Ghs musc tst done w/n tst non ext 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$297.05 with Blue Cross vs $427.41 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 |
|---|---|---|---|
| Blue Cross | Epo Exchange | $297.05 | — |
| Blue Cross | Nonmcs All Commercial Plans | $356.18 | — |
| Blue Cross | Mcs Ppo | $427.41 | — |
Visitor-reported prices
Comments
Ghs musc tst done w/n tst non ext at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. Mary Medical Center | Long Beach | $157.38 | $68.83 – $436.50 |
| Providence Saint Joseph Medical Center | Burbank | $481.60 | $194.26 – $195.54 |
| Community Hospital San Bernardino | San Bernardino | $539.19 | $78.98 – $7,832.00 |
| Glendale Memorial Hospital Health Center | Glendale | $285.25 | $86.04 – $700.00 |
| St. Bernardine Medical Center | San Bernardino | $459.21 | $78.98 – $5,761.00 |
| Providence Holy Cross Medical Center | Mission Hills | $147.70 | $101.10 – $153.81 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $338.80 | $101.10 – $158.72 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $338.80 | $152.46 – $164.99 |