Alt/sgpt at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$289.17
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.
$567.00
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.
$5.30 with Aetna vs $77.65 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $5.30 | ↓ -98% |
| Unitedhealthcare | Select/Navigate Hmo | $10.60 | ↓ -96% |
| Unitedhealthcare | All Commercial Plans | $10.60 | ↓ -96% |
| Aetna | All Commercial Plans | $44.09 | ↓ -85% |
| Blue Cross | Epo Exchange | $53.96 | ↓ -81% |
| Blue Cross | Nonmcs All Commercial Plans | $64.71 | ↓ -78% |
| Blue Cross | Mcs Ppo | $77.65 | ↓ -73% |
Visitor-reported prices
Comments
Alt/sgpt at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $139.29 | $5.30 – $16.54 |
| Banner Lassen Medical Center | Susanville | $31.30 | $1.06 – $8.73 |
| Petaluma Valley Hospital | Petaluma | $194.31 | $5.19 – $42.70 |
| Arroyo Grande Hospital | Santa Maria | $167.35 | $3.54 – $13.68 |
| Mark Twain Medical Center | San Andreas | $56.61 | $5.30 – $12.99 |
| French Hospital | San Luis Obispo | $153.28 | $1.91 – $16.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $82.74 | $5.30 – $15.83 |
| Bakersfield Memorial Hospital | Bakersfield | $81.85 | $5.30 – $15.25 |