Ghs i and d perirectal abscess 46040 at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$8,986.20
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.
$17,620.00
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.
$1,699.06 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 | $1,699.06 | ↓ -81% |
| Healthnet | Hmo/Pos/Ppo | $6,127.00 | ↓ -32% |
| Blue Cross | Epo Exchange | $6,200.00 | ↓ -31% |
| Unitedhealthcare | Select/Navigate Hmo | $7,455.00 | ↓ -17% |
| Blue Cross | Nonmcs All Commercial Plans | $7,480.00 | ↓ -17% |
| Unitedhealthcare | All Commercial Plans | $8,291.00 | ↓ -8% |
| Blue Shield | Epn Exchange | $8,552.00 | ↓ -5% |
| Blue Cross | Mcs Ppo | $8,976.00 | ↓ -0% |
| Blue Shield | Hmo/Pos/Ppo | $10,418.00 | ↑ +16% |
| Aetna | All Commercial Plans | $12,159.00 | ↑ +35% |
Visitor-reported prices
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Ghs i and d perirectal abscess 46040 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $5,102.04 | $1,612.61 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $754.58 | $205.06 – $1,110.34 |
| Providence St Joseph Hospital Eureka | Eureka | $5,981.28 | $1,539.08 – $8,925.00 |
| Healdsburg Hospital | Healdsburg | $2,159.85 | $1,612.29 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $5,999.64 | $6,127.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,938.33 | $1,665.08 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,182.88 | $1,308.22 – $7,908.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,664.65 | $348.61 – $3,356.50 |