Complx repair sal addl 5 cm/> 13122 at Providence St Joseph Hospital Eureka
2700 Dolbeer St, Eureka, CA · Providence · · NPI 1609858950
$812.43
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.
$1,593.00
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.
$2,699.00 with Unitedhealthcare vs $21,319.00 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 →
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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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $2,699.00 | ↑ +232% |
| Unitedhealthcare | All Commercial Plans | $3,019.00 | ↑ +272% |
| Blue Shield | Hmo/Pos/Ppo | $5,835.00 | ↑ +618% |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | $8,018.00 | ↑ +887% |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $9,622.00 | ↑ +1084% |
| Aetna | Hmo/Ppo | $21,319.00 | ↑ +2524% |
Visitor-reported prices
Comments
Complx repair sal addl 5 cm/> 13122 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $520.83 | $82.50 – $1,255.00 |
| Petaluma Valley Hospital | Petaluma | $558.96 | $1,687.00 – $10,997.00 |
| Mark Twain Medical Center | San Andreas | $141.20 | $54.85 – $207.76 |
| Queen of The Valley Medical Center | Napa | $1,722.78 | $2,747.00 – $8,621.00 |
| Healdsburg Hospital | Healdsburg | $602.82 | $2,335.00 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $741.03 | $5,981.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $498.27 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,512.48 | $1,200.00 – $5,357.00 |