Bx soft tissue back/flank deep 21925 at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$2,642.31
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.
$5,181.00
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.
$2,345.04 with Aetna vs $11,781.00 with Unitedhealthcare — 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 | $2,345.04 | ↓ -11% |
| Blue Cross | Epo Exchange | $6,200.00 | ↑ +135% |
| Blue Cross | Nonmcs All Commercial Plans | $7,480.00 | ↑ +183% |
| Blue Shield | Epn Exchange | $7,483.00 | ↑ +183% |
| Blue Cross | Mcs Ppo | $8,976.00 | ↑ +240% |
| Blue Shield | Hmo/Pos/Ppo | $9,116.00 | ↑ +245% |
| Aetna | All Commercial Plans | $9,175.00 | ↑ +247% |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | ↑ +273% |
| Unitedhealthcare | Select/Navigate Hmo | $10,593.00 | ↑ +301% |
| Unitedhealthcare | All Commercial Plans | $11,781.00 | ↑ +346% |
Visitor-reported prices
Comments
Bx soft tissue back/flank deep 21925 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $1,794.90 | $308.88 – $3,870.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,775.55 | $308.88 – $3,822.02 |
| Providence St Joseph Hospital Eureka | Eureka | $5,381.01 | $2,124.23 – $10,413.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,597.01 | $308.88 – $2,298.80 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,729.01 | $2,298.14 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $5,522.40 | $1,805.60 – $6,920.00 |
| Mercy Medical Center Merced | Merced | $2,616.72 | $308.88 – $5,030.19 |
| Dominican Hospital | Santa Cruz | $3,298.95 | $308.88 – $6,967.32 |