Treatment of thigh fracture at Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
$1,869.66
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.
$3,666.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,125.00 with Blue Shield vs $17,298.12 with Sutter Health Plus — 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 Shield | Hmo/Pos | $3,125.00 | ↑ +67% |
| Blue Shield | Ppo | $3,210.00 | ↑ +72% |
| Aetna | All Commercial Plans | $6,323.17 | ↑ +238% |
| Sutter Health Plus | All Commercial Plans | $17,298.12 | ↑ +825% |
Visitor-reported prices
Comments
Treatment of thigh fracture at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,748.25 | $679.09 – $2,572.50 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $648.66 | $28.89 – $2,035.95 |
| ST HELENA HOSPITAL | Vallejo | $848.40 | $80.00 – $2,324.75 |
| HANFORD COMMUNITY HOSPITAL | Selma | $648.66 | $160.09 – $16,512.70 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $512.10 | $160.09 – $16,512.70 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,253.24 | $546.00 – $1,645.56 |
| WILLITS HOSPITAL INC | Willits | $1,024.20 | $75.00 – $2,113.08 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $238.98 | $399.00 – $2,035.95 |