Warde 1006955 catecholamines fractionated 24 hour urine 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

$15.26

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.

$28.00

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.

$16.75 with United vs $25.00 with Kaiser — 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
United Commercial|Non-Options PPO $16.75 ↑ +10%
Kaiser Commercial|All Plans $19.25 ↑ +26%
Blue Shield CA Commercial|Exchange $19.50 ↑ +28%
Blue Shield CA Commercial|ACO Trio $20.75 ↑ +36%
BCBS - Anthem Commercial|Exchange $21.50 ↑ +41%
Cigna Commercial|All Other Plans $21.75 ↑ +43%
Cigna Commercial|PPO $21.75 ↑ +43%
Blue Shield CA Commercial|All Other Plans $23.25 ↑ +52%
First Health Commercial|All Plans $23.75 ↑ +56%
MultiPlan Commercial|All Plans $24.50 ↑ +61%
Healthsmart Commercial|All Plans $24.50 ↑ +61%
BCBS - Anthem Commercial|All Other Plans $24.75 ↑ +62%
BCBS - Anthem Medicaid|All Plans $25.00 ↑ +64%
BCBS - Anthem Medicare|All Plans $25.00 ↑ +64%
BCBS - Anthem Commercial|MCS $25.00 ↑ +64%
Blue Shield CA Medicare|All Plans $25.00 ↑ +64%
Partnership Health Plan Medicaid|< 21 $25.00 ↑ +64%
Partnership Health Plan Medicaid|> 21 $25.00 ↑ +64%
California Health & Wellness Medicaid|All Plans $25.00 ↑ +64%
Humana Commercial|All Plans $25.00 ↑ +64%
Hill Physicians Commercial|All Plans $25.00 ↑ +64%
Humana Medicare|All Plans $25.00 ↑ +64%
Aetna Commercial|All Other Plans $25.00 ↑ +64%
Aetna Commercial|PPO $25.00 ↑ +64%
Aetna Medicare|All Plans $25.00 ↑ +64%
Aetna Commercial|HMO $25.00 ↑ +64%
United Commercial|All Other Plans $25.00 ↑ +64%
United Medicare|All Plans $25.00 ↑ +64%
United Commercial|HMO $25.00 ↑ +64%
Health Net Medicaid|All Plans $25.00 ↑ +64%
Health Net Medicare|All Plans $25.00 ↑ +64%
Kaiser Medicare|All Plans $25.00 ↑ +64%

Visitor-reported prices

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Warde 1006955 catecholamines fractionated 24 hour urine at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $12.71 $7.56 – $66.99
Petaluma Valley Hospital Petaluma $99.07 $24.74 – $206.14
Arroyo Grande Hospital Santa Maria $11.99 $12.50 – $65.05
Mark Twain Medical Center San Andreas $18.65 $13.54 – $25.00
French Hospital San Luis Obispo $10.98 $6.75 – $76.47
Mercy Hospitals – Bakersfield Bakersfield $10.39 $9.53 – $72.55
Bakersfield Memorial Hospital Bakersfield $10.28 $9.53 – $72.55
Queen of The Valley Medical Center Napa $99.07 $25.25 – $260.51

All California hospitals for this procedure →