Adj tis trans/see area/10.1-30sqcm 14041 at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$3,803.07
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.
$7,457.00
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.
$2,929.57 with Aetna vs $12,159.00 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $2,929.57 | ↓ -23% |
| Unitedhealthcare | Select/Navigate Hmo | $7,455.00 | ↑ +96% |
| Blue Cross | Epo Exchange | $7,745.00 | ↑ +104% |
| Unitedhealthcare | All Commercial Plans | $8,291.00 | ↑ +118% |
| Blue Shield | Epn Exchange | $8,552.00 | ↑ +125% |
| Blue Cross | Nonmcs All Commercial Plans | $9,287.00 | ↑ +144% |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | ↑ +159% |
| Blue Shield | Hmo/Pos/Ppo | $10,418.00 | ↑ +174% |
| Blue Cross | Mcs Ppo | $11,144.00 | ↑ +193% |
| Aetna | All Commercial Plans | $12,159.00 | ↑ +220% |
Visitor-reported prices
Comments
Adj tis trans/see area/10.1-30sqcm 14041 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,513.90 | $2,780.50 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $1,009.66 | $392.19 – $1,485.68 |
| Providence St Joseph Hospital Eureka | Eureka | $3,397.11 | $2,653.72 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,760.52 | $2,779.95 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $2,200.65 | $9,031.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,760.74 | $2,870.98 – $5,318.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,692.80 | $2,255.66 – $7,908.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,146.85 | $1,747.00 – $4,449.00 |