Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$572.25
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.
$1,050.00
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.
$1.00 with Hill Physicians vs $63.70 with MultiPlan — 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 | $1.00 | ↓ -100% |
| Aetna | Commercial|HMO | $1.45 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $1.45 | ↓ -100% |
| Aetna | Commercial|PPO | $1.45 | ↓ -100% |
| United | Commercial|All Other Plans | $2.10 | ↓ -100% |
| United | Commercial|HMO | $2.10 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $4.03 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $4.03 | ↓ -99% |
| Blue Shield CA | Commercial|All Other Plans | $4.03 | ↓ -99% |
| BCBS - Anthem | Commercial|Exchange | $6.22 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $7.15 | ↓ -99% |
| BCBS - Anthem | Medicaid|All Plans | $7.93 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $8.93 | ↓ -98% |
| Health Net | Medicaid|All Plans | $11.59 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $11.59 | ↓ -98% |
| Health Net | Commercial|FFS | $14.41 | ↓ -97% |
| United | Commercial|Non-Options PPO | $31.85 | ↓ -94% |
| Kaiser | Commercial|All Plans | $50.05 | ↓ -91% |
| Cigna | Commercial|All Other Plans | $56.55 | ↓ -90% |
| Cigna | Commercial|PPO | $56.55 | ↓ -90% |
| First Health | Commercial|All Plans | $61.75 | ↓ -89% |
| Healthsmart | Commercial|All Plans | $63.70 | ↓ -89% |
| MultiPlan | Commercial|All Plans | $63.70 | ↓ -89% |
Visitor-reported prices
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Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $29.35 | $1.39 – $20.10 |
| Petaluma Valley Hospital | Petaluma | $84.15 | $1.33 – $3.45 |
| Arroyo Grande Hospital | Santa Maria | $23.12 | $2.10 – $52.92 |
| French Hospital | San Luis Obispo | $21.17 | $2.10 – $52.92 |
| Queen of The Valley Medical Center | Napa | $84.15 | $1.33 – $3.73 |
| Providence St Joseph Hospital Eureka | Eureka | $84.15 | $1.44 – $4.45 |
| Healdsburg Hospital | Healdsburg | $84.15 | $2.54 – $8.80 |
| Redwood Memorial Hospital | Fortuna | $84.15 | $1.89 – $4.47 |