Lung function test (mbc/mvv) at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$195.66
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.
$359.00
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.
$18.82 with Partnership Health Plan vs $359.00 with United — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $18.82 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $18.82 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $32.22 | ↓ -84% |
| Health Net | Medicaid|All Plans | $67.44 | ↓ -66% |
| California Health & Wellness | Medicaid|All Plans | $67.44 | ↓ -66% |
| Humana | Commercial|All Plans | $78.06 | ↓ -60% |
| Humana | Medicare|All Plans | $78.06 | ↓ -60% |
| Aetna | Medicare|All Plans | $78.06 | ↓ -60% |
| United | Medicare|All Plans | $78.06 | ↓ -60% |
| Health Net | Medicare|All Plans | $78.06 | ↓ -60% |
| Kaiser | Medicare|All Plans | $78.06 | ↓ -60% |
| BCBS - Anthem | Medicare|All Plans | $78.06 | ↓ -60% |
| Blue Shield CA | Medicare|All Plans | $78.06 | ↓ -60% |
| Hill Physicians | Commercial|All Plans | $78.06 | ↓ -60% |
| BCBS - Anthem | Commercial|Exchange | $96.05 | ↓ -51% |
| BCBS - Anthem | Commercial|All Other Plans | $110.34 | ↓ -44% |
| BCBS - Anthem | Commercial|MCS | $137.99 | ↓ -29% |
| United | Commercial|Non-Options PPO | $240.53 | ↑ +23% |
| Kaiser | Commercial|All Plans | $276.43 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $312.33 | ↑ +60% |
| Cigna | Commercial|PPO | $312.33 | ↑ +60% |
| First Health | Commercial|All Plans | $341.05 | ↑ +74% |
| MultiPlan | Commercial|All Plans | $351.82 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $351.82 | ↑ +80% |
| United | Commercial|HMO | $359.00 | ↑ +83% |
| United | Commercial|All Other Plans | $359.00 | ↑ +83% |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $253.17 | $23.15 – $450.84 |
| Queen of The Valley Medical Center | Napa | $242.76 | $83.76 – $91.88 |
| Providence St Joseph Hospital Eureka | Eureka | $97.41 | $75.87 – $104.20 |
| Redwood Memorial Hospital | Fortuna | $262.65 | $104.44 – $104.44 |
| Santa Rosa Memorial Hospital | Santa Rosa | $87.72 | $78.17 – $83.76 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $98.88 | $64.49 – $140.37 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $858.14 | $31.99 – $1,080.94 |
| Dominican Hospital | Santa Cruz | $98.10 | $18.82 – $255.44 |