Reptilase test at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$5.84
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.
$10.71
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.
$7.18 with United vs $10.71 with Partnership Health Plan — 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 |
|---|---|---|---|
| United | Commercial|Non-Options PPO | $7.18 | ↑ +23% |
| Kaiser | Commercial|All Plans | $8.25 | ↑ +41% |
| Blue Shield CA | Commercial|Exchange | $8.36 | ↑ +43% |
| Blue Shield CA | Commercial|ACO Trio | $8.89 | ↑ +52% |
| BCBS - Anthem | Commercial|Exchange | $9.22 | ↑ +58% |
| Cigna | Commercial|PPO | $9.32 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $9.32 | ↑ +60% |
| Hill Physicians | Commercial|All Plans | $9.85 | ↑ +69% |
| Humana | Medicare|All Plans | $9.85 | ↑ +69% |
| Aetna | Medicare|All Plans | $9.85 | ↑ +69% |
| United | Medicare|All Plans | $9.85 | ↑ +69% |
| Health Net | Medicare|All Plans | $9.85 | ↑ +69% |
| Kaiser | Medicare|All Plans | $9.85 | ↑ +69% |
| BCBS - Anthem | Medicare|All Plans | $9.85 | ↑ +69% |
| Blue Shield CA | Medicare|All Plans | $9.85 | ↑ +69% |
| Humana | Commercial|All Plans | $9.85 | ↑ +69% |
| Blue Shield CA | Commercial|All Other Plans | $9.97 | ↑ +71% |
| First Health | Commercial|All Plans | $10.18 | ↑ +74% |
| Healthsmart | Commercial|All Plans | $10.50 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $10.50 | ↑ +80% |
| BCBS - Anthem | Commercial|All Other Plans | $10.61 | ↑ +82% |
| Aetna | Commercial|All Other Plans | $10.71 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $10.71 | ↑ +83% |
| Aetna | Commercial|PPO | $10.71 | ↑ +83% |
| California Health & Wellness | Medicaid|All Plans | $10.71 | ↑ +83% |
| United | Commercial|HMO | $10.71 | ↑ +83% |
| United | Commercial|All Other Plans | $10.71 | ↑ +83% |
| Health Net | Medicaid|All Plans | $10.71 | ↑ +83% |
| Partnership Health Plan | Medicaid|< 21 | $10.71 | ↑ +83% |
| Aetna | Commercial|HMO | $10.71 | ↑ +83% |
| BCBS - Anthem | Medicaid|All Plans | $10.71 | ↑ +83% |
| Partnership Health Plan | Medicaid|> 21 | $10.71 | ↑ +83% |
Visitor-reported prices
Comments
Reptilase test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $23.84 | $1.97 – $38.80 |
| Arroyo Grande Hospital | Santa Maria | $10.69 | $9.85 – $25.37 |
| French Hospital | San Luis Obispo | $9.79 | $6.36 – $29.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9.27 | $9.85 – $28.29 |
| Bakersfield Memorial Hospital | Bakersfield | $9.17 | $9.85 – $28.29 |
| St. Joseph's Behavioral Health Center | Stockton | $14.26 | $2.36 – $18.84 |
| St. Joseph's Medical Center Stockton | Stockton | $7.35 | $4.95 – $23.54 |
| Mercy Medical Center Merced | Merced | $12.86 | $6.83 – $22.13 |