Crystal identification light microscopy 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

$84.48

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.

$155.00

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.

$7.33 with Humana vs $135.24 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
Humana Commercial|All Plans $7.33 ↓ -91%
Humana Medicare|All Plans $7.33 ↓ -91%
Aetna Medicare|All Plans $7.33 ↓ -91%
United Medicare|All Plans $7.33 ↓ -91%
Health Net Medicare|All Plans $7.33 ↓ -91%
Kaiser Medicare|All Plans $7.33 ↓ -91%
BCBS - Anthem Medicare|All Plans $7.33 ↓ -91%
Blue Shield CA Medicare|All Plans $7.33 ↓ -91%
Hill Physicians Commercial|All Plans $7.33 ↓ -91%
United Commercial|HMO $8.80 ↓ -90%
United Commercial|All Other Plans $8.80 ↓ -90%
Partnership Health Plan Medicaid|< 21 $9.12 ↓ -89%
Partnership Health Plan Medicaid|> 21 $9.12 ↓ -89%
BCBS - Anthem Medicaid|All Plans $13.52 ↓ -84%
California Health & Wellness Medicaid|All Plans $20.61 ↓ -76%
Health Net Medicaid|All Plans $20.61 ↓ -76%
Aetna Commercial|All Other Plans $46.93 ↓ -44%
Aetna Commercial|HMO $46.93 ↓ -44%
Aetna Commercial|PPO $46.93 ↓ -44%
BCBS - Anthem Commercial|Exchange $77.03 ↓ -9%
BCBS - Anthem Commercial|All Other Plans $88.49 ↑ +5%
United Commercial|Non-Options PPO $92.46 ↑ +9%
Kaiser Commercial|All Plans $106.26 ↑ +26%
Blue Shield CA Commercial|Exchange $107.64 ↑ +27%
BCBS - Anthem Commercial|MCS $110.66 ↑ +31%
Blue Shield CA Commercial|ACO Trio $114.54 ↑ +36%
Cigna Commercial|PPO $120.06 ↑ +42%
Cigna Commercial|All Other Plans $120.06 ↑ +42%
Blue Shield CA Commercial|All Other Plans $128.34 ↑ +52%
First Health Commercial|All Plans $131.10 ↑ +55%
MultiPlan Commercial|All Plans $135.24 ↑ +60%
Healthsmart Commercial|All Plans $135.24 ↑ +60%

Visitor-reported prices

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Crystal identification light microscopy at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $77.09 $7.33 – $22.87
Banner Lassen Medical Center Susanville $52.59 $1.47 – $73.72
Petaluma Valley Hospital Petaluma $176.46 $7.18 – $58.31
Arroyo Grande Hospital Santa Maria $119.84 $7.33 – $21.56
Mark Twain Medical Center San Andreas $104.57 $4.75 – $17.97
French Hospital San Luis Obispo $109.76 $5.94 – $22.18
Mercy Hospitals – Bakersfield Bakersfield $68.64 $7.33 – $52.00
Bakersfield Memorial Hospital Bakersfield $67.90 $7.33 – $51.35

All California hospitals for this procedure →