Inj mogamulizumab-kpkc, 1 mg at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$9,419.24
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.
$17,283.00
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.
$263.41 with Hill Physicians vs $16,937.34 with MultiPlan — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $263.41 | ↓ -97% |
| Blue Shield CA | Commercial|All Other Plans | $281.32 | ↓ -97% |
| Blue Shield CA | Commercial|ACO Trio | $281.32 | ↓ -97% |
| Blue Shield CA | Commercial|Exchange | $281.32 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $317.57 | ↓ -97% |
| Humana | Commercial|All Plans | $326.55 | ↓ -97% |
| Humana | Medicare|All Plans | $326.55 | ↓ -97% |
| Aetna | Medicare|All Plans | $326.55 | ↓ -97% |
| United | Medicare|All Plans | $326.55 | ↓ -97% |
| Health Net | Medicare|All Plans | $326.55 | ↓ -97% |
| Kaiser | Medicare|All Plans | $326.55 | ↓ -97% |
| BCBS - Anthem | Medicare|All Plans | $326.55 | ↓ -97% |
| Blue Shield CA | Medicare|All Plans | $326.55 | ↓ -97% |
| United | Commercial|All Other Plans | $401.48 | ↓ -96% |
| United | Commercial|HMO | $401.48 | ↓ -96% |
| BCBS - Anthem | Commercial|Exchange | $454.75 | ↓ -95% |
| BCBS - Anthem | Commercial|All Other Plans | $522.70 | ↓ -94% |
| Aetna | Commercial|HMO | $528.19 | ↓ -94% |
| Aetna | Commercial|PPO | $528.19 | ↓ -94% |
| Aetna | Commercial|All Other Plans | $528.19 | ↓ -94% |
| Health Net | Medicaid|All Plans | $550.60 | ↓ -94% |
| California Health & Wellness | Medicaid|All Plans | $550.60 | ↓ -94% |
| BCBS - Anthem | Commercial|MCS | $652.87 | ↓ -93% |
| Health Net | Commercial|FFS | $1,005.72 | ↓ -89% |
| United | Commercial|Non-Options PPO | $8,468.67 | ↓ -10% |
| Kaiser | Commercial|All Plans | $13,307.91 | ↑ +41% |
| Cigna | Commercial|PPO | $15,036.21 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $15,036.21 | ↑ +60% |
| First Health | Commercial|All Plans | $16,418.85 | ↑ +74% |
| Healthsmart | Commercial|All Plans | $16,937.34 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $16,937.34 | ↑ +80% |
Visitor-reported prices
Comments
Inj mogamulizumab-kpkc, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $328.79 | $202.68 – $585.51 |
| Bakersfield Memorial Hospital | Bakersfield | $6,643.44 | $315.74 – $14,300.58 |
| Queen of The Valley Medical Center | Napa | $11,383.97 | $253.47 – $523.80 |
| Providence St Joseph Hospital Eureka | Eureka | $11,383.97 | $253.47 – $523.80 |
| Dominican Hospital | Santa Cruz | $6,329.70 | $243.63 – $11,956.10 |
| Mercy Medical Center Redding | Redding | $3,458.76 | $243.63 – $6,685.56 |
| St. Elizabeth Community Hospital | Red Bluff | $3,984.05 | $243.63 – $6,685.56 |
| Petaluma Valley Hospital | Petaluma | not published | $248.40 – $523.80 |