Biopsy/removal lymph nodes at Redwood Memorial Hospital
3300 Renner Dr, Fortuna, CA · Providence · · NPI 1043292303
not published by hospital
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.
not published by hospital
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.
$8,005.00 with Blue Shield vs $25,998.00 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 |
|---|---|---|---|
| Blue Shield | Hmo/Pos/Ppo | $8,005.00 | — |
| Blue Cross | Anthem Non-Mcs (Ind1, Ncx3) All Commercial Plans | $8,222.00 | — |
| Blue Cross | Anthem Mcs (Indx) All Commercial Plans | $9,866.00 | — |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | — |
| Aetna | Hmo/Ppo | $25,998.00 | — |
Visitor-reported prices
Comments
Biopsy/removal lymph nodes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $761.91 | $169.60 – $1,121.12 |
| St Jude Medical Center | Fullerton | $8,555.52 | $4,035.00 – $9,316.42 |
| St. John's Camarillo Hospital | Camarillo | not published | $208.61 – $8,628.88 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $169.60 – $4,865.48 |
| French Hospital | San Luis Obispo | not published | $169.60 – $4,865.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $169.60 – $4,865.48 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $169.60 – $4,865.48 |