Plcmnt biliary drainage cath w/img ext at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$7,176.02
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.
$13,167.00
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.
$1,225.61 with Partnership Health Plan vs $20,209.00 with Health Net — 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 | $1,225.61 | ↓ -83% |
| Partnership Health Plan | Medicaid|< 21 | $1,225.61 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $1,679.09 | ↓ -77% |
| Health Net | Medicaid|All Plans | $2,769.88 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $2,769.88 | ↓ -61% |
| Blue Shield CA | Commercial|Exchange | $4,244.00 | ↓ -41% |
| BCBS - Anthem | Commercial|Exchange | $4,601.00 | ↓ -36% |
| Humana | Commercial|All Plans | $4,637.54 | ↓ -35% |
| Humana | Medicare|All Plans | $4,637.54 | ↓ -35% |
| Aetna | Medicare|All Plans | $4,637.54 | ↓ -35% |
| United | Medicare|All Plans | $4,637.54 | ↓ -35% |
| Health Net | Medicare|All Plans | $4,637.54 | ↓ -35% |
| Kaiser | Medicare|All Plans | $4,637.54 | ↓ -35% |
| BCBS - Anthem | Medicare|All Plans | $4,637.54 | ↓ -35% |
| Blue Shield CA | Medicare|All Plans | $4,637.54 | ↓ -35% |
| Hill Physicians | Commercial|All Plans | $4,637.54 | ↓ -35% |
| BCBS - Anthem | Commercial|All Other Plans | $5,288.00 | ↓ -26% |
| Blue Shield CA | Commercial|ACO Trio | $5,423.00 | ↓ -24% |
| Blue Shield CA | Commercial|All Other Plans | $6,582.00 | ↓ -8% |
| BCBS - Anthem | Commercial|MCS | $6,610.00 | ↓ -8% |
| Aetna | Commercial|All Other Plans | $8,173.00 | ↑ +14% |
| Aetna | Commercial|PPO | $8,173.00 | ↑ +14% |
| Aetna | Commercial|HMO | $8,173.00 | ↑ +14% |
| United | Commercial|Non-Options PPO | $8,821.89 | ↑ +23% |
| Kaiser | Commercial|All Plans | $10,138.59 | ↑ +41% |
| Cigna | Commercial|All Other Plans | $11,455.29 | ↑ +60% |
| Cigna | Commercial|PPO | $11,455.29 | ↑ +60% |
| First Health | Commercial|All Plans | $12,508.65 | ↑ +74% |
| Healthsmart | Commercial|All Plans | $12,903.66 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $12,903.66 | ↑ +80% |
| United | Commercial|HMO | $13,167.00 | ↑ +83% |
| United | Commercial|All Other Plans | $13,167.00 | ↑ +83% |
| Health Net | Commercial|FFS | $20,209.00 | ↑ +182% |
Visitor-reported prices
Comments
Plcmnt biliary drainage cath w/img ext at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,075.64 | $1,854.22 – $8,890.24 |
| Arroyo Grande Hospital | Santa Maria | $5,416.34 | $1,225.61 – $6,716.92 |
| French Hospital | San Luis Obispo | $5,012.51 | $1,225.61 – $6,459.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,811.29 | $1,225.61 – $8,218.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,770.20 | $1,225.61 – $8,115.67 |
| Queen of The Valley Medical Center | Napa | $6,896.73 | $5,083.67 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,330.52 | $4,604.99 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,879.98 | $1,225.61 – $7,623.00 |