Perq nl/pl lithotrp smpl<2cm 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.
$6,323.17 with Aetna vs $12,754.58 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 |
|---|---|---|---|
| Aetna | All Commercial Plans | $6,323.17 | — |
| Blue Shield | Hmo/Pos | $6,972.00 | — |
| Blue Shield | Ppo | $7,161.00 | — |
| Sutter Health Plus | All Commercial Plans | $12,754.58 | — |
Visitor-reported prices
Comments
Perq nl/pl lithotrp smpl<2cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,698.43 | $797.68 – $21,454.00 |
| Arroyo Grande Hospital | Santa Maria | $8,562.14 | $648.52 – $19,604.90 |
| Mark Twain Medical Center | San Andreas | $1,579.76 | $613.64 – $2,324.56 |
| French Hospital | San Luis Obispo | $10,729.83 | $648.52 – $25,547.62 |
| Dominican Hospital | Santa Cruz | $7,845.75 | $648.52 – $39,764.43 |
| California Hospital Medical Center | Los Angeles | $6,432.56 | $648.52 – $13,088.87 |
| Petaluma Valley Hospital | Petaluma | not published | $5,734.00 – $13,017.45 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $648.52 – $11,749.43 |