Injection, fulvestrant at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$4,337.11
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.
$7,958.00
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.
$7.40 with Hill Physicians vs $726.18 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 | $7.40 | ↓ -100% |
| Humana | Medicare|All Plans | $9.17 | ↓ -100% |
| Humana | Commercial|All Plans | $9.17 | ↓ -100% |
| Aetna | Medicare|All Plans | $9.17 | ↓ -100% |
| United | Medicare|All Plans | $9.17 | ↓ -100% |
| Health Net | Medicare|All Plans | $9.17 | ↓ -100% |
| Kaiser | Medicare|All Plans | $9.17 | ↓ -100% |
| BCBS - Anthem | Medicare|All Plans | $9.17 | ↓ -100% |
| Blue Shield CA | Medicare|All Plans | $9.17 | ↓ -100% |
| United | Commercial|HMO | $10.99 | ↓ -100% |
| United | Commercial|All Other Plans | $10.99 | ↓ -100% |
| Aetna | Commercial|All Other Plans | $14.96 | ↓ -100% |
| Aetna | Commercial|HMO | $14.96 | ↓ -100% |
| Aetna | Commercial|PPO | $14.96 | ↓ -100% |
| BCBS - Anthem | Medicaid|All Plans | $17.56 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $19.50 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $19.50 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio | $19.50 | ↓ -100% |
| California Health & Wellness | Medicaid|All Plans | $25.67 | ↓ -99% |
| Health Net | Medicaid|All Plans | $25.67 | ↓ -99% |
| Health Net | Commercial|FFS | $69.71 | ↓ -98% |
| BCBS - Anthem | Commercial|Exchange | $196.76 | ↓ -95% |
| BCBS - Anthem | Commercial|All Other Plans | $226.16 | ↓ -95% |
| BCBS - Anthem | Commercial|MCS | $282.47 | ↓ -93% |
| United | Commercial|Non-Options PPO | $363.09 | ↓ -92% |
| Kaiser | Commercial|All Plans | $570.57 | ↓ -87% |
| Cigna | Commercial|All Other Plans | $644.67 | ↓ -85% |
| Cigna | Commercial|PPO | $644.67 | ↓ -85% |
| First Health | Commercial|All Plans | $703.95 | ↓ -84% |
| MultiPlan | Commercial|All Plans | $726.18 | ↓ -83% |
| Healthsmart | Commercial|All Plans | $726.18 | ↓ -83% |
Visitor-reported prices
Comments
Injection, fulvestrant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $144.83 | $8.86 – $257.91 |
| Mark Twain Medical Center | San Andreas | $2,744.26 | $1,065.98 – $4,038.09 |
| French Hospital | San Luis Obispo | $470.40 | $8.86 – $1,176.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,092.29 | $8.86 – $621.60 |
| Bakersfield Memorial Hospital | Bakersfield | $3,058.95 | $8.86 – $613.83 |
| Queen of The Valley Medical Center | Napa | $375.64 | $13.79 – $118.11 |
| Providence St Joseph Hospital Eureka | Eureka | $375.64 | $13.95 – $140.88 |
| St. Joseph's Medical Center Stockton | Stockton | $2,000.97 | $8.41 – $519.88 |