Knee MRI (without contrast) at Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
$1,788.57
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.
$3,507.00
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.
$321.48 with Sutter Health Plus vs $1,472.59 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 | $321.48 | ↓ -82% |
| Aetna | All Commercial Plans | $1,149.05 | ↓ -36% |
| Blue Cross | Anthem Ind1, Inca, Ncx3 All Commercial Plans | $1,472.59 | ↓ -18% |
Visitor-reported prices
Comments
Knee MRI (without contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,173.31 | $307.13 – $5,651.10 |
| Banner Lassen Medical Center | Susanville | $2,345.62 | $324.92 – $3,273.75 |
| Petaluma Valley Hospital | Petaluma | $5,896.62 | $321.54 – $2,575.89 |
| Queen of The Valley Medical Center | Napa | $6,729.45 | $338.78 – $3,255.28 |
| Providence St Joseph Hospital Eureka | Eureka | $3,988.20 | $306.88 – $3,691.51 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,281.45 | $332.01 – $2,769.47 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,652.96 | $260.85 – $567.73 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,519.70 | $306.88 – $975.86 |