Stent iliac/open/perc/ea ad/ipsila 37223 at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$10,971.94
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.
$20,132.00
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.
$182.43 with Partnership Health Plan vs $20,132.00 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 →
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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 | $182.43 | ↓ -98% |
| Partnership Health Plan | Medicaid|< 21 | $182.43 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $249.78 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $412.29 | ↓ -96% |
| Health Net | Medicaid|All Plans | $412.29 | ↓ -96% |
| BCBS - Anthem | Commercial|Exchange | $4,601.00 | ↓ -58% |
| Blue Shield CA | Commercial|Exchange | $5,248.00 | ↓ -52% |
| BCBS - Anthem | Commercial|All Other Plans | $5,288.00 | ↓ -52% |
| Aetna | Commercial|PPO | $5,838.00 | ↓ -47% |
| Aetna | Commercial|All Other Plans | $5,838.00 | ↓ -47% |
| Aetna | Commercial|HMO | $5,838.00 | ↓ -47% |
| BCBS - Anthem | Commercial|MCS | $6,610.00 | ↓ -40% |
| Blue Shield CA | Commercial|ACO Trio | $6,706.00 | ↓ -39% |
| Blue Shield CA | Commercial|All Other Plans | $8,139.00 | ↓ -26% |
| United | Commercial|Non-Options PPO | $13,488.44 | ↑ +23% |
| Kaiser | Commercial|All Plans | $15,501.64 | ↑ +41% |
| Cigna | Commercial|PPO | $17,514.84 | ↑ +60% |
| Cigna | Commercial|All Other Plans | $17,514.84 | ↑ +60% |
| First Health | Commercial|All Plans | $19,125.40 | ↑ +74% |
| Healthsmart | Commercial|All Plans | $19,729.36 | ↑ +80% |
| MultiPlan | Commercial|All Plans | $19,729.36 | ↑ +80% |
| United | Commercial|HMO | $20,132.00 | ↑ +83% |
| United | Commercial|All Other Plans | $20,132.00 | ↑ +83% |
Visitor-reported prices
Comments
Stent iliac/open/perc/ea ad/ipsila 37223 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $12,420.37 | $276.00 – $22,117.68 |
| Arroyo Grande Hospital | Santa Maria | $7,227.21 | $182.32 – $16,067.10 |
| French Hospital | San Luis Obispo | $6,426.84 | $182.32 – $15,584.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11,196.78 | $182.43 – $6,198.85 |
| Bakersfield Memorial Hospital | Bakersfield | $11,076.06 | $182.43 – $6,895.35 |
| Queen of The Valley Medical Center | Napa | $11,234.79 | $6,200.00 – $24,453.00 |
| Providence St Joseph Hospital Eureka | Eureka | $8,310.96 | $8,018.00 – $24,039.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,753.50 | $0.80 – $2,770.32 |