Smear gram stain at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$69.22
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.
$127.00
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.
$4.27 with Humana vs $123.48 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 |
|---|---|---|---|
| Humana | Commercial|All Plans | $4.27 | ↓ -94% |
| Humana | Medicare|All Plans | $4.27 | ↓ -94% |
| Aetna | Medicare|All Plans | $4.27 | ↓ -94% |
| United | Medicare|All Plans | $4.27 | ↓ -94% |
| Health Net | Medicare|All Plans | $4.27 | ↓ -94% |
| Kaiser | Medicare|All Plans | $4.27 | ↓ -94% |
| BCBS - Anthem | Medicare|All Plans | $4.27 | ↓ -94% |
| Blue Shield CA | Medicare|All Plans | $4.27 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $4.27 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $4.96 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $4.96 | ↓ -93% |
| United | Commercial|HMO | $5.12 | ↓ -93% |
| United | Commercial|All Other Plans | $5.12 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $7.22 | ↓ -90% |
| California Health & Wellness | Medicaid|All Plans | $11.21 | ↓ -84% |
| Health Net | Medicaid|All Plans | $11.21 | ↓ -84% |
| Aetna | Commercial|All Other Plans | $28.04 | ↓ -59% |
| Aetna | Commercial|HMO | $28.04 | ↓ -59% |
| Aetna | Commercial|PPO | $28.04 | ↓ -59% |
| BCBS - Anthem | Commercial|Exchange | $46.03 | ↓ -34% |
| BCBS - Anthem | Commercial|All Other Plans | $52.88 | ↓ -24% |
| BCBS - Anthem | Commercial|MCS | $66.13 | ↓ -4% |
| United | Commercial|Non-Options PPO | $84.42 | ↑ +22% |
| Kaiser | Commercial|All Plans | $97.02 | ↑ +40% |
| Blue Shield CA | Commercial|Exchange | $98.28 | ↑ +42% |
| Blue Shield CA | Commercial|ACO Trio | $104.58 | ↑ +51% |
| Cigna | Commercial|PPO | $109.62 | ↑ +58% |
| Cigna | Commercial|All Other Plans | $109.62 | ↑ +58% |
| Blue Shield CA | Commercial|All Other Plans | $117.18 | ↑ +69% |
| First Health | Commercial|All Plans | $119.70 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $123.48 | ↑ +78% |
| Healthsmart | Commercial|All Plans | $123.48 | ↑ +78% |
Visitor-reported prices
Comments
Smear gram stain at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $90.67 | $4.27 – $13.33 |
| Banner Lassen Medical Center | Susanville | $7.25 | $0.85 – $5.71 |
| Petaluma Valley Hospital | Petaluma | $301.92 | $4.18 – $34.84 |
| Arroyo Grande Hospital | Santa Maria | $104.01 | $4.27 – $11.76 |
| Mark Twain Medical Center | San Andreas | $117.22 | $4.27 – $10.47 |
| French Hospital | San Luis Obispo | $95.26 | $3.24 – $12.95 |
| Mercy Hospitals – Bakersfield | Bakersfield | $94.98 | $1.51 – $12.29 |
| Bakersfield Memorial Hospital | Bakersfield | $93.96 | $1.51 – $12.29 |