Pralatrexate injection at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$15,511.25
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.
$28,461.00
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.
$375.01 with BCBS - Anthem vs $24,322.62 with Healthsmart — 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 | Commercial|Exchange | $375.01 | ↓ -98% |
| Hill Physicians | Commercial|All Plans | $412.15 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $414.62 | ↓ -97% |
| BCBS - Anthem | Commercial|All Other Plans | $431.04 | ↓ -97% |
| Blue Shield CA | Commercial|ACO Trio | $440.19 | ↓ -97% |
| Blue Shield CA | Commercial|Exchange | $440.19 | ↓ -97% |
| Blue Shield CA | Commercial|All Other Plans | $440.19 | ↓ -97% |
| Humana | Commercial|All Plans | $510.95 | ↓ -97% |
| Humana | Medicare|All Plans | $510.95 | ↓ -97% |
| Aetna | Medicare|All Plans | $510.95 | ↓ -97% |
| United | Medicare|All Plans | $510.95 | ↓ -97% |
| Health Net | Medicare|All Plans | $510.95 | ↓ -97% |
| Kaiser | Medicare|All Plans | $510.95 | ↓ -97% |
| BCBS - Anthem | Medicare|All Plans | $510.95 | ↓ -97% |
| Blue Shield CA | Medicare|All Plans | $510.95 | ↓ -97% |
| BCBS - Anthem | Commercial|MCS | $538.38 | ↓ -97% |
| United | Commercial|All Other Plans | $616.72 | ↓ -96% |
| United | Commercial|HMO | $616.72 | ↓ -96% |
| Aetna | Commercial|All Other Plans | $810.33 | ↓ -95% |
| Aetna | Commercial|HMO | $810.33 | ↓ -95% |
| Aetna | Commercial|PPO | $810.33 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $844.72 | ↓ -95% |
| Health Net | Medicaid|All Plans | $844.72 | ↓ -95% |
| Health Net | Commercial|FFS | $1,573.68 | ↓ -90% |
| United | Commercial|Non-Options PPO | $12,161.31 | ↓ -22% |
| Kaiser | Commercial|All Plans | $19,110.63 | ↑ +23% |
| Cigna | Commercial|PPO | $21,592.53 | ↑ +39% |
| Cigna | Commercial|All Other Plans | $21,592.53 | ↑ +39% |
| First Health | Commercial|All Plans | $23,578.05 | ↑ +52% |
| MultiPlan | Commercial|All Plans | $24,322.62 | ↑ +57% |
| Healthsmart | Commercial|All Plans | $24,322.62 | ↑ +57% |
Visitor-reported prices
Comments
Pralatrexate injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $11,059.14 | $158.43 – $20,796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $10,939.91 | $332.04 – $20,536.05 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $18,313.88 | $275.25 – $803.61 |
| Dominican Hospital | Santa Cruz | $15,876.00 | $271.61 – $14,996.55 |
| Northridge Hospital Medical Center | Northridge | $9,055.79 | $185.33 – $16,232.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $20,786.08 | $377.90 – $803.61 |
| Providence Saint Joseph Medical Center | Burbank | $11,818.77 | $377.90 – $803.61 |
| St Jude Medical Center | Fullerton | $8,104.30 | $278.69 – $803.61 |