Borrelia antibody at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$50.20
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.
$92.10
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.
$13.38 with Humana vs $92.10 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 |
|---|---|---|---|
| Humana | Commercial|All Plans | $13.38 | ↓ -73% |
| Humana | Medicare|All Plans | $13.38 | ↓ -73% |
| Aetna | Medicare|All Plans | $13.38 | ↓ -73% |
| United | Medicare|All Plans | $13.38 | ↓ -73% |
| Health Net | Medicare|All Plans | $13.38 | ↓ -73% |
| Kaiser | Medicare|All Plans | $13.38 | ↓ -73% |
| BCBS - Anthem | Medicare|All Plans | $13.38 | ↓ -73% |
| Blue Shield CA | Medicare|All Plans | $13.38 | ↓ -73% |
| Hill Physicians | Commercial|All Plans | $13.38 | ↓ -73% |
| United | Commercial|HMO | $16.06 | ↓ -68% |
| United | Commercial|All Other Plans | $16.06 | ↓ -68% |
| Partnership Health Plan | Medicaid|< 21 | $17.06 | ↓ -66% |
| Partnership Health Plan | Medicaid|> 21 | $17.06 | ↓ -66% |
| BCBS - Anthem | Medicaid|All Plans | $24.10 | ↓ -52% |
| California Health & Wellness | Medicaid|All Plans | $38.56 | ↓ -23% |
| Health Net | Medicaid|All Plans | $38.56 | ↓ -23% |
| United | Commercial|Non-Options PPO | $61.71 | ↑ +23% |
| Kaiser | Commercial|All Plans | $70.92 | ↑ +41% |
| Blue Shield CA | Commercial|Exchange | $71.84 | ↑ +43% |
| Blue Shield CA | Commercial|ACO Trio | $76.45 | ↑ +52% |
| BCBS - Anthem | Commercial|Exchange | $79.21 | ↑ +58% |
| Cigna | Commercial|PPO | $80.13 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $80.13 | ↑ +60% |
| Blue Shield CA | Commercial|All Other Plans | $85.66 | ↑ +71% |
| First Health | Commercial|All Plans | $87.50 | ↑ +74% |
| Aetna | Commercial|PPO | $87.84 | ↑ +75% |
| Aetna | Commercial|All Other Plans | $87.84 | ↑ +75% |
| Aetna | Commercial|HMO | $87.84 | ↑ +75% |
| Healthsmart | Commercial|All Plans | $90.26 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $90.26 | ↑ +80% |
| BCBS - Anthem | Commercial|All Other Plans | $91.18 | ↑ +82% |
| BCBS - Anthem | Commercial|MCS | $92.10 | ↑ +83% |
Visitor-reported prices
Comments
Borrelia antibody at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy San Juan Medical Center | Carmichael | $25.24 | $10.14 – $76.45 |
| Mercy General Hospital | Sacramento | $20.08 | $11.89 – $73.68 |
| Mercy Hospital of Folsom | Folsom | $35.83 | $10.14 – $75.53 |
| Woodland Memorial Hospital | Woodland | $25.24 | $10.14 – $92.10 |
| Methodist Hospital of Sacramento | Sacramento | $26.53 | $11.89 – $76.45 |
| Petaluma Valley Hospital | Petaluma | not published | $13.11 – $107.66 |
| Queen of The Valley Medical Center | Napa | not published | $13.38 – $136.06 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $13.38 – $154.29 |