Bartholin gland cyst/marsupializat 56440 at Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
$3,474.63
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.
$6,813.00
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.
$3,125.00 with Blue Shield 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 |
|---|---|---|---|
| Blue Shield | Hmo/Pos | $3,125.00 | ↓ -10% |
| Blue Shield | Ppo | $3,210.00 | ↓ -8% |
| Sutter Health Plus | All Commercial Plans | $4,361.52 | ↑ +26% |
| Aetna | All Commercial Plans | $5,198.77 | ↑ +50% |
Visitor-reported prices
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Bartholin gland cyst/marsupializat 56440 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $4,969.44 | $2,570.00 – $6,619.00 |
| Mark Twain Medical Center | San Andreas | $318.35 | $123.66 – $468.44 |
| Queen of The Valley Medical Center | Napa | $6,364.29 | $4,596.27 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,403.05 | $4,163.48 – $16,652.00 |
| Redwood Memorial Hospital | Fortuna | $3,781.65 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,124.08 | $2,995.00 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,461.92 | $3,538.96 – $7,702.45 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,246.00 | $1,528.00 – $7,332.00 |