Pulse ox multiple at Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
$40.80
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.
$80.00
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.
$109.74 with Blue Cross vs $109.74 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 |
|---|---|---|---|
| Blue Cross | Anthem Ind1, Inca, Ncx3 All Commercial Plans | $109.74 | ↑ +169% |
Visitor-reported prices
Comments
Pulse ox multiple at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $185.28 | $6.69 – $329.94 |
| Petaluma Valley Hospital | Petaluma | $499.80 | $191.96 – $191.96 |
| Arroyo Grande Hospital | Santa Maria | $253.38 | $256.50 – $502.74 |
| Mark Twain Medical Center | San Andreas | $1,152.18 | $428.41 – $1,622.88 |
| French Hospital | San Luis Obispo | $232.07 | $123.12 – $446.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $65.67 | $88.50 – $141.60 |
| Bakersfield Memorial Hospital | Bakersfield | $64.96 | $88.50 – $175.23 |
| Queen of The Valley Medical Center | Napa | $242.25 | $242.60 – $242.60 |