Lithium therapeutic drug level at Sierra Nevada Memorial Hospital

155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$93.20

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.

Full explanation →

What you pay up front if you don't use insurance.

$171.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.61 with Humana vs $165.62 with Healthsmart — same scan, same building. Share

Negotiated rates by payer
?

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
Humana Commercial|All Plans $6.61 ↓ -93%
Humana Medicare|All Plans $6.61 ↓ -93%
Aetna Medicare|All Plans $6.61 ↓ -93%
United Medicare|All Plans $6.61 ↓ -93%
Health Net Medicare|All Plans $6.61 ↓ -93%
Kaiser Medicare|All Plans $6.61 ↓ -93%
BCBS - Anthem Medicare|All Plans $6.61 ↓ -93%
Blue Shield CA Medicare|All Plans $6.61 ↓ -93%
Hill Physicians Commercial|All Plans $6.61 ↓ -93%
United Commercial|HMO $7.93 ↓ -91%
United Commercial|All Other Plans $7.93 ↓ -91%
Partnership Health Plan Medicaid|< 21 $8.43 ↓ -91%
Partnership Health Plan Medicaid|> 21 $8.43 ↓ -91%
BCBS - Anthem Medicaid|All Plans $11.65 ↓ -88%
California Health & Wellness Medicaid|All Plans $19.05 ↓ -80%
Health Net Medicaid|All Plans $19.05 ↓ -80%
Aetna Commercial|All Other Plans $43.39 ↓ -53%
Aetna Commercial|HMO $43.39 ↓ -53%
Aetna Commercial|PPO $43.39 ↓ -53%
BCBS - Anthem Commercial|Exchange $71.22 ↓ -24%
BCBS - Anthem Commercial|All Other Plans $81.82 ↓ -12%
BCBS - Anthem Commercial|MCS $102.32 ↑ +10%
United Commercial|Non-Options PPO $113.23 ↑ +21%
Kaiser Commercial|All Plans $130.13 ↑ +40%
Blue Shield CA Commercial|Exchange $131.82 ↑ +41%
Blue Shield CA Commercial|ACO Trio $140.27 ↑ +51%
Cigna Commercial|PPO $147.03 ↑ +58%
Cigna Commercial|All Other Plans $147.03 ↑ +58%
Blue Shield CA Commercial|All Other Plans $157.17 ↑ +69%
First Health Commercial|All Plans $160.55 ↑ +72%
MultiPlan Commercial|All Plans $165.62 ↑ +78%
Healthsmart Commercial|All Plans $165.62 ↑ +78%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Lithium therapeutic drug level at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $139.29 $6.61 – $20.63
Banner Lassen Medical Center Susanville $12.52 $1.32 – $19.40
Petaluma Valley Hospital Petaluma $97.92 $6.48 – $53.91
Arroyo Grande Hospital Santa Maria $122.41 $6.61 – $22.54
Mark Twain Medical Center San Andreas $85.92 $6.61 – $16.20
French Hospital San Luis Obispo $112.12 $6.21 – $22.54
Mercy Hospitals – Bakersfield Bakersfield $57.51 $6.61 – $55.20
Bakersfield Memorial Hospital Bakersfield $56.89 $6.61 – $54.51

All California hospitals for this procedure →