Inj hydroxocobalamin IV 25mg at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$2,284.64
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.
$4,192.00
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.
$1,336.72 with United vs $2,728.00 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 →
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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 |
|---|---|---|---|
| United | Commercial|Non-Options PPO | $1,336.72 | ↓ -41% |
| BCBS - Anthem | Commercial|Exchange | $1,991.44 | ↓ -13% |
| Kaiser | Commercial|All Plans | $2,100.56 | ↓ -8% |
| BCBS - Anthem | Commercial|All Other Plans | $2,291.52 | ↑ +0% |
| Cigna | Commercial|PPO | $2,373.36 | ↑ +4% |
| Cigna | Commercial|All Other Plans | $2,373.36 | ↑ +4% |
| First Health | Commercial|All Plans | $2,591.60 | ↑ +13% |
| Healthsmart | Commercial|All Plans | $2,673.44 | ↑ +17% |
| MultiPlan | Commercial|All Plans | $2,673.44 | ↑ +17% |
| United | Commercial|HMO | $2,728.00 | ↑ +19% |
| United | Commercial|All Other Plans | $2,728.00 | ↑ +19% |
| BCBS - Anthem | Commercial|MCS | $2,728.00 | ↑ +19% |
Visitor-reported prices
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Inj hydroxocobalamin IV 25mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,314.00 | $810.00 – $2,340.00 |
| Arroyo Grande Hospital | Santa Maria | $5,125.73 | $5,389.20 – $11,736.48 |
| French Hospital | San Luis Obispo | $4,694.60 | $3,233.52 – $11,736.48 |
| St. Joseph's Medical Center Stockton | Stockton | $1,144.55 | $100.00 – $2,127.72 |
| Mercy Medical Center Merced | Merced | $2,405.57 | $760.00 – $3,009.60 |
| California Hospital Medical Center | Los Angeles | $2,657.80 | $1,370.00 – $4,329.20 |
| St. Mary Medical Center | Long Beach | $4,250.55 | $100.00 – $9,885.00 |
| Glendale Memorial Hospital Health Center | Glendale | $4,037.19 | $1,981.44 – $9,907.20 |