Vaccine td preservative free >= 7 years 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

$86.66

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.

Full explanation →

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

$159.00

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.

$33.59 with Blue Shield CA vs $74.00 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 →

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 $33.59 ↓ -61%
Blue Shield CA Commercial|All Other Plans $33.59 ↓ -61%
Blue Shield CA Commercial|Exchange $33.59 ↓ -61%
United Commercial|Non-Options PPO $36.26 ↓ -58%
Hill Physicians Commercial|All Plans $38.55 ↓ -56%
BCBS - Anthem Medicaid|All Plans $45.36 ↓ -48%
BCBS - Anthem Commercial|Exchange $47.91 ↓ -45%
BCBS - Anthem Commercial|All Other Plans $55.06 ↓ -36%
United Commercial|HMO $55.24 ↓ -36%
United Commercial|All Other Plans $55.24 ↓ -36%
Kaiser Commercial|All Plans $56.98 ↓ -34%
Cigna Commercial|All Other Plans $64.38 ↓ -26%
Cigna Commercial|PPO $64.38 ↓ -26%
BCBS - Anthem Commercial|MCS $68.78 ↓ -21%
First Health Commercial|All Plans $70.30 ↓ -19%
Healthsmart Commercial|All Plans $72.52 ↓ -16%
MultiPlan Commercial|All Plans $72.52 ↓ -16%
Health Net Commercial|FFS $74.00 ↓ -15%

Visitor-reported prices

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Vaccine td preservative free >= 7 years im at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $56.94 $26.46 – $78.40
Redwood City Medical Center Redwood City $40.32 not published
Santa Clara Medical Center SANTA CLARA $40.32 not published
Sacramento Medical Center SACRAMENTO $40.32 not published
Oakland Medical Center Oakland $40.32 not published
Walnut Creek Medical Center WALNUT CREEK $40.32 not published
Petaluma Valley Hospital Petaluma $195.37 $26.57 – $73.01
Arroyo Grande Hospital Santa Maria $184.47 $32.20 – $320.46

All California hospitals for this procedure →