Vaccine tdap >=7 years im at Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
$101.92
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.
$187.00
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.
$42.09 with Hill Physicians vs $149.00 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 | $42.09 | ↓ -59% |
| Blue Shield CA | Commercial|Exchange | $56.44 | ↓ -45% |
| Blue Shield CA | Commercial|ACO Trio | $56.44 | ↓ -45% |
| Blue Shield CA | Commercial|All Other Plans | $56.44 | ↓ -45% |
| BCBS - Anthem | Medicaid|All Plans | $59.09 | ↓ -42% |
| United | Commercial|All Other Plans | $63.74 | ↓ -37% |
| United | Commercial|HMO | $63.74 | ↓ -37% |
| United | Commercial|Non-Options PPO | $73.01 | ↓ -28% |
| BCBS - Anthem | Commercial|Exchange | $96.75 | ↓ -5% |
| BCBS - Anthem | Commercial|All Other Plans | $111.20 | ↑ +9% |
| Kaiser | Commercial|All Plans | $114.73 | ↑ +13% |
| Cigna | Commercial|All Other Plans | $129.63 | ↑ +27% |
| Cigna | Commercial|PPO | $129.63 | ↑ +27% |
| BCBS - Anthem | Commercial|MCS | $138.89 | ↑ +36% |
| First Health | Commercial|All Plans | $141.55 | ↑ +39% |
| Healthsmart | Commercial|All Plans | $146.02 | ↑ +43% |
| MultiPlan | Commercial|All Plans | $146.02 | ↑ +43% |
| Health Net | Commercial|FFS | $149.00 | ↑ +46% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $70.08 | $43.20 – $124.80 |
| Petaluma Valley Hospital | Petaluma | $212.65 | $53.65 – $84.00 |
| Arroyo Grande Hospital | Santa Maria | $228.56 | $40.11 – $523.32 |
| Mark Twain Medical Center | San Andreas | $151.75 | $58.95 – $223.30 |
| French Hospital | San Luis Obispo | $209.33 | $40.11 – $523.32 |
| Mercy Hospitals – Bakersfield | Bakersfield | $79.03 | $29.33 – $135.20 |
| Bakersfield Memorial Hospital | Bakersfield | $78.18 | $56.88 – $133.51 |
| Queen of The Valley Medical Center | Napa | $200.54 | $58.07 – $84.00 |