Plc pq device breast ea addl lesion stereo guide at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$1,109.08
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.
$2,035.00
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.
$186.15 with Partnership Health Plan vs $5,838.00 with Aetna — 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 | $186.15 | ↓ -83% |
| Partnership Health Plan | Medicaid|> 21 | $186.15 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $255.03 | ↓ -77% |
| Health Net | Medicaid|All Plans | $420.70 | ↓ -62% |
| California Health & Wellness | Medicaid|All Plans | $420.70 | ↓ -62% |
| United | Commercial|Non-Options PPO | $1,363.45 | ↑ +23% |
| Kaiser | Commercial|All Plans | $1,566.95 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $1,770.45 | ↑ +60% |
| Cigna | Commercial|PPO | $1,770.45 | ↑ +60% |
| First Health | Commercial|All Plans | $1,933.25 | ↑ +74% |
| Healthsmart | Commercial|All Plans | $1,994.30 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $1,994.30 | ↑ +80% |
| United | Commercial|All Other Plans | $2,035.00 | ↑ +83% |
| United | Commercial|HMO | $2,035.00 | ↑ +83% |
| BCBS - Anthem | Commercial|Exchange | $3,285.00 | ↑ +196% |
| BCBS - Anthem | Commercial|All Other Plans | $3,776.00 | ↑ +240% |
| BCBS - Anthem | Commercial|MCS | $4,720.00 | ↑ +326% |
| Aetna | Commercial|HMO | $5,838.00 | ↑ +426% |
| Aetna | Commercial|PPO | $5,838.00 | ↑ +426% |
| Aetna | Commercial|All Other Plans | $5,838.00 | ↑ +426% |
Visitor-reported prices
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Plc pq device breast ea addl lesion stereo guide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $183.53 | $113.13 – $326.82 |
| Petaluma Valley Hospital | Petaluma | $597.72 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $2,063.39 | $186.15 – $4,529.56 |
| French Hospital | San Luis Obispo | $818.11 | $107.46 – $390.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $313.50 | $186.15 – $665.72 |
| Bakersfield Memorial Hospital | Bakersfield | $310.12 | $186.15 – $740.52 |
| Queen of The Valley Medical Center | Napa | $592.11 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $681.87 | $2,699.00 – $21,319.00 |