Hla typing a b or c 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

$128.08

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.

$235.00

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.

$58.00 with Humana vs $235.00 with BCBS - Anthem — 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
Humana Commercial|All Plans $58.00 ↓ -55%
Humana Medicare|All Plans $58.00 ↓ -55%
Aetna Medicare|All Plans $58.00 ↓ -55%
United Medicare|All Plans $58.00 ↓ -55%
Health Net Medicare|All Plans $58.00 ↓ -55%
Kaiser Medicare|All Plans $58.00 ↓ -55%
BCBS - Anthem Medicare|All Plans $58.00 ↓ -55%
Blue Shield CA Medicare|All Plans $58.00 ↓ -55%
Hill Physicians Commercial|All Plans $58.00 ↓ -55%
United Commercial|HMO $69.60 ↓ -46%
United Commercial|All Other Plans $69.60 ↓ -46%
Partnership Health Plan Medicaid|< 21 $73.94 ↓ -42%
Partnership Health Plan Medicaid|> 21 $73.94 ↓ -42%
BCBS - Anthem Medicaid|All Plans $79.20 ↓ -38%
United Commercial|Non-Options PPO $157.45 ↑ +23%
California Health & Wellness Medicaid|All Plans $167.10 ↑ +30%
Health Net Medicaid|All Plans $167.10 ↑ +30%
Kaiser Commercial|All Plans $180.95 ↑ +41%
Blue Shield CA Commercial|Exchange $183.30 ↑ +43%
Blue Shield CA Commercial|ACO Trio $195.05 ↑ +52%
BCBS - Anthem Commercial|Exchange $202.10 ↑ +58%
Cigna Commercial|PPO $204.45 ↑ +60%
Cigna Commercial|All Other Plans $204.45 ↑ +60%
Blue Shield CA Commercial|All Other Plans $218.55 ↑ +71%
First Health Commercial|All Plans $223.25 ↑ +74%
MultiPlan Commercial|All Plans $230.30 ↑ +80%
Healthsmart Commercial|All Plans $230.30 ↑ +80%
BCBS - Anthem Commercial|All Other Plans $232.65 ↑ +82%
Aetna Commercial|HMO $235.00 ↑ +83%
Aetna Commercial|PPO $235.00 ↑ +83%
Aetna Commercial|All Other Plans $235.00 ↑ +83%
BCBS - Anthem Commercial|MCS $235.00 ↑ +83%

Visitor-reported prices

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Hla typing a b or c at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $133.56 $58.00 – $288.00
Bakersfield Memorial Hospital Bakersfield $132.12 $58.00 – $284.40
St. Joseph's Behavioral Health Center Stockton $205.56 $36.00 – $288.00
St. Joseph's Medical Center Stockton Stockton $105.84 $49.30 – $295.20
Santa Rosa Memorial Hospital Santa Rosa $172.38 $56.84 – $508.92
Mercy Medical Center Merced Merced $185.40 $58.00 – $338.40
Providence Cedars-Sinai Tarzana Medical Center Tarzana $112.46 $58.00 – $154.75
St. Mary Medical Center Long Beach $172.00 $57.81 – $369.70

All California hospitals for this procedure →