Adj tis trans/see area/10.1-30sqcm 14041 at Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
$1,760.52
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.
?
What you pay up front if you don't use insurance.
$3,452.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,779.95 with Sutter Health Plus vs $5,330.31 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Sutter Health Plus | All Commercial Plans | $2,779.95 | ↑ +58% |
| Blue Shield | Hmo/Pos | $3,572.00 | ↑ +103% |
| Blue Shield | Ppo | $3,669.00 | ↑ +108% |
| Aetna | All Commercial Plans | $5,330.31 | ↑ +203% |
Visitor-reported prices
Comments
Adj tis trans/see area/10.1-30sqcm 14041 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,513.90 | $2,780.50 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $1,009.66 | $392.19 – $1,485.68 |
| Queen of The Valley Medical Center | Napa | $3,803.07 | $2,929.57 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,397.11 | $2,653.72 – $9,858.00 |
| Redwood Memorial Hospital | Fortuna | $2,200.65 | $9,031.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,760.74 | $2,870.98 – $5,318.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,692.80 | $2,255.66 – $7,908.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,146.85 | $1,747.00 – $4,449.00 |