Radphm lcl tmr spect/ct 2+ areas/2+ days at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$1,403.92
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.
$2,576.00
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.
$631.33 with Partnership Health Plan vs $2,576.00 with BCBS - Anthem — 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 | $631.33 | ↓ -55% |
| Partnership Health Plan | Medicaid|< 21 | $631.33 | ↓ -55% |
| BCBS - Anthem | Medicaid|All Plans | $864.92 | ↓ -38% |
| California Health & Wellness | Medicaid|All Plans | $1,426.81 | ↑ +2% |
| Health Net | Medicaid|All Plans | $1,426.81 | ↑ +2% |
| Hill Physicians | Commercial|All Plans | $1,715.53 | ↑ +22% |
| Humana | Medicare|All Plans | $1,715.53 | ↑ +22% |
| Aetna | Medicare|All Plans | $1,715.53 | ↑ +22% |
| United | Medicare|All Plans | $1,715.53 | ↑ +22% |
| Health Net | Medicare|All Plans | $1,715.53 | ↑ +22% |
| Kaiser | Medicare|All Plans | $1,715.53 | ↑ +22% |
| BCBS - Anthem | Medicare|All Plans | $1,715.53 | ↑ +22% |
| Blue Shield CA | Medicare|All Plans | $1,715.53 | ↑ +22% |
| Humana | Commercial|All Plans | $1,715.53 | ↑ +22% |
| United | Commercial|Non-Options PPO | $1,725.92 | ↑ +23% |
| Kaiser | Commercial|All Plans | $1,983.52 | ↑ +41% |
| BCBS - Anthem | Commercial|Exchange | $2,215.36 | ↑ +58% |
| Cigna | Commercial|All Other Plans | $2,241.12 | ↑ +60% |
| Cigna | Commercial|PPO | $2,241.12 | ↑ +60% |
| First Health | Commercial|All Plans | $2,447.20 | ↑ +74% |
| Healthsmart | Commercial|All Plans | $2,524.48 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $2,524.48 | ↑ +80% |
| BCBS - Anthem | Commercial|All Other Plans | $2,550.24 | ↑ +82% |
| United | Commercial|All Other Plans | $2,576.00 | ↑ +83% |
| Aetna | Commercial|PPO | $2,576.00 | ↑ +83% |
| United | Commercial|HMO | $2,576.00 | ↑ +83% |
| Aetna | Commercial|All Other Plans | $2,576.00 | ↑ +83% |
| Aetna | Commercial|HMO | $2,576.00 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $2,576.00 | ↑ +83% |
Visitor-reported prices
Comments
Radphm lcl tmr spect/ct 2+ areas/2+ days at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,446.28 | $891.54 – $6,326.24 |
| Banner Lassen Medical Center | Susanville | $1,158.82 | $261.10 – $1,675.19 |
| Mercy Hospitals – Bakersfield | Bakersfield | $974.25 | $631.33 – $6,851.62 |
| Bakersfield Memorial Hospital | Bakersfield | $963.75 | $631.33 – $6,851.62 |
| St. Joseph's Medical Center Stockton | Stockton | $1,214.81 | $459.27 – $2,187.00 |
| Mercy Medical Center Merced | Merced | $884.26 | $309.00 – $1,717.00 |
| Dominican Hospital | Santa Cruz | $3,679.20 | $631.33 – $21,349.91 |
| Northridge Hospital Medical Center | Northridge | $1,293.73 | $631.33 – $4,637.00 |