C1 esterase inhibitor func - sendout at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$34.55
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.
?
What you pay up front if you don't use insurance.
$67.75
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.
?
The hospital's undiscounted list price — almost no one pays this.
$12.00 with Aetna vs $178.18 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $12.00 | ↓ -65% |
| Unitedhealthcare | Select/Navigate Hmo | $24.00 | ↓ -31% |
| Unitedhealthcare | All Commercial Plans | $24.00 | ↓ -31% |
| Aetna | All Commercial Plans | $100.02 | ↑ +189% |
| Blue Cross | Epo Exchange | $123.83 | ↑ +258% |
| Blue Cross | Nonmcs All Commercial Plans | $148.48 | ↑ +330% |
| Blue Cross | Mcs Ppo | $178.18 | ↑ +416% |
Visitor-reported prices
Comments
C1 esterase inhibitor func - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5.62 | $3.47 – $31.84 |
| Banner Lassen Medical Center | Susanville | $86.00 | $2.40 – $17.61 |
| Petaluma Valley Hospital | Petaluma | $34.55 | $11.76 – $97.99 |
| Arroyo Grande Hospital | Santa Maria | $121.39 | $6.42 – $30.92 |
| Mark Twain Medical Center | San Andreas | $199.80 | $6.94 – $12.82 |
| French Hospital | San Luis Obispo | $111.18 | $3.47 – $36.35 |
| Mercy Hospitals – Bakersfield | Bakersfield | $37.10 | $6.53 – $34.48 |
| Bakersfield Memorial Hospital | Bakersfield | $36.70 | $6.53 – $34.48 |