Thyrotropin alfa 0.9 mg intramuscular solution at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$4,063.52
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.
$7,456.00
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.
$1,192.99 with BCBS - Anthem vs $5,364.00 with Health Net — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Exchange | $1,192.99 | ↓ -71% |
| BCBS - Anthem | Commercial|All Other Plans | $1,371.24 | ↓ -66% |
| BCBS - Anthem | Commercial|MCS | $1,712.71 | ↓ -58% |
| Hill Physicians | Commercial|All Plans | $2,240.03 | ↓ -45% |
| Blue Shield CA | Commercial|Exchange | $2,426.55 | ↓ -40% |
| Blue Shield CA | Commercial|ACO Trio | $2,426.55 | ↓ -40% |
| Blue Shield CA | Commercial|All Other Plans | $2,426.55 | ↓ -40% |
| United | Commercial|Non-Options PPO | $2,628.36 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $2,761.55 | ↓ -32% |
| Humana | Commercial|All Plans | $2,777.01 | ↓ -32% |
| Humana | Medicare|All Plans | $2,777.01 | ↓ -32% |
| Aetna | Medicare|All Plans | $2,777.01 | ↓ -32% |
| United | Medicare|All Plans | $2,777.01 | ↓ -32% |
| Health Net | Medicare|All Plans | $2,777.01 | ↓ -32% |
| Kaiser | Medicare|All Plans | $2,777.01 | ↓ -32% |
| BCBS - Anthem | Medicare|All Plans | $2,777.01 | ↓ -32% |
| Blue Shield CA | Medicare|All Plans | $2,777.01 | ↓ -32% |
| United | Commercial|HMO | $3,412.05 | ↓ -16% |
| United | Commercial|All Other Plans | $3,412.05 | ↓ -16% |
| Kaiser | Commercial|All Plans | $4,130.28 | ↑ +2% |
| Aetna | Commercial|HMO | $4,506.64 | ↑ +11% |
| Aetna | Commercial|All Other Plans | $4,506.64 | ↑ +11% |
| Aetna | Commercial|PPO | $4,506.64 | ↑ +11% |
| Cigna | Commercial|All Other Plans | $4,666.68 | ↑ +15% |
| Cigna | Commercial|PPO | $4,666.68 | ↑ +15% |
| California Health & Wellness | Medicaid|All Plans | $4,707.96 | ↑ +16% |
| Health Net | Medicaid|All Plans | $4,707.96 | ↑ +16% |
| First Health | Commercial|All Plans | $5,095.80 | ↑ +25% |
| Healthsmart | Commercial|All Plans | $5,256.72 | ↑ +29% |
| MultiPlan | Commercial|All Plans | $5,256.72 | ↑ +29% |
| Health Net | Commercial|FFS | $5,364.00 | ↑ +32% |
Visitor-reported prices
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Thyrotropin alfa 0.9 mg intramuscular solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $9,116.83 | $1,172.11 – $20,874.98 |
| French Hospital | San Luis Obispo | $8,350.00 | $1,845.64 – $20,874.98 |
| Bakersfield Memorial Hospital | Bakersfield | $3,111.43 | $1,056.30 – $4,819.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,035.37 | $1,295.06 – $4,084.42 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $5,446.00 | $1,680.00 – $6,860.00 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $972.33 – $9,087.30 |
| Northridge Hospital Medical Center | Northridge | $1,367.10 | $980.00 – $9,561.75 |
| Sequoia Hospital | Redwood City | $2,366.00 | $1,417.95 – $5,330.00 |