MRI lower extremity other than joint without contrast (both sides) at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$7,953.96
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.
$15,596.00
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.
$338.78 with Aetna vs $4,779.55 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 |
|---|---|---|---|
| Aetna | Medicare Managed Care Plan | $338.78 | ↓ -96% |
| Unitedhealthcare | Select/Navigate Hmo | $372.86 | ↓ -95% |
| Unitedhealthcare | All Commercial Plans | $372.86 | ↓ -95% |
| Aetna | All Commercial Plans | $2,511.83 | ↓ -68% |
| Blue Cross | Epo Exchange | $3,321.75 | ↓ -58% |
| Blue Cross | Nonmcs All Commercial Plans | $3,982.97 | ↓ -50% |
| Blue Cross | Mcs Ppo | $4,779.55 | ↓ -40% |
Visitor-reported prices
Comments
MRI lower extremity other than joint without contrast (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,450.22 | $307.13 – $2,582.58 |
| Banner Lassen Medical Center | Susanville | $1,068.91 | $630.58 – $1,491.86 |
| Petaluma Valley Hospital | Petaluma | $4,025.94 | $321.54 – $2,628.48 |
| Providence St Joseph Hospital Eureka | Eureka | $3,561.84 | $306.88 – $3,766.89 |
| Healdsburg Hospital | Healdsburg | $1,788.57 | $321.48 – $1,502.66 |
| Redwood Memorial Hospital | Fortuna | $1,977.27 | $3,775.69 – $3,775.69 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,369.17 | $332.01 – $2,826.01 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,706.72 | $260.85 – $567.73 |