Burr hole skull & remove clot 61154 at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$3,720.45
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.
$7,295.00
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.
$5,592.00 with Blue Shield vs $13,318.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $5,592.00 | ↑ +50% |
| Blue Shield | Hmo/Pos/Ppo | $6,812.00 | ↑ +83% |
| Blue Cross | Epo Exchange | $9,256.00 | ↑ +149% |
| Unitedhealthcare | Select/Navigate Hmo | $10,593.00 | ↑ +185% |
| Blue Cross | Nonmcs All Commercial Plans | $11,098.00 | ↑ +198% |
| Unitedhealthcare | All Commercial Plans | $11,781.00 | ↑ +217% |
| Blue Cross | Mcs Ppo | $13,318.00 | ↑ +258% |
Visitor-reported prices
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Burr hole skull & remove clot 61154 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,623.55 | $1,921.00 – $6,619.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,225.86 | $5,835.00 – $11,046.00 |
| Healdsburg Hospital | Healdsburg | $10,755.39 | $2,335.00 – $2,335.00 |
| Redwood Memorial Hospital | Fortuna | $8,189.58 | $5,981.00 – $11,059.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,678.12 | $2,238.00 – $9,773.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,400.00 | $4,666.00 – $13,634.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,374.75 | $1,142.00 – $8,480.00 |
| Providence Saint Joseph Medical Center | Burbank | $769.30 | $1,142.00 – $8,261.00 |