Susceptibility enzyme detection per enzyme at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$29.43
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.
$54.00
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.
$1.21 with Partnership Health Plan vs $25.00 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 | $1.21 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $1.21 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $1.66 | ↓ -94% |
| California Health & Wellness | Medicaid|All Plans | $2.73 | ↓ -91% |
| Health Net | Medicaid|All Plans | $2.73 | ↓ -91% |
| Humana | Commercial|All Plans | $4.75 | ↓ -84% |
| Humana | Medicare|All Plans | $4.75 | ↓ -84% |
| Aetna | Medicare|All Plans | $4.75 | ↓ -84% |
| United | Medicare|All Plans | $4.75 | ↓ -84% |
| Health Net | Medicare|All Plans | $4.75 | ↓ -84% |
| Kaiser | Medicare|All Plans | $4.75 | ↓ -84% |
| BCBS - Anthem | Medicare|All Plans | $4.75 | ↓ -84% |
| Blue Shield CA | Medicare|All Plans | $4.75 | ↓ -84% |
| Hill Physicians | Commercial|All Plans | $4.75 | ↓ -84% |
| United | Commercial|HMO | $5.70 | ↓ -81% |
| United | Commercial|All Other Plans | $5.70 | ↓ -81% |
| United | Commercial|Non-Options PPO | $16.75 | ↓ -43% |
| Aetna | Commercial|All Other Plans | $18.88 | ↓ -36% |
| Aetna | Commercial|HMO | $18.88 | ↓ -36% |
| Aetna | Commercial|PPO | $18.88 | ↓ -36% |
| Kaiser | Commercial|All Plans | $19.25 | ↓ -35% |
| Blue Shield CA | Commercial|Exchange | $19.50 | ↓ -34% |
| Blue Shield CA | Commercial|ACO Trio | $20.75 | ↓ -29% |
| BCBS - Anthem | Commercial|Exchange | $21.50 | ↓ -27% |
| Cigna | Commercial|All Other Plans | $21.75 | ↓ -26% |
| Cigna | Commercial|PPO | $21.75 | ↓ -26% |
| Blue Shield CA | Commercial|All Other Plans | $23.25 | ↓ -21% |
| First Health | Commercial|All Plans | $23.75 | ↓ -19% |
| MultiPlan | Commercial|All Plans | $24.50 | ↓ -17% |
| Healthsmart | Commercial|All Plans | $24.50 | ↓ -17% |
| BCBS - Anthem | Commercial|All Other Plans | $24.75 | ↓ -16% |
| BCBS - Anthem | Commercial|MCS | $25.00 | ↓ -15% |
Visitor-reported prices
Comments
Susceptibility enzyme detection per enzyme at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $35.92 | $1.83 – $14.82 |
| Petaluma Valley Hospital | Petaluma | $340.68 | $4.66 – $23.52 |
| Arroyo Grande Hospital | Santa Maria | $19.26 | $1.21 – $12.74 |
| Mark Twain Medical Center | San Andreas | $43.96 | $1.21 – $11.65 |
| French Hospital | San Luis Obispo | $17.64 | $1.21 – $14.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14.70 | $1.21 – $13.66 |
| Bakersfield Memorial Hospital | Bakersfield | $14.54 | $1.21 – $13.66 |
| Queen of The Valley Medical Center | Napa | $195.84 | $4.75 – $29.73 |