MRI breast w IV cont bi at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$5,047.98
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.
$9,898.00
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.
$457.90 with Unitedhealthcare vs $4,192.95 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $457.90 | ↓ -91% |
| Unitedhealthcare | Select/Navigate Hmo | $457.90 | ↓ -91% |
| Aetna | All Commercial Plans | $2,511.83 | ↓ -50% |
| Blue Cross | Epo Exchange | $2,914.07 | ↓ -42% |
| Blue Cross | Nonmcs All Commercial Plans | $3,494.14 | ↓ -31% |
| Blue Cross | Mcs Ppo | $4,192.95 | ↓ -17% |
Visitor-reported prices
Comments
MRI breast w IV cont bi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $1,863.29 | $557.44 – $2,600.57 |
| Providence St Joseph Hospital Eureka | Eureka | $3,839.28 | $457.90 – $3,186.59 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,562.57 | $457.90 – $2,563.69 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,455.52 | $457.90 – $3,805.93 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,429.00 | $457.90 – $1,850.97 |
| Providence Saint Joseph Medical Center | Burbank | $3,013.15 | $457.90 – $1,854.69 |
| St Jude Medical Center | Fullerton | $6,978.24 | $457.90 – $3,593.42 |
| Providence St Joseph Hospital Orange | Orange | $5,323.68 | $457.90 – $3,516.52 |