Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$7,017.97
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.
$12,877.00
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.
$4.76 with Hill Physicians vs $12,619.46 with Healthsmart — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $4.76 | ↓ -100% |
| Humana | Medicare|All Plans | $5.90 | ↓ -100% |
| Humana | Commercial|All Plans | $5.90 | ↓ -100% |
| Aetna | Medicare|All Plans | $5.90 | ↓ -100% |
| United | Medicare|All Plans | $5.90 | ↓ -100% |
| Health Net | Medicare|All Plans | $5.90 | ↓ -100% |
| Kaiser | Medicare|All Plans | $5.90 | ↓ -100% |
| BCBS - Anthem | Medicare|All Plans | $5.90 | ↓ -100% |
| Blue Shield CA | Medicare|All Plans | $5.90 | ↓ -100% |
| United | Commercial|All Other Plans | $6.44 | ↓ -100% |
| United | Commercial|HMO | $6.44 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $8.63 | ↓ -100% |
| Aetna | Commercial|PPO | $8.63 | ↓ -100% |
| Aetna | Commercial|HMO | $8.63 | ↓ -100% |
| BCBS - Anthem | Medicaid|All Plans | $12.82 | ↓ -100% |
| BCBS - Anthem | Commercial|Exchange | $15.09 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $17.34 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $18.00 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $18.00 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio | $18.00 | ↓ -100% |
| Health Net | Medicaid|All Plans | $19.07 | ↓ -100% |
| California Health & Wellness | Medicaid|All Plans | $19.07 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $21.66 | ↓ -100% |
| Health Net | Commercial|FFS | $64.35 | ↓ -99% |
| United | Commercial|Non-Options PPO | $6,309.73 | ↓ -10% |
| Kaiser | Commercial|All Plans | $9,915.29 | ↑ +41% |
| Cigna | Commercial|PPO | $11,202.99 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $11,202.99 | ↑ +60% |
| First Health | Commercial|All Plans | $12,233.15 | ↑ +74% |
| MultiPlan | Commercial|All Plans | $12,619.46 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $12,619.46 | ↑ +80% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $7,061.16 | $2,742.83 – $10,390.29 |
| Dominican Hospital | Santa Cruz | $13,244.85 | $6.16 – $7,061.34 |
| St Jude Medical Center | Fullerton | $10,403.27 | $3.22 – $8.56 |
| Mercy Medical Center Redding | Redding | $3,949.53 | $5.70 – $5,408.62 |
| St. Bernardine Medical Center | San Bernardino | $6,713.95 | $5.70 – $16,532.84 |
| Woodland Memorial Hospital | Woodland | $4,032.46 | $5.56 – $14,717.00 |
| Providence Holy Cross Medical Center | Mission Hills | $21,240.01 | $3.79 – $15.30 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $18,720.11 | $3.79 – $15.30 |