T4 (thyroxine) total 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

$248.52

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.

$456.00

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.

$6.87 with Humana vs $148.96 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 →

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
Humana Commercial|All Plans $6.87 ↓ -97%
Humana Medicare|All Plans $6.87 ↓ -97%
Aetna Medicare|All Plans $6.87 ↓ -97%
United Medicare|All Plans $6.87 ↓ -97%
Health Net Medicare|All Plans $6.87 ↓ -97%
Kaiser Medicare|All Plans $6.87 ↓ -97%
BCBS - Anthem Medicare|All Plans $6.87 ↓ -97%
Blue Shield CA Medicare|All Plans $6.87 ↓ -97%
Hill Physicians Commercial|All Plans $6.87 ↓ -97%
Partnership Health Plan Medicaid|< 21 $7.43 ↓ -97%
Partnership Health Plan Medicaid|> 21 $7.43 ↓ -97%
United Commercial|HMO $8.24 ↓ -97%
United Commercial|All Other Plans $8.24 ↓ -97%
BCBS - Anthem Medicaid|All Plans $12.15 ↓ -95%
California Health & Wellness Medicaid|All Plans $16.79 ↓ -93%
Health Net Medicaid|All Plans $16.79 ↓ -93%
Aetna Commercial|All Other Plans $45.13 ↓ -82%
Aetna Commercial|HMO $45.13 ↓ -82%
Aetna Commercial|PPO $45.13 ↓ -82%
BCBS - Anthem Commercial|Exchange $74.12 ↓ -70%
BCBS - Anthem Commercial|All Other Plans $85.15 ↓ -66%
United Commercial|Non-Options PPO $101.84 ↓ -59%
BCBS - Anthem Commercial|MCS $106.49 ↓ -57%
Kaiser Commercial|All Plans $117.04 ↓ -53%
Blue Shield CA Commercial|Exchange $118.56 ↓ -52%
Blue Shield CA Commercial|ACO Trio $126.16 ↓ -49%
Cigna Commercial|PPO $132.24 ↓ -47%
Cigna Commercial|All Other Plans $132.24 ↓ -47%
Blue Shield CA Commercial|All Other Plans $141.36 ↓ -43%
First Health Commercial|All Plans $144.40 ↓ -42%
MultiPlan Commercial|All Plans $148.96 ↓ -40%
Healthsmart Commercial|All Plans $148.96 ↓ -40%

Visitor-reported prices

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T4 (thyroxine) total at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $58.70 $1.77 – $18.25
Petaluma Valley Hospital Petaluma $216.24 $6.73 – $56.11
Arroyo Grande Hospital Santa Maria $154.51 $3.27 – $17.72
Mark Twain Medical Center San Andreas $11.45 $3.54 – $6.53
French Hospital San Luis Obispo $141.52 $1.77 – $20.83
Mercy Hospitals – Bakersfield Bakersfield $161.39 $3.00 – $19.76
Bakersfield Memorial Hospital Bakersfield $159.65 $3.00 – $19.76
Queen of The Valley Medical Center Napa $243.78 $6.87 – $70.91

All California hospitals for this procedure →