Contrast x-ray of elbow at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$1,679.94
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.
$3,294.00
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.
$495.35 with Aetna vs $888.10 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 | $495.35 | ↓ -71% |
| Aetna | All Commercial Plans | $571.12 | ↓ -66% |
| Unitedhealthcare | Select/Navigate Hmo | $610.96 | ↓ -64% |
| Unitedhealthcare | All Commercial Plans | $610.96 | ↓ -64% |
| Blue Cross | Epo Exchange | $617.22 | ↓ -63% |
| Blue Cross | Nonmcs All Commercial Plans | $740.08 | ↓ -56% |
| Blue Cross | Mcs Ppo | $888.10 | ↓ -47% |
Visitor-reported prices
Comments
Contrast x-ray of elbow at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $398.58 | $155.85 – $1,782.69 |
| Banner Lassen Medical Center | Susanville | $844.02 | $118.50 – $773.09 |
| Petaluma Valley Hospital | Petaluma | $1,559.07 | $384.83 – $610.96 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $662.88 | $381.40 – $830.11 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $573.65 | $160.25 – $1,229.72 |
| St Jude Medical Center | Fullerton | $942.72 | $381.40 – $830.11 |
| Providence St Joseph Hospital Orange | Orange | $349.92 | $381.40 – $830.11 |
| Providence Holy Cross Medical Center | Mission Hills | $647.15 | $159.45 – $1,229.72 |