Cosyntropin 0.25 mg solution for injection 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

$244.16

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.

$448.00

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.

$29.70 with Hill Physicians vs $311.00 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 →

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
Hill Physicians Commercial|All Plans $29.70 ↓ -88%
BCBS - Anthem Medicaid|All Plans $50.88 ↓ -79%
United Commercial|All Other Plans $55.16 ↓ -77%
United Commercial|HMO $55.16 ↓ -77%
Aetna Commercial|HMO $72.41 ↓ -70%
Aetna Commercial|All Other Plans $72.41 ↓ -70%
Aetna Commercial|PPO $72.41 ↓ -70%
Health Net Medicaid|All Plans $85.56 ↓ -65%
California Health & Wellness Medicaid|All Plans $85.56 ↓ -65%
Blue Shield CA Commercial|Exchange $96.24 ↓ -61%
Blue Shield CA Commercial|All Other Plans $96.24 ↓ -61%
Blue Shield CA Commercial|ACO Trio $96.24 ↓ -61%
United Commercial|Non-Options PPO $152.39 ↓ -38%
BCBS - Anthem Commercial|Exchange $227.03 ↓ -7%
Kaiser Commercial|All Plans $239.47 ↓ -2%
BCBS - Anthem Commercial|All Other Plans $261.24 ↑ +7%
Cigna Commercial|All Other Plans $270.57 ↑ +11%
Cigna Commercial|PPO $270.57 ↑ +11%
First Health Commercial|All Plans $295.45 ↑ +21%
Healthsmart Commercial|All Plans $304.78 ↑ +25%
MultiPlan Commercial|All Plans $304.78 ↑ +25%
BCBS - Anthem Commercial|MCS $311.00 ↑ +27%
Health Net Commercial|FFS $311.00 ↑ +27%

Visitor-reported prices

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Cosyntropin 0.25 mg solution for injection at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $168.20 $52.97 – $299.52
Petaluma Valley Hospital Petaluma $114.30 $66.79 – $141.80
Arroyo Grande Hospital Santa Maria $547.42 $30.76 – $943.74
French Hospital San Luis Obispo $501.37 $30.76 – $1,253.42
Mercy Hospitals – Bakersfield Bakersfield $189.21 $37.86 – $283.20
Bakersfield Memorial Hospital Bakersfield $187.17 $50.01 – $279.66
Queen of The Valley Medical Center Napa $159.60 $66.79 – $153.49
Providence St Joseph Hospital Eureka Eureka $159.60 $56.04 – $183.09

All California hospitals for this procedure →