Bx breast 1st lesion strtctc at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$1,419.73
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.
$2,605.00
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.
$632.17 with Partnership Health Plan vs $17,327.00 with Health Net — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $632.17 | ↓ -55% |
| Partnership Health Plan | Medicaid|< 21 | $632.17 | ↓ -55% |
| BCBS - Anthem | Medicaid|All Plans | $866.07 | ↓ -39% |
| California Health & Wellness | Medicaid|All Plans | $1,428.70 | ↑ +1% |
| Health Net | Medicaid|All Plans | $1,428.70 | ↑ +1% |
| United | Commercial|Non-Options PPO | $1,745.35 | ↑ +23% |
| Kaiser | Commercial|All Plans | $2,005.85 | ↑ +41% |
| Humana | Commercial|All Plans | $2,129.16 | ↑ +50% |
| Humana | Medicare|All Plans | $2,129.16 | ↑ +50% |
| Aetna | Medicare|All Plans | $2,129.16 | ↑ +50% |
| United | Medicare|All Plans | $2,129.16 | ↑ +50% |
| Health Net | Medicare|All Plans | $2,129.16 | ↑ +50% |
| Kaiser | Medicare|All Plans | $2,129.16 | ↑ +50% |
| BCBS - Anthem | Medicare|All Plans | $2,129.16 | ↑ +50% |
| Blue Shield CA | Medicare|All Plans | $2,129.16 | ↑ +50% |
| Hill Physicians | Commercial|All Plans | $2,129.16 | ↑ +50% |
| Cigna | Commercial|PPO | $2,266.35 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $2,266.35 | ↑ +60% |
| First Health | Commercial|All Plans | $2,474.75 | ↑ +74% |
| MultiPlan | Commercial|All Plans | $2,552.90 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $2,552.90 | ↑ +80% |
| United | Commercial|HMO | $2,605.00 | ↑ +83% |
| United | Commercial|All Other Plans | $2,605.00 | ↑ +83% |
| Blue Shield CA | Commercial|Exchange | $3,714.00 | ↑ +162% |
| BCBS - Anthem | Commercial|Exchange | $4,601.00 | ↑ +224% |
| Blue Shield CA | Commercial|ACO Trio | $4,745.00 | ↑ +234% |
| BCBS - Anthem | Commercial|All Other Plans | $5,288.00 | ↑ +272% |
| Blue Shield CA | Commercial|All Other Plans | $5,759.00 | ↑ +306% |
| BCBS - Anthem | Commercial|MCS | $6,610.00 | ↑ +366% |
| Aetna | Commercial|PPO | $8,173.00 | ↑ +476% |
| Aetna | Commercial|All Other Plans | $8,173.00 | ↑ +476% |
| Aetna | Commercial|HMO | $8,173.00 | ↑ +476% |
| Health Net | Commercial|FFS | $17,327.00 | ↑ +1120% |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,433.05 | $956.41 – $6,113.64 |
| Petaluma Valley Hospital | Petaluma | $6,724.35 | $2,225.71 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $5,185.65 | $632.17 – $11,444.44 |
| French Hospital | San Luis Obispo | $1,907.48 | $632.17 – $4,768.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,997.84 | $632.17 – $3,808.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,976.30 | $632.17 – $3,760.40 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,007.07 | $2,124.23 – $9,858.00 |