Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im 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

$59.95

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.

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What you pay up front if you don't use insurance.

$110.00

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.

$15.65 with Blue Shield CA vs $65.00 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
Blue Shield CA Commercial|ACO Trio $15.65 ↓ -74%
Blue Shield CA Commercial|All Other Plans $15.65 ↓ -74%
Blue Shield CA Commercial|Exchange $15.65 ↓ -74%
BCBS - Anthem Medicaid|All Plans $22.14 ↓ -63%
United Commercial|All Other Plans $25.71 ↓ -57%
United Commercial|HMO $25.71 ↓ -57%
United Commercial|Non-Options PPO $31.85 ↓ -47%
BCBS - Anthem Commercial|Exchange $47.45 ↓ -21%
Kaiser Commercial|All Plans $50.05 ↓ -17%
BCBS - Anthem Commercial|All Other Plans $54.60 ↓ -9%
Health Net Commercial|FFS $55.95 ↓ -7%
Cigna Commercial|PPO $56.55 ↓ -6%
Cigna Commercial|All Other Plans $56.55 ↓ -6%
First Health Commercial|All Plans $61.75 ↑ +3%
Healthsmart Commercial|All Plans $63.70 ↑ +6%
MultiPlan Commercial|All Plans $63.70 ↑ +6%
BCBS - Anthem Commercial|MCS $65.00 ↑ +8%

Visitor-reported prices

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Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $33.82 $15.65 – $52.26
Arroyo Grande Hospital Santa Maria $59.07 $19.95 – $135.24
Mark Twain Medical Center San Andreas $40.54 $15.75 – $59.65
French Hospital San Luis Obispo $82.72 $15.65 – $135.24
Mercy Hospitals – Bakersfield Bakersfield $22.64 $7.66 – $44.00
Bakersfield Memorial Hospital Bakersfield $45.88 $19.23 – $38.71
Queen of The Valley Medical Center Napa $89.77 $33.80 – $33.95
Providence St Joseph Hospital Eureka Eureka $89.77 $33.95 – $40.32

All California hospitals for this procedure →