Lymph vessel x-ray arm/leg 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$723.53 with Blue Cross vs $1,278.74 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $723.53 | — |
| Sutter Health Plus | All Commercial Plans | $845.19 | — |
| Aetna | All Commercial Plans | $1,278.74 | — |
Visitor-reported prices
Comments
Lymph vessel x-ray arm/leg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $445.01 | $274.32 – $2,616.73 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $773.15 | $766.11 – $2,183.86 |
| Petaluma Valley Hospital | Petaluma | not published | $845.36 – $1,265.60 |
| Queen of The Valley Medical Center | Napa | not published | $890.68 – $1,599.41 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $806.82 – $1,813.74 |
| Redwood Memorial Hospital | Fortuna | not published | $1,817.98 – $1,817.98 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $872.87 – $1,360.71 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $685.79 – $1,492.61 |