Coombs indirect qualitative each reagent red cell reference 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

$174.95

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.

$321.00

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.

$6.86 with United vs $314.58 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 →

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|All Other Plans $6.86 ↓ -96%
United Commercial|HMO $6.86 ↓ -96%
Partnership Health Plan Medicaid|> 21 $7.30 ↓ -96%
Partnership Health Plan Medicaid|< 21 $7.30 ↓ -96%
BCBS - Anthem Medicaid|All Plans $9.96 ↓ -94%
Health Net Medicaid|All Plans $16.50 ↓ -91%
California Health & Wellness Medicaid|All Plans $16.50 ↓ -91%
Aetna Commercial|HMO $37.60 ↓ -79%
Aetna Commercial|PPO $37.60 ↓ -79%
Aetna Commercial|All Other Plans $37.60 ↓ -79%
BCBS - Anthem Commercial|Exchange $61.71 ↓ -65%
BCBS - Anthem Commercial|All Other Plans $70.89 ↓ -59%
BCBS - Anthem Commercial|MCS $88.66 ↓ -49%
United Commercial|Non-Options PPO $215.07 ↑ +23%
Humana Commercial|All Plans $225.18 ↑ +29%
Humana Medicare|All Plans $225.18 ↑ +29%
Aetna Medicare|All Plans $225.18 ↑ +29%
United Medicare|All Plans $225.18 ↑ +29%
Health Net Medicare|All Plans $225.18 ↑ +29%
Kaiser Medicare|All Plans $225.18 ↑ +29%
BCBS - Anthem Medicare|All Plans $225.18 ↑ +29%
Blue Shield CA Medicare|All Plans $225.18 ↑ +29%
Hill Physicians Commercial|All Plans $225.18 ↑ +29%
Kaiser Commercial|All Plans $247.17 ↑ +41%
Blue Shield CA Commercial|Exchange $250.38 ↑ +43%
Blue Shield CA Commercial|ACO Trio $266.43 ↑ +52%
Cigna Commercial|PPO $279.27 ↑ +60%
Cigna Commercial|All Other Plans $279.27 ↑ +60%
Blue Shield CA Commercial|All Other Plans $298.53 ↑ +71%
First Health Commercial|All Plans $304.95 ↑ +74%
MultiPlan Commercial|All Plans $314.58 ↑ +80%
Healthsmart Commercial|All Plans $314.58 ↑ +80%

Visitor-reported prices

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Coombs indirect qualitative each reagent red cell reference at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $87.72 $11.44 – $229.59
Queen of The Valley Medical Center Napa $87.72 $11.44 – $59.03
Providence St Joseph Hospital Eureka Eureka $87.72 $11.44 – $219.12
Redwood Memorial Hospital Fortuna $166.26 $67.10 – $67.10
Santa Rosa Memorial Hospital Santa Rosa $87.72 $11.44 – $237.06
Mercy Medical Center Mt. Shasta Mt Shasta $73.53 $5.09 – $92.61
Dominican Hospital Santa Cruz $244.80 $6.86 – $736.86
Northridge Hospital Medical Center Northridge $184.14 $6.86 – $660.00

All California hospitals for this procedure →