Bactericidal level serum 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

$8.09

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.

$14.83

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.

$9.94 with United vs $14.83 with Kaiser — 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 $9.94 ↑ +23%
Kaiser Commercial|All Plans $11.42 ↑ +41%
Blue Shield CA Commercial|Exchange $11.57 ↑ +43%
Blue Shield CA Commercial|ACO Trio $12.31 ↑ +52%
BCBS - Anthem Commercial|Exchange $12.76 ↑ +58%
Cigna Commercial|All Other Plans $12.91 ↑ +60%
Cigna Commercial|PPO $12.91 ↑ +60%
Blue Shield CA Commercial|All Other Plans $13.80 ↑ +71%
First Health Commercial|All Plans $14.09 ↑ +74%
MultiPlan Commercial|All Plans $14.54 ↑ +80%
Healthsmart Commercial|All Plans $14.54 ↑ +80%
BCBS - Anthem Commercial|All Other Plans $14.69 ↑ +82%
BCBS - Anthem Medicaid|All Plans $14.83 ↑ +83%
BCBS - Anthem Medicare|All Plans $14.83 ↑ +83%
BCBS - Anthem Commercial|MCS $14.83 ↑ +83%
Blue Shield CA Medicare|All Plans $14.83 ↑ +83%
Partnership Health Plan Medicaid|< 21 $14.83 ↑ +83%
Partnership Health Plan Medicaid|> 21 $14.83 ↑ +83%
California Health & Wellness Medicaid|All Plans $14.83 ↑ +83%
Humana Commercial|All Plans $14.83 ↑ +83%
Hill Physicians Commercial|All Plans $14.83 ↑ +83%
Humana Medicare|All Plans $14.83 ↑ +83%
Aetna Commercial|All Other Plans $14.83 ↑ +83%
Aetna Commercial|PPO $14.83 ↑ +83%
Aetna Medicare|All Plans $14.83 ↑ +83%
Aetna Commercial|HMO $14.83 ↑ +83%
United Commercial|All Other Plans $14.83 ↑ +83%
United Medicare|All Plans $14.83 ↑ +83%
United Commercial|HMO $14.83 ↑ +83%
Health Net Medicaid|All Plans $14.83 ↑ +83%
Health Net Medicare|All Plans $14.83 ↑ +83%
Kaiser Medicare|All Plans $14.83 ↑ +83%

Visitor-reported prices

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Bactericidal level serum at other California hospitals

Hospital City Cash price Negotiated range
Mark Twain Medical Center San Andreas $25.01 $15.02 – $36.80
Northridge Hospital Medical Center Northridge $159.59 $15.02 – $572.00
Mercy Hospital of Folsom Folsom $5.77 $1.64 – $33.25
Methodist Hospital of Sacramento Sacramento $4.28 $5.20 – $33.25
Petaluma Valley Hospital Petaluma not published $14.72 – $95.52
Queen of The Valley Medical Center Napa not published $15.02 – $120.71
Providence St Joseph Hospital Eureka Eureka not published $15.02 – $136.88
Healdsburg Hospital Healdsburg not published $15.02 – $59.72

All California hospitals for this procedure →