Heparin-protamine tolerance at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$218.55
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.
$401.00
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.
$13.09 with Humana vs $392.98 with Healthsmart — 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 |
|---|---|---|---|
| Humana | Commercial|All Plans | $13.09 | ↓ -94% |
| Humana | Medicare|All Plans | $13.09 | ↓ -94% |
| Aetna | Medicare|All Plans | $13.09 | ↓ -94% |
| United | Medicare|All Plans | $13.09 | ↓ -94% |
| Health Net | Medicare|All Plans | $13.09 | ↓ -94% |
| Kaiser | Medicare|All Plans | $13.09 | ↓ -94% |
| BCBS - Anthem | Medicare|All Plans | $13.09 | ↓ -94% |
| Blue Shield CA | Medicare|All Plans | $13.09 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $13.09 | ↓ -94% |
| United | Commercial|HMO | $15.71 | ↓ -93% |
| United | Commercial|All Other Plans | $15.71 | ↓ -93% |
| Partnership Health Plan | Medicaid|< 21 | $16.70 | ↓ -92% |
| Partnership Health Plan | Medicaid|> 21 | $16.70 | ↓ -92% |
| BCBS - Anthem | Medicaid|All Plans | $25.98 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $37.74 | ↓ -83% |
| Health Net | Medicaid|All Plans | $37.74 | ↓ -83% |
| Aetna | Commercial|All Other Plans | $93.07 | ↓ -57% |
| Aetna | Commercial|HMO | $93.07 | ↓ -57% |
| Aetna | Commercial|PPO | $93.07 | ↓ -57% |
| BCBS - Anthem | Commercial|Exchange | $129.81 | ↓ -41% |
| BCBS - Anthem | Commercial|All Other Plans | $149.12 | ↓ -32% |
| BCBS - Anthem | Commercial|MCS | $186.49 | ↓ -15% |
| United | Commercial|Non-Options PPO | $268.67 | ↑ +23% |
| Kaiser | Commercial|All Plans | $308.77 | ↑ +41% |
| Blue Shield CA | Commercial|Exchange | $312.78 | ↑ +43% |
| Blue Shield CA | Commercial|ACO Trio | $332.83 | ↑ +52% |
| Cigna | Commercial|PPO | $348.87 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $348.87 | ↑ +60% |
| Blue Shield CA | Commercial|All Other Plans | $372.93 | ↑ +71% |
| First Health | Commercial|All Plans | $380.95 | ↑ +74% |
| MultiPlan | Commercial|All Plans | $392.98 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $392.98 | ↑ +80% |
Visitor-reported prices
Comments
Heparin-protamine tolerance at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $107.31 | $13.09 – $191.10 |
| Northridge Hospital Medical Center | Northridge | $74.50 | $13.09 – $267.00 |
| Providence St Joseph Hospital Orange | Orange | $76.80 | $11.13 – $26.18 |
| Mercy San Juan Medical Center | Carmichael | $63.57 | $11.64 – $192.56 |
| Mercy General Hospital | Sacramento | $50.58 | $11.64 – $185.60 |
| Mercy Hospital of Folsom | Folsom | $90.25 | $11.64 – $190.24 |
| Woodland Memorial Hospital | Woodland | $63.57 | $11.64 – $232.00 |
| Methodist Hospital of Sacramento | Sacramento | $66.82 | $11.64 – $192.56 |