Vaccine pneumococcal conjugate 13 valent (pcv13) im at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$516.66
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.
$948.00
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.
$76.20 with Humana vs $381.00 with United — 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 |
|---|---|---|---|
| Humana | Commercial|All Plans | $76.20 | ↓ -85% |
| Humana | Medicare|All Plans | $76.20 | ↓ -85% |
| Aetna | Medicare|All Plans | $76.20 | ↓ -85% |
| United | Medicare|All Plans | $76.20 | ↓ -85% |
| Health Net | Medicare|All Plans | $76.20 | ↓ -85% |
| Kaiser | Medicare|All Plans | $76.20 | ↓ -85% |
| BCBS - Anthem | Medicare|All Plans | $76.20 | ↓ -85% |
| Blue Shield CA | Medicare|All Plans | $76.20 | ↓ -85% |
| Hill Physicians | Commercial|All Plans | $76.20 | ↓ -85% |
| United | Commercial|Non-Options PPO | $186.69 | ↓ -64% |
| Blue Shield CA | Commercial|All Other Plans | $271.57 | ↓ -47% |
| Blue Shield CA | Commercial|Exchange | $271.57 | ↓ -47% |
| Blue Shield CA | Commercial|ACO Trio | $271.57 | ↓ -47% |
| BCBS - Anthem | Commercial|Exchange | $275.15 | ↓ -47% |
| Kaiser | Commercial|All Plans | $293.37 | ↓ -43% |
| BCBS - Anthem | Commercial|All Other Plans | $316.26 | ↓ -39% |
| Cigna | Commercial|PPO | $331.47 | ↓ -36% |
| Cigna | Commercial|All Other Plans | $331.47 | ↓ -36% |
| BCBS - Anthem | Medicaid|All Plans | $359.56 | ↓ -30% |
| First Health | Commercial|All Plans | $361.95 | ↓ -30% |
| MultiPlan | Commercial|All Plans | $373.38 | ↓ -28% |
| Healthsmart | Commercial|All Plans | $373.38 | ↓ -28% |
| Health Net | Commercial|FFS | $381.00 | ↓ -26% |
| United | Commercial|All Other Plans | $381.00 | ↓ -26% |
| BCBS - Anthem | Commercial|MCS | $381.00 | ↓ -26% |
| United | Commercial|HMO | $381.00 | ↓ -26% |
Visitor-reported prices
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Vaccine pneumococcal conjugate 13 valent (pcv13) im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $378.37 | $166.27 – $829.30 |
| Mark Twain Medical Center | San Andreas | $736.49 | $286.08 – $1,083.72 |
| French Hospital | San Luis Obispo | $1,061.93 | $245.84 – $2,654.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | $399.94 | $99.59 – $368.74 |
| Queen of The Valley Medical Center | Napa | $656.72 | $165.16 – $554.68 |
| Providence St Joseph Hospital Eureka | Eureka | $656.72 | $197.01 – $554.68 |
| St. Joseph's Behavioral Health Center | Stockton | $471.65 | $33.20 – $265.60 |
| Healdsburg Hospital | Healdsburg | $326.40 | $230.83 – $389.05 |