50 – $97.53 |