Ercp biliary & pancreas at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$1,380.49
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.
$2,533.00
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.
$165.14 with Partnership Health Plan vs $917.00 with United — 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 | $165.14 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $165.14 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $226.24 | ↓ -84% |
| California Health & Wellness | Medicaid|All Plans | $373.22 | ↓ -73% |
| Health Net | Medicaid|All Plans | $373.22 | ↓ -73% |
| United | Commercial|Non-Options PPO | $614.39 | ↓ -55% |
| Aetna | Commercial|PPO | $628.32 | ↓ -54% |
| Aetna | Commercial|HMO | $628.32 | ↓ -54% |
| Aetna | Commercial|All Other Plans | $628.32 | ↓ -54% |
| Kaiser | Commercial|All Plans | $706.09 | ↓ -49% |
| BCBS - Anthem | Commercial|Exchange | $788.62 | ↓ -43% |
| Cigna | Commercial|All Other Plans | $797.79 | ↓ -42% |
| Cigna | Commercial|PPO | $797.79 | ↓ -42% |
| First Health | Commercial|All Plans | $871.15 | ↓ -37% |
| Healthsmart | Commercial|All Plans | $898.66 | ↓ -35% |
| MultiPlan | Commercial|All Plans | $898.66 | ↓ -35% |
| BCBS - Anthem | Commercial|All Other Plans | $907.83 | ↓ -34% |
| BCBS - Anthem | Commercial|MCS | $917.00 | ↓ -34% |
| United | Commercial|HMO | $917.00 | ↓ -34% |
| United | Commercial|All Other Plans | $917.00 | ↓ -34% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,772.59 | $249.84 – $3,156.66 |
| Arroyo Grande Hospital | Santa Maria | $1,124.36 | $165.14 – $2,471.56 |
| Mark Twain Medical Center | San Andreas | $662.01 | $165.14 – $806.54 |
| French Hospital | San Luis Obispo | $988.63 | $165.14 – $2,009.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $645.17 | $165.14 – $1,252.00 |
| Bakersfield Memorial Hospital | Bakersfield | $638.22 | $165.14 – $1,549.35 |
| Queen of The Valley Medical Center | Napa | $2,008.38 | $924.55 – $981.34 |
| Providence St Joseph Hospital Eureka | Eureka | $4,122.84 | $1,048.44 – $1,048.44 |