Pq thr inj ext pse at Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
$590.07
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.
$1,157.00
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.
$845.19 with Sutter Health Plus vs $3,982.87 with Aetna — 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 | $845.19 | ↑ +43% |
| Blue Shield | Hmo/Pos | $2,335.00 | ↑ +296% |
| Blue Shield | Ppo | $2,399.00 | ↑ +307% |
| Aetna | All Commercial Plans | $3,982.87 | ↑ +575% |
Visitor-reported prices
Comments
Pq thr inj ext pse at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $378.87 | $220.71 – $1,452.04 |
| Petaluma Valley Hospital | Petaluma | $1,171.47 | $845.36 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $674.10 | $179.44 – $1,441.58 |
| Mark Twain Medical Center | San Andreas | $2,563.44 | $179.44 – $1,650.32 |
| French Hospital | San Luis Obispo | $985.49 | $179.44 – $1,314.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $281.22 | $179.44 – $718.00 |
| Bakersfield Memorial Hospital | Bakersfield | $278.19 | $179.44 – $718.00 |
| Queen of The Valley Medical Center | Napa | $1,009.80 | $890.68 – $6,200.00 |