Inj., tildrakizumab, 1 mg at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$30,343.42
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.
$55,676.00
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.
$133.81 with Hill Physicians vs $54,562.48 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $133.81 | ↓ -100% |
| Humana | Medicare|All Plans | $165.89 | ↓ -99% |
| Humana | Commercial|All Plans | $165.89 | ↓ -99% |
| Aetna | Medicare|All Plans | $165.89 | ↓ -99% |
| United | Medicare|All Plans | $165.89 | ↓ -99% |
| Health Net | Medicare|All Plans | $165.89 | ↓ -99% |
| Kaiser | Medicare|All Plans | $165.89 | ↓ -99% |
| BCBS - Anthem | Medicare|All Plans | $165.89 | ↓ -99% |
| Blue Shield CA | Medicare|All Plans | $165.89 | ↓ -99% |
| BCBS - Anthem | Medicaid|All Plans | $200.95 | ↓ -99% |
| Blue Shield CA | Commercial|All Other Plans | $206.85 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $206.85 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $206.85 | ↓ -99% |
| United | Commercial|HMO | $219.75 | ↓ -99% |
| United | Commercial|All Other Plans | $219.75 | ↓ -99% |
| Aetna | Commercial|All Other Plans | $285.01 | ↓ -99% |
| Aetna | Commercial|HMO | $285.01 | ↓ -99% |
| Aetna | Commercial|PPO | $285.01 | ↓ -99% |
| California Health & Wellness | Medicaid|All Plans | $307.18 | ↓ -99% |
| Health Net | Medicaid|All Plans | $307.18 | ↓ -99% |
| Health Net | Commercial|FFS | $739.49 | ↓ -98% |
| BCBS - Anthem | Commercial|Exchange | $2,226.71 | ↓ -93% |
| BCBS - Anthem | Commercial|All Other Plans | $2,559.41 | ↓ -92% |
| BCBS - Anthem | Commercial|MCS | $3,196.76 | ↓ -89% |
| United | Commercial|Non-Options PPO | $27,281.24 | ↓ -10% |
| Kaiser | Commercial|All Plans | $42,870.52 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $48,438.12 | ↑ +60% |
| Cigna | Commercial|PPO | $48,438.12 | ↑ +60% |
| First Health | Commercial|All Plans | $52,892.20 | ↑ +74% |
| MultiPlan | Commercial|All Plans | $54,562.48 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $54,562.48 | ↑ +80% |
Visitor-reported prices
Comments
Inj., tildrakizumab, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $23,235.14 | $160.40 – $50,015.69 |
| St. Joseph's Medical Center Stockton | Stockton | $15,199.51 | $138.01 – $42,393.18 |
| Mercy Medical Center Merced | Merced | $16,384.73 | $135.92 – $29,906.10 |
| Petaluma Valley Hospital | Petaluma | not published | $115.84 – $1,234.81 |
| Queen of The Valley Medical Center | Napa | not published | $118.20 – $1,336.63 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $118.20 – $1,594.37 |
| Healdsburg Hospital | Healdsburg | not published | $118.20 – $3,148.46 |
| Redwood Memorial Hospital | Fortuna | not published | $252.48 – $1,598.28 |