Kit lead specify 5-6-5 at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$19,815.11
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.
$36,358.00
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.
$1,881.50 with BCBS - Anthem vs $7,375.48 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $1,881.50 | ↓ -91% |
| California Health & Wellness | Medicaid|All Plans | $2,107.28 | ↓ -89% |
| Health Net | Medicaid|All Plans | $2,107.28 | ↓ -89% |
| United | Commercial|Non-Options PPO | $3,687.74 | ↓ -81% |
| United | Commercial|HMO | $5,117.68 | ↓ -74% |
| Kaiser | Commercial|All Plans | $5,795.02 | ↓ -71% |
| United | Commercial|All Other Plans | $6,246.58 | ↓ -68% |
| Blue Shield CA | Commercial|Exchange | $6,321.84 | ↓ -68% |
| BCBS - Anthem | Commercial|Exchange | $6,397.10 | ↓ -68% |
| Cigna | Commercial|All Other Plans | $6,547.62 | ↓ -67% |
| Cigna | Commercial|PPO | $6,547.62 | ↓ -67% |
| Aetna | Commercial|All Other Plans | $6,848.66 | ↓ -65% |
| Aetna | Commercial|HMO | $6,848.66 | ↓ -65% |
| Aetna | Commercial|PPO | $6,848.66 | ↓ -65% |
| Blue Shield CA | Commercial|All Other Plans | $6,999.18 | ↓ -65% |
| Blue Shield CA | Commercial|ACO Trio | $6,999.18 | ↓ -65% |
| First Health | Commercial|All Plans | $7,149.70 | ↓ -64% |
| Healthsmart | Commercial|All Plans | $7,375.48 | ↓ -63% |
| BCBS - Anthem | Commercial|All Other Plans | $7,375.48 | ↓ -63% |
| BCBS - Anthem | Commercial|MCS | $7,375.48 | ↓ -63% |
| MultiPlan | Commercial|All Plans | $7,375.48 | ↓ -63% |
Visitor-reported prices
Comments
Kit lead specify 5-6-5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,578.26 | $535.68 – $1,740.96 |
| Banner Lassen Medical Center | Susanville | $18,613.05 | $2,849.50 – $6,741.50 |
| Petaluma Valley Hospital | Petaluma | $57,757.50 | not published |
| Arroyo Grande Hospital | Santa Maria | $13,212.36 | $36.34 – $154.84 |
| Mark Twain Medical Center | San Andreas | $17,820.17 | $6,922.04 – $26,221.86 |
| French Hospital | San Luis Obispo | $12,101.04 | $30.02 – $154.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12,725.30 | $281.25 – $1,012.50 |
| Bakersfield Memorial Hospital | Bakersfield | $12,588.10 | $281.25 – $1,091.25 |