Inst via cath agent pleurds at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$1,171.47
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.
$2,297.00
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.
$890.68 with Aetna vs $9,175.00 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 | $890.68 | ↓ -24% |
| Healthnet | Hmo/Pos/Ppo | $3,331.00 | ↑ +184% |
| Unitedhealthcare | Select/Navigate Hmo | $4,316.00 | ↑ +268% |
| Unitedhealthcare | All Commercial Plans | $4,800.00 | ↑ +310% |
| Blue Shield | Epn Exchange | $5,592.00 | ↑ +377% |
| Blue Cross | Epo Exchange | $6,200.00 | ↑ +429% |
| Blue Shield | Hmo/Pos/Ppo | $6,812.00 | ↑ +481% |
| Blue Cross | Nonmcs All Commercial Plans | $7,480.00 | ↑ +539% |
| Blue Cross | Mcs Ppo | $8,976.00 | ↑ +666% |
| Aetna | All Commercial Plans | $9,175.00 | ↑ +683% |
Visitor-reported prices
Comments
Inst via cath agent pleurds at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $485.75 | $299.43 – $1,452.04 |
| Arroyo Grande Hospital | Santa Maria | $1,169.73 | $225.99 – $2,678.34 |
| Mark Twain Medical Center | San Andreas | $1,900.10 | $225.99 – $1,225.00 |
| French Hospital | San Luis Obispo | $1,071.34 | $225.99 – $2,678.34 |
| Mercy Hospitals – Bakersfield | Bakersfield | $888.92 | $225.99 – $1,916.80 |
| Bakersfield Memorial Hospital | Bakersfield | $879.34 | $225.99 – $1,892.84 |
| Providence St Joseph Hospital Eureka | Eureka | $1,509.60 | $806.82 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $710.94 | $845.19 – $5,198.77 |