Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$268.14
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.
$492.00
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.
$40.91 with BCBS - Anthem vs $226.00 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 | $40.91 | ↓ -85% |
| Humana | Medicare|All Plans | $45.20 | ↓ -83% |
| Humana | Commercial|All Plans | $45.20 | ↓ -83% |
| Aetna | Medicare|All Plans | $45.20 | ↓ -83% |
| United | Medicare|All Plans | $45.20 | ↓ -83% |
| Health Net | Medicare|All Plans | $45.20 | ↓ -83% |
| Kaiser | Medicare|All Plans | $45.20 | ↓ -83% |
| BCBS - Anthem | Medicare|All Plans | $45.20 | ↓ -83% |
| Blue Shield CA | Medicare|All Plans | $45.20 | ↓ -83% |
| Hill Physicians | Commercial|All Plans | $45.20 | ↓ -83% |
| BCBS - Anthem | Commercial|All Other Plans | $47.02 | ↓ -82% |
| BCBS - Anthem | Commercial|MCS | $58.73 | ↓ -78% |
| United | Commercial|Non-Options PPO | $110.74 | ↓ -59% |
| Blue Shield CA | Commercial|Exchange | $140.50 | ↓ -48% |
| Blue Shield CA | Commercial|ACO Trio | $140.50 | ↓ -48% |
| Blue Shield CA | Commercial|All Other Plans | $140.50 | ↓ -48% |
| Kaiser | Commercial|All Plans | $174.02 | ↓ -35% |
| BCBS - Anthem | Medicaid|All Plans | $188.96 | ↓ -30% |
| Cigna | Commercial|PPO | $196.62 | ↓ -27% |
| Cigna | Commercial|All Other Plans | $196.62 | ↓ -27% |
| First Health | Commercial|All Plans | $214.70 | ↓ -20% |
| United | Commercial|All Other Plans | $220.23 | ↓ -18% |
| United | Commercial|HMO | $220.23 | ↓ -18% |
| Healthsmart | Commercial|All Plans | $221.48 | ↓ -17% |
| MultiPlan | Commercial|All Plans | $221.48 | ↓ -17% |
| Health Net | Commercial|FFS | $226.00 | ↓ -16% |
Visitor-reported prices
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Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $196.32 | $24.72 – $405.12 |
| Petaluma Valley Hospital | Petaluma | $383.88 | $22.68 – $286.96 |
| Mark Twain Medical Center | San Andreas | $382.08 | $148.42 – $562.22 |
| French Hospital | San Luis Obispo | $550.76 | $130.38 – $1,376.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $207.76 | $59.11 – $205.60 |
| Bakersfield Memorial Hospital | Bakersfield | $205.52 | $36.95 – $203.03 |
| Queen of The Valley Medical Center | Napa | $383.88 | $24.56 – $286.96 |
| Providence St Joseph Hospital Eureka | Eureka | $383.88 | $29.29 – $286.96 |