Inj., benralizumab, 1 mg at Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
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.
$163.36 with Sutter Health Plus vs $537.50 with Blue Cross — 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 | $163.36 | — |
| Blue Shield | Ppo | $198.80 | — |
| Blue Shield | Hmo/Pos | $198.80 | — |
| Aetna | All Commercial Plans | $331.78 | — |
| Blue Cross | Anthem Ind1, Inca, Ncx3 All Commercial Plans | $537.50 | — |
Visitor-reported prices
Comments
Inj., benralizumab, 1 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $177.07 – $36,750.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8,546.73 | $120.35 – $18,429.60 |
| Bakersfield Memorial Hospital | Bakersfield | $8,454.58 | $213.63 – $18,199.23 |
| St. Joseph's Medical Center Stockton | Stockton | $5,530.73 | $172.68 – $15,425.84 |
| Mercy Medical Center Merced | Merced | $5,962.16 | $167.76 – $10,882.38 |
| Dominican Hospital | Santa Cruz | $6,808.50 | $167.76 – $12,860.50 |
| Northridge Hospital Medical Center | Northridge | $3,883.68 | $140.78 – $13,920.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $11,041.16 | $178.22 – $19,853.82 |