Cystogram >= 3 views supervision & interpretation 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

$537.92

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.

$987.00

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.

$47.56 with Partnership Health Plan vs $469.30 with Blue Shield CA — 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
Partnership Health Plan Medicaid|> 21 $47.56 ↓ -91%
Partnership Health Plan Medicaid|< 21 $47.56 ↓ -91%
BCBS - Anthem Medicaid|All Plans $74.86 ↓ -86%
California Health & Wellness Medicaid|All Plans $107.49 ↓ -80%
Health Net Medicaid|All Plans $107.49 ↓ -80%
Aetna Commercial|All Other Plans $233.57 ↓ -57%
Aetna Commercial|HMO $233.57 ↓ -57%
Aetna Commercial|PPO $233.57 ↓ -57%
United Commercial|Non-Options PPO $239.86 ↓ -55%
Kaiser Commercial|All Plans $275.66 ↓ -49%
BCBS - Anthem Commercial|Exchange $307.88 ↓ -43%
Cigna Commercial|PPO $311.46 ↓ -42%
Cigna Commercial|All Other Plans $311.46 ↓ -42%
First Health Commercial|All Plans $340.10 ↓ -37%
MultiPlan Commercial|All Plans $350.84 ↓ -35%
Healthsmart Commercial|All Plans $350.84 ↓ -35%
BCBS - Anthem Commercial|All Other Plans $354.42 ↓ -34%
Hill Physicians Commercial|All Plans $358.00 ↓ -33%
Humana Medicare|All Plans $358.00 ↓ -33%
Aetna Medicare|All Plans $358.00 ↓ -33%
United Commercial|All Other Plans $358.00 ↓ -33%
United Commercial|HMO $358.00 ↓ -33%
Health Net Medicare|All Plans $358.00 ↓ -33%
Kaiser Medicare|All Plans $358.00 ↓ -33%
BCBS - Anthem Medicare|All Plans $358.00 ↓ -33%
BCBS - Anthem Commercial|MCS $358.00 ↓ -33%
Humana Commercial|All Plans $358.00 ↓ -33%
United Medicare|All Plans $469.30 ↓ -13%
Blue Shield CA Medicare|All Plans $469.30 ↓ -13%

Visitor-reported prices

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Cystogram >= 3 views supervision & interpretation at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $453.77 $71.95 – $1,782.69
Banner Lassen Medical Center Susanville $272.24 $54.71 – $402.55
Petaluma Valley Hospital Petaluma $1,339.77 $245.16 – $610.96
Arroyo Grande Hospital Santa Maria $927.05 $47.56 – $1,943.34
Mark Twain Medical Center San Andreas $478.19 $11.39 – $44.00
French Hospital San Luis Obispo $739.71 $47.56 – $2,035.12
Mercy Hospitals – Bakersfield Bakersfield $507.53 $47.56 – $1,930.74
Bakersfield Memorial Hospital Bakersfield $502.06 $47.56 – $1,930.74

All California hospitals for this procedure →