Consultation pathology during surgery frozen section first tissue block at Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
$300.39
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.
$589.00
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.
$74.30 with Blue Cross vs $229.55 with Sutter Health Plus — 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 Cross | Anthem Ind1, Inca, Ncx3 All Commercial Plans | $74.30 | ↓ -75% |
| Aetna | All Commercial Plans | $97.51 | ↓ -68% |
| Sutter Health Plus | All Commercial Plans | $229.55 | ↓ -24% |
Visitor-reported prices
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Consultation pathology during surgery frozen section first tissue block at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $143.23 | $88.29 – $394.70 |
| Petaluma Valley Hospital | Petaluma | $548.25 | $129.97 – $287.00 |
| Arroyo Grande Hospital | Santa Maria | $13.10 | $15.30 – $106.99 |
| Mark Twain Medical Center | San Andreas | $93.24 | $11.12 – $42.96 |
| French Hospital | San Luis Obispo | $12.00 | $8.26 – $125.77 |
| Mercy Hospitals – Bakersfield | Bakersfield | $113.53 | $29.21 – $119.32 |
| Bakersfield Memorial Hospital | Bakersfield | $112.31 | $29.21 – $119.32 |
| Queen of The Valley Medical Center | Napa | $364.14 | $164.25 – $287.00 |