Electrophysiologic study at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
not published by hospital
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.
not published by hospital
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.
$9,256.00 with Blue Cross vs $35,965.00 with Healthnet — 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 Cross | Epo Exchange | $9,256.00 | — |
| Aetna | Medicare Managed Care Plan | $11,074.44 | — |
| Blue Cross | Nonmcs All Commercial Plans | $11,098.00 | — |
| Blue Cross | Mcs Ppo | $13,318.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $24,453.00 | — |
| Unitedhealthcare | All Commercial Plans | $27,195.00 | — |
| Healthnet | Hmo/Pos/Ppo | $35,965.00 | — |
Visitor-reported prices
Comments
Electrophysiologic study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,838.59 | $403.13 – $16,899.20 |
| Arroyo Grande Hospital | Santa Maria | $6,530.86 | $327.75 – $15,259.00 |
| French Hospital | San Luis Obispo | $5,807.48 | $327.75 – $14,518.70 |
| Bakersfield Memorial Hospital | Bakersfield | $4,295.74 | $327.75 – $11,353.85 |
| St. Joseph's Medical Center Stockton | Stockton | $3,441.27 | $327.75 – $10,766.00 |
| Mercy Medical Center Merced | Merced | $6,028.08 | $327.75 – $11,002.70 |
| Northridge Hospital Medical Center | Northridge | $3,063.98 | $327.75 – $10,982.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $6,178.90 | $177.08 – $16,065.00 |