Theophylline therapeutic drug level 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

$483.96

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.

$888.00

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.

$14.14 with Humana vs $106.00 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 →

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 $14.14 ↓ -97%
Humana Medicare|All Plans $14.14 ↓ -97%
Aetna Medicare|All Plans $14.14 ↓ -97%
United Medicare|All Plans $14.14 ↓ -97%
Health Net Medicare|All Plans $14.14 ↓ -97%
Kaiser Medicare|All Plans $14.14 ↓ -97%
BCBS - Anthem Medicare|All Plans $14.14 ↓ -97%
Blue Shield CA Medicare|All Plans $14.14 ↓ -97%
Hill Physicians Commercial|All Plans $14.14 ↓ -97%
United Commercial|HMO $16.97 ↓ -96%
United Commercial|All Other Plans $16.97 ↓ -96%
Partnership Health Plan Medicaid|< 21 $18.03 ↓ -96%
Partnership Health Plan Medicaid|> 21 $18.03 ↓ -96%
BCBS - Anthem Medicaid|All Plans $25.93 ↓ -95%
California Health & Wellness Medicaid|All Plans $40.75 ↓ -92%
Health Net Medicaid|All Plans $40.75 ↓ -92%
United Commercial|Non-Options PPO $71.02 ↓ -85%
Kaiser Commercial|All Plans $81.62 ↓ -83%
Blue Shield CA Commercial|Exchange $82.68 ↓ -83%
Blue Shield CA Commercial|ACO Trio $87.98 ↓ -82%
BCBS - Anthem Commercial|Exchange $91.16 ↓ -81%
Cigna Commercial|PPO $92.22 ↓ -81%
Cigna Commercial|All Other Plans $92.22 ↓ -81%
Aetna Commercial|PPO $92.90 ↓ -81%
Aetna Commercial|HMO $92.90 ↓ -81%
Aetna Commercial|All Other Plans $92.90 ↓ -81%
Blue Shield CA Commercial|All Other Plans $98.58 ↓ -80%
First Health Commercial|All Plans $100.70 ↓ -79%
MultiPlan Commercial|All Plans $103.88 ↓ -79%
Healthsmart Commercial|All Plans $103.88 ↓ -79%
BCBS - Anthem Commercial|All Other Plans $104.94 ↓ -78%
BCBS - Anthem Commercial|MCS $106.00 ↓ -78%

Visitor-reported prices

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Theophylline therapeutic drug level at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $127.90 $14.14 – $227.76
Banner Lassen Medical Center Susanville $15.65 $2.83 – $24.25
Arroyo Grande Hospital Santa Maria $202.02 $14.14 – $41.16
Mark Twain Medical Center San Andreas $121.22 $14.14 – $178.36
French Hospital San Luis Obispo $185.03 $11.34 – $42.83
Mercy Hospitals – Bakersfield Bakersfield $113.16 $14.14 – $103.20
Bakersfield Memorial Hospital Bakersfield $100.93 $14.14 – $101.91
Queen of The Valley Medical Center Napa $535.50 $14.14 – $145.99

All California hospitals for this procedure →