Warde vitamin c (ascorbic acid) 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

$9.81

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.

$18.00

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.

$9.89 with Humana vs $18.00 with Aetna — 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
Humana Commercial|All Plans $9.89 ↑ +1%
Humana Medicare|All Plans $9.89 ↑ +1%
Aetna Medicare|All Plans $9.89 ↑ +1%
United Medicare|All Plans $9.89 ↑ +1%
Health Net Medicare|All Plans $9.89 ↑ +1%
Kaiser Medicare|All Plans $9.89 ↑ +1%
BCBS - Anthem Medicare|All Plans $9.89 ↑ +1%
Blue Shield CA Medicare|All Plans $9.89 ↑ +1%
Hill Physicians Commercial|All Plans $9.89 ↑ +1%
United Commercial|All Other Plans $11.87 ↑ +21%
United Commercial|HMO $11.87 ↑ +21%
United Commercial|Non-Options PPO $12.06 ↑ +23%
Partnership Health Plan Medicaid|< 21 $12.61 ↑ +29%
Partnership Health Plan Medicaid|> 21 $12.61 ↑ +29%
Kaiser Commercial|All Plans $13.86 ↑ +41%
Blue Shield CA Commercial|Exchange $14.04 ↑ +43%
Blue Shield CA Commercial|ACO Trio $14.94 ↑ +52%
BCBS - Anthem Commercial|Exchange $15.48 ↑ +58%
Cigna Commercial|PPO $15.66 ↑ +60%
Cigna Commercial|All Other Plans $15.66 ↑ +60%
Blue Shield CA Commercial|All Other Plans $16.74 ↑ +71%
First Health Commercial|All Plans $17.10 ↑ +74%
Healthsmart Commercial|All Plans $17.64 ↑ +80%
MultiPlan Commercial|All Plans $17.64 ↑ +80%
BCBS - Anthem Commercial|All Other Plans $17.82 ↑ +82%
BCBS - Anthem Medicaid|All Plans $17.85 ↑ +82%
California Health & Wellness Medicaid|All Plans $18.00 ↑ +83%
Aetna Commercial|HMO $18.00 ↑ +83%
Health Net Medicaid|All Plans $18.00 ↑ +83%
BCBS - Anthem Commercial|MCS $18.00 ↑ +83%
Aetna Commercial|All Other Plans $18.00 ↑ +83%
Aetna Commercial|PPO $18.00 ↑ +83%

Visitor-reported prices

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Warde vitamin c (ascorbic acid) at other California hospitals

Hospital City Cash price Negotiated range
Banner Lassen Medical Center Susanville $5.63 $1.98 – $14.50
Petaluma Valley Hospital Petaluma $33.74 $9.69 – $80.62
Arroyo Grande Hospital Santa Maria $7.71 $9.00 – $25.49
Mark Twain Medical Center San Andreas $11.99 $9.75 – $17.64
French Hospital San Luis Obispo $7.06 $4.86 – $29.96
Mercy Hospitals – Bakersfield Bakersfield $6.68 $9.00 – $28.43
Bakersfield Memorial Hospital Bakersfield $6.61 $9.00 – $28.43
Queen of The Valley Medical Center Napa $33.74 $9.89 – $101.89

All California hospitals for this procedure →