Revita, per sq cm at Sierra Nevada Memorial Hospital

155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$15,243.11

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$27,969.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$166.13 with Partnership Health Plan vs $2,286.00 with United — 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 →

Payer
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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
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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 $166.13 ↓ -99%
Partnership Health Plan Medicaid|< 21 $166.13 ↓ -99%
BCBS - Anthem Medicaid|All Plans $227.60 ↓ -99%
BCBS - Anthem Commercial|Exchange $337.99 ↓ -98%
Health Net Medicaid|All Plans $375.45 ↓ -98%
California Health & Wellness Medicaid|All Plans $375.45 ↓ -98%
BCBS - Anthem Commercial|All Other Plans $388.49 ↓ -97%
BCBS - Anthem Commercial|MCS $485.23 ↓ -97%
United Commercial|Non-Options PPO $1,120.14 ↓ -93%
Hill Physicians Commercial|All Plans $1,155.47 ↓ -92%
Kaiser Commercial|All Plans $1,760.22 ↓ -88%
Blue Shield CA Commercial|Exchange $1,920.24 ↓ -87%
Cigna Commercial|PPO $1,988.82 ↓ -87%
Cigna Commercial|All Other Plans $1,988.82 ↓ -87%
Aetna Commercial|All Other Plans $2,080.26 ↓ -86%
Aetna Commercial|PPO $2,080.26 ↓ -86%
Aetna Commercial|HMO $2,080.26 ↓ -86%
Blue Shield CA Commercial|All Other Plans $2,125.98 ↓ -86%
Blue Shield CA Commercial|ACO Trio $2,125.98 ↓ -86%
First Health Commercial|All Plans $2,171.70 ↓ -86%
MultiPlan Commercial|All Plans $2,240.28 ↓ -85%
Healthsmart Commercial|All Plans $2,240.28 ↓ -85%
United Commercial|All Other Plans $2,286.00 ↓ -85%
United Commercial|HMO $2,286.00 ↓ -85%

Visitor-reported prices

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Revita, per sq cm at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $955.30 $166.13 – $2,187.36
French Hospital San Luis Obispo $874.95 $166.13 – $2,187.36
Mercy Hospitals – Bakersfield Bakersfield $9,788.84 $166.13 – $2,232.00
Bakersfield Memorial Hospital Bakersfield $9,683.30 $166.13 – $1,421.05
St. Joseph's Medical Center Stockton Stockton $3,878.75 $166.13 – $1,364.00
Mercy Medical Center Merced Merced $5,435.31 $166.13 – $952.32
California Hospital Medical Center Los Angeles $2,301.33 $149.52 – $3,748.55
St. Mary Medical Center Long Beach $12,824.75 $149.52 – $1,655.00

All California hospitals for this procedure →