Debr musc/fascia 20sq cm/< 11043 at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$1,197.37
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.
$2,197.00
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.
$179.86 with Partnership Health Plan vs $12,737.00 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 →
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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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $179.86 | ↓ -85% |
| Partnership Health Plan | Medicaid|< 21 | $179.86 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $308.02 | ↓ -74% |
| California Health & Wellness | Medicaid|All Plans | $640.76 | ↓ -46% |
| Health Net | Medicaid|All Plans | $640.76 | ↓ -46% |
| United | Commercial|Non-Options PPO | $721.59 | ↓ -40% |
| Humana | Commercial|All Plans | $804.40 | ↓ -33% |
| Humana | Medicare|All Plans | $804.40 | ↓ -33% |
| Aetna | Medicare|All Plans | $804.40 | ↓ -33% |
| United | Medicare|All Plans | $804.40 | ↓ -33% |
| Health Net | Medicare|All Plans | $804.40 | ↓ -33% |
| Kaiser | Medicare|All Plans | $804.40 | ↓ -33% |
| BCBS - Anthem | Medicare|All Plans | $804.40 | ↓ -33% |
| Blue Shield CA | Medicare|All Plans | $804.40 | ↓ -33% |
| Hill Physicians | Commercial|All Plans | $804.40 | ↓ -33% |
| Kaiser | Commercial|All Plans | $829.29 | ↓ -31% |
| Cigna | Commercial|All Other Plans | $936.99 | ↓ -22% |
| Cigna | Commercial|PPO | $936.99 | ↓ -22% |
| First Health | Commercial|All Plans | $1,023.15 | ↓ -15% |
| Healthsmart | Commercial|All Plans | $1,055.46 | ↓ -12% |
| MultiPlan | Commercial|All Plans | $1,055.46 | ↓ -12% |
| United | Commercial|All Other Plans | $1,077.00 | ↓ -10% |
| United | Commercial|HMO | $1,077.00 | ↓ -10% |
| Blue Shield CA | Commercial|Exchange | $3,714.00 | ↑ +210% |
| BCBS - Anthem | Commercial|Exchange | $4,601.00 | ↑ +284% |
| Blue Shield CA | Commercial|ACO Trio | $4,745.00 | ↑ +296% |
| BCBS - Anthem | Commercial|All Other Plans | $5,288.00 | ↑ +342% |
| Blue Shield CA | Commercial|All Other Plans | $5,759.00 | ↑ +381% |
| BCBS - Anthem | Commercial|MCS | $6,610.00 | ↑ +452% |
| Aetna | Commercial|PPO | $8,173.00 | ↑ +583% |
| Aetna | Commercial|HMO | $8,173.00 | ↑ +583% |
| Aetna | Commercial|All Other Plans | $8,173.00 | ↑ +583% |
| Health Net | Commercial|FFS | $12,737.00 | ↑ +964% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $995.17 | $221.23 – $1,458.18 |
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $870.98 | $179.86 – $1,994.30 |
| Mark Twain Medical Center | San Andreas | $277.06 | $107.62 – $407.68 |
| French Hospital | San Luis Obispo | $797.72 | $179.86 – $1,994.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $622.54 | $179.86 – $1,342.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,133.67 | $179.86 – $1,325.62 |
| Queen of The Valley Medical Center | Napa | $910.35 | $1,049.38 – $7,483.00 |