Tomosynthesis breast diagnostic left at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$34.34
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.
$63.00
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.
$42.21 with United vs $5,759.00 with Blue Shield CA — 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 |
|---|---|---|---|
| United | Commercial|Non-Options PPO | $42.21 | ↑ +23% |
| Partnership Health Plan | Medicaid|< 21 | $47.52 | ↑ +38% |
| Partnership Health Plan | Medicaid|> 21 | $47.52 | ↑ +38% |
| Kaiser | Commercial|All Plans | $48.51 | ↑ +41% |
| BCBS - Anthem | Commercial|Exchange | $54.18 | ↑ +58% |
| Cigna | Commercial|All Other Plans | $54.81 | ↑ +60% |
| Cigna | Commercial|PPO | $54.81 | ↑ +60% |
| United | Commercial|All Other Plans | $57.31 | ↑ +67% |
| United | Commercial|HMO | $57.31 | ↑ +67% |
| First Health | Commercial|All Plans | $59.85 | ↑ +74% |
| MultiPlan | Commercial|All Plans | $61.74 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $61.74 | ↑ +80% |
| BCBS - Anthem | Commercial|All Other Plans | $62.37 | ↑ +82% |
| Health Net | Medicaid|All Plans | $63.00 | ↑ +83% |
| California Health & Wellness | Medicaid|All Plans | $63.00 | ↑ +83% |
| BCBS - Anthem | Commercial|MCS | $63.00 | ↑ +83% |
| BCBS - Anthem | Medicaid|All Plans | $63.00 | ↑ +83% |
| Blue Shield CA | Commercial|Exchange | $3,714.00 | ↑ +10715% |
| Blue Shield CA | Commercial|ACO Trio | $4,745.00 | ↑ +13718% |
| Blue Shield CA | Commercial|All Other Plans | $5,759.00 | ↑ +16671% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $47.91 | $23.78 – $78.41 |
| Petaluma Valley Hospital | Petaluma | $55.59 | $13.63 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $185.33 | $47.52 – $404.74 |
| Mark Twain Medical Center | San Andreas | $58.61 | $22.77 – $86.24 |
| French Hospital | San Luis Obispo | $69.39 | $42.66 – $154.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $148.40 | $47.52 – $292.00 |
| Bakersfield Memorial Hospital | Bakersfield | $146.80 | $47.52 – $288.35 |
| Queen of The Valley Medical Center | Napa | $76.50 | $13.91 – $7,483.00 |