App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$2,779.95 with Sutter Health Plus vs $5,198.77 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 |
|---|---|---|---|
| Sutter Health Plus | All Commercial Plans | $2,779.95 | ↑ +58% |
| Blue Shield | Hmo/Pos | $3,125.00 | ↑ +78% |
| Blue Shield | Ppo | $3,210.00 | ↑ +82% |
| Aetna | All Commercial Plans | $5,198.77 | ↑ +195% |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,529.28 | $226.00 – $3,856.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,141.08 | $203.28 – $1,753.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,815.40 | $1,528.00 – $4,449.00 |
| Providence Saint Joseph Medical Center | Burbank | $1,760.85 | $1,528.00 – $4,449.00 |
| Providence St Joseph Hospital Orange | Orange | $1,345.44 | $2,255.66 – $6,652.00 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $203.28 – $2,324.22 |
| Mark Twain Medical Center | San Andreas | not published | $203.28 – $203.28 |