ER Visit (level 4) 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

$2,165.29

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.

$3,973.00

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.

$98.04 with Partnership Health Plan vs $15,926.00 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
Partnership Health Plan Medicaid|> 21 $98.04 ↓ -95%
Partnership Health Plan Medicaid|< 21 $98.04 ↓ -95%
BCBS - Anthem Medicaid|All Plans $134.31 ↓ -94%
California Health & Wellness Medicaid|All Plans $221.57 ↓ -90%
Health Net Medicaid|All Plans $221.57 ↓ -90%
Humana Commercial|All Plans $559.57 ↓ -74%
Humana Medicare|All Plans $559.57 ↓ -74%
Aetna Medicare|All Plans $559.57 ↓ -74%
United Medicare|All Plans $559.57 ↓ -74%
Health Net Medicare|All Plans $559.57 ↓ -74%
Kaiser Medicare|All Plans $559.57 ↓ -74%
BCBS - Anthem Medicare|All Plans $559.57 ↓ -74%
Blue Shield CA Medicare|All Plans $559.57 ↓ -74%
Hill Physicians Commercial|All Plans $559.57 ↓ -74%
Blue Shield CA Commercial|Exchange $2,781.10 ↑ +28%
Kaiser Commercial|All Plans $2,860.56 ↑ +32%
Blue Shield CA Commercial|ACO Trio $3,059.21 ↑ +41%
Aetna Commercial|HMO $3,257.86 ↑ +50%
Aetna Commercial|All Other Plans $3,257.86 ↑ +50%
Aetna Commercial|PPO $3,257.86 ↑ +50%
Cigna Commercial|PPO $3,456.51 ↑ +60%
Cigna Commercial|All Other Plans $3,456.51 ↑ +60%
Blue Shield CA Commercial|All Other Plans $3,694.89 ↑ +71%
First Health Commercial|All Plans $3,774.35 ↑ +74%
Healthsmart Commercial|All Plans $3,893.54 ↑ +80%
MultiPlan Commercial|All Plans $3,893.54 ↑ +80%
BCBS - Anthem Commercial|All Other Plans $4,651.00 ↑ +115%
United Commercial|Non-Options PPO $5,648.00 ↑ +161%
BCBS - Anthem Commercial|Exchange $8,088.00 ↑ +274%
United Commercial|All Other Plans $9,363.00 ↑ +332%
BCBS - Anthem Commercial|MCS $11,621.00 ↑ +437%
United Commercial|HMO $13,967.00 ↑ +545%
Health Net Commercial|FFS $15,926.00 ↑ +636%

Visitor-reported prices

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ER Visit (level 4) at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,112.96 $148.33 – $1,735.94
Banner Lassen Medical Center Susanville $2,826.36 $85.16 – $1,742.12
Petaluma Valley Hospital Petaluma $3,274.71 $562.31 – $573.78
Arroyo Grande Hospital Santa Maria $1,131.21 $98.04 – $2,255.96
Mark Twain Medical Center San Andreas $1,310.03 $92.10 – $348.88
French Hospital San Luis Obispo $992.55 $98.04 – $2,299.08
Mercy Hospitals – Bakersfield Bakersfield $1,184.98 $98.04 – $2,619.08
Bakersfield Memorial Hospital Bakersfield $1,172.20 $98.04 – $2,619.08

All California hospitals for this procedure →