Apply short leg castambul type 29425 at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$540.09
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.
$1,059.00
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.
$397.12 with Aetna vs $8,976.00 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 | $397.12 | ↓ -26% |
| Healthnet | Hmo/Pos/Ppo | $1,333.00 | ↑ +147% |
| Blue Shield | Epn Exchange | $1,727.00 | ↑ +220% |
| Blue Shield | Hmo/Pos/Ppo | $2,104.00 | ↑ +290% |
| Unitedhealthcare | Select/Navigate Hmo | $2,747.00 | ↑ +409% |
| Unitedhealthcare | All Commercial Plans | $3,056.00 | ↑ +466% |
| Blue Cross | Epo Exchange | $6,200.00 | ↑ +1048% |
| Blue Cross | Nonmcs All Commercial Plans | $7,480.00 | ↑ +1285% |
| Blue Cross | Mcs Ppo | $8,976.00 | ↑ +1562% |
Visitor-reported prices
Comments
Apply short leg castambul type 29425 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $486.03 | $376.92 – $1,687.00 |
| Providence St Joseph Hospital Eureka | Eureka | $766.02 | $359.73 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $328.44 | $376.84 – $721.00 |
| Redwood Memorial Hospital | Fortuna | $320.79 | $1,333.00 – $8,222.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $519.69 | $389.18 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,443.36 | $305.77 – $1,597.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $408.75 | $96.13 – $735.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $156.80 | $203.00 – $1,287.00 |