Clsd tx fx radius/ulna dist w/manip 25605 at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$2,435.25
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.
$4,775.00
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.
$2,283.13 with Aetna vs $12,159.00 with Aetna — 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 | $2,283.13 | ↓ -6% |
| Unitedhealthcare | Select/Navigate Hmo | $4,316.00 | ↑ +77% |
| Unitedhealthcare | All Commercial Plans | $4,800.00 | ↑ +97% |
| Blue Cross | Epo Exchange | $6,200.00 | ↑ +155% |
| Blue Cross | Nonmcs All Commercial Plans | $7,480.00 | ↑ +207% |
| Blue Shield | Epn Exchange | $8,552.00 | ↑ +251% |
| Blue Cross | Mcs Ppo | $8,976.00 | ↑ +269% |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | ↑ +305% |
| Blue Shield | Hmo/Pos/Ppo | $10,418.00 | ↑ +328% |
| Aetna | All Commercial Plans | $12,159.00 | ↑ +399% |
Visitor-reported prices
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Clsd tx fx radius/ulna dist w/manip 25605 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,309.28 | $2,166.95 – $2,937.00 |
| Mark Twain Medical Center | San Andreas | $863.81 | $262.84 – $995.68 |
| Providence St Joseph Hospital Eureka | Eureka | $2,334.27 | $2,068.15 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,514.70 | $2,166.52 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $1,642.71 | $8,222.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,350.59 | $2,237.46 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,103.36 | $1,757.92 – $7,908.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,337.00 | $1,747.00 – $3,969.00 |