Plmt access bil tree sm bwl 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.
$3,572.00 with Blue Shield vs $8,722.46 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 Shield | Hmo/Pos | $3,572.00 | — |
| Blue Shield | Ppo | $3,669.00 | — |
| Aetna | All Commercial Plans | $5,198.77 | — |
| Sutter Health Plus | All Commercial Plans | $8,722.46 | — |
Visitor-reported prices
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Plmt access bil tree sm bwl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,300.80 | $4,114.00 – $9,990.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,149.50 | $1,747.00 – $10,824.34 |
| California Hospital Medical Center | Los Angeles | $4,683.65 | $973.38 – $8,832.05 |
| Providence Saint Joseph Medical Center | Burbank | $3,311.70 | $1,747.00 – $10,824.34 |
| Mercy San Juan Medical Center | Carmichael | $3,003.59 | $326.29 – $10,249.58 |
| Mercy General Hospital | Sacramento | $2,389.72 | $326.29 – $9,019.63 |
| Mercy Hospital of Folsom | Folsom | $4,264.22 | $326.29 – $8,642.80 |
| Woodland Memorial Hospital | Woodland | $3,003.59 | $1,081.53 – $10,540.00 |