Unlisted px abdomen muscskel at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$4,496.25
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.
$8,250.00
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.
$315.23 with Hill Physicians vs $10,920.00 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $315.23 | ↓ -93% |
| Humana | Medicare|All Plans | $315.23 | ↓ -93% |
| Aetna | Medicare|All Plans | $315.23 | ↓ -93% |
| United | Medicare|All Plans | $315.23 | ↓ -93% |
| Health Net | Medicare|All Plans | $315.23 | ↓ -93% |
| Kaiser | Medicare|All Plans | $315.23 | ↓ -93% |
| BCBS - Anthem | Medicare|All Plans | $315.23 | ↓ -93% |
| Blue Shield CA | Medicare|All Plans | $315.23 | ↓ -93% |
| Humana | Commercial|All Plans | $315.23 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $1,327.00 | ↓ -70% |
| California Health & Wellness | Medicaid|All Plans | $2,338.50 | ↓ -48% |
| Health Net | Medicaid|All Plans | $2,338.50 | ↓ -48% |
| United | Commercial|Non-Options PPO | $3,133.59 | ↓ -30% |
| Kaiser | Commercial|All Plans | $3,601.29 | ↓ -20% |
| Cigna | Commercial|All Other Plans | $4,068.99 | ↓ -10% |
| Cigna | Commercial|PPO | $4,068.99 | ↓ -10% |
| Blue Shield CA | Commercial|Exchange | $4,244.00 | ↓ -6% |
| First Health | Commercial|All Plans | $4,443.15 | ↓ -1% |
| Healthsmart | Commercial|All Plans | $4,583.46 | ↑ +2% |
| MultiPlan | Commercial|All Plans | $4,583.46 | ↑ +2% |
| United | Commercial|HMO | $4,677.00 | ↑ +4% |
| United | Commercial|All Other Plans | $4,677.00 | ↑ +4% |
| Blue Shield CA | Commercial|ACO Trio | $5,423.00 | ↑ +21% |
| Aetna | Commercial|All Other Plans | $5,838.00 | ↑ +30% |
| Aetna | Commercial|PPO | $5,838.00 | ↑ +30% |
| Aetna | Commercial|HMO | $5,838.00 | ↑ +30% |
| Blue Shield CA | Commercial|All Other Plans | $6,582.00 | ↑ +46% |
| Health Net | Commercial|FFS | $10,920.00 | ↑ +143% |
Visitor-reported prices
Comments
Unlisted px abdomen muscskel at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $358.98 | $139.44 – $528.22 |
| Dominican Hospital | Santa Cruz | $3,892.95 | $329.56 – $7,353.35 |
| St. John's Camarillo Hospital | Camarillo | not published | $304.79 – $519.60 |
| Petaluma Valley Hospital | Petaluma | not published | $332.41 – $2,937.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $304.79 – $304.79 |
| French Hospital | San Luis Obispo | not published | $304.79 – $304.79 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $304.79 – $304.79 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $304.79 – $304.79 |