Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$104.10
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.
$191.00
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.
$11.98 with Humana vs $180.32 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 | $11.98 | ↓ -88% |
| Humana | Medicare|All Plans | $11.98 | ↓ -88% |
| Aetna | Medicare|All Plans | $11.98 | ↓ -88% |
| United | Medicare|All Plans | $11.98 | ↓ -88% |
| Health Net | Medicare|All Plans | $11.98 | ↓ -88% |
| Kaiser | Medicare|All Plans | $11.98 | ↓ -88% |
| BCBS - Anthem | Medicare|All Plans | $11.98 | ↓ -88% |
| Blue Shield CA | Medicare|All Plans | $11.98 | ↓ -88% |
| Hill Physicians | Commercial|All Plans | $11.98 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $12.03 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $12.03 | ↓ -88% |
| United | Commercial|HMO | $14.38 | ↓ -86% |
| United | Commercial|All Other Plans | $14.38 | ↓ -86% |
| BCBS - Anthem | Medicaid|All Plans | $15.80 | ↓ -85% |
| California Health & Wellness | Medicaid|All Plans | $27.19 | ↓ -74% |
| Health Net | Medicaid|All Plans | $27.19 | ↓ -74% |
| Aetna | Commercial|All Other Plans | $60.98 | ↓ -41% |
| Aetna | Commercial|HMO | $60.98 | ↓ -41% |
| Aetna | Commercial|PPO | $60.98 | ↓ -41% |
| BCBS - Anthem | Commercial|Exchange | $96.92 | ↓ -7% |
| BCBS - Anthem | Commercial|All Other Plans | $111.34 | ↑ +7% |
| United | Commercial|Non-Options PPO | $123.28 | ↑ +18% |
| BCBS - Anthem | Commercial|MCS | $139.24 | ↑ +34% |
| Kaiser | Commercial|All Plans | $141.68 | ↑ +36% |
| Blue Shield CA | Commercial|Exchange | $143.52 | ↑ +38% |
| Blue Shield CA | Commercial|ACO Trio | $152.72 | ↑ +47% |
| Cigna | Commercial|PPO | $160.08 | ↑ +54% |
| Cigna | Commercial|All Other Plans | $160.08 | ↑ +54% |
| Blue Shield CA | Commercial|All Other Plans | $171.12 | ↑ +64% |
| First Health | Commercial|All Plans | $174.80 | ↑ +68% |
| MultiPlan | Commercial|All Plans | $180.32 | ↑ +73% |
| Healthsmart | Commercial|All Plans | $180.32 | ↑ +73% |
Visitor-reported prices
Comments
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $63.08 | $11.98 – $112.32 |
| Banner Lassen Medical Center | Susanville | $71.42 | $2.40 – $124.16 |
| Petaluma Valley Hospital | Petaluma | $227.46 | $11.74 – $73.37 |
| Arroyo Grande Hospital | Santa Maria | $146.81 | $8.58 – $30.88 |
| Mark Twain Medical Center | San Andreas | $109.23 | $11.98 – $160.72 |
| French Hospital | San Luis Obispo | $134.46 | $4.64 – $36.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $108.34 | $11.79 – $79.20 |
| Bakersfield Memorial Hospital | Bakersfield | $107.17 | $11.79 – $87.69 |