Nasopharyngoscopy w/endoscope at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$553.86
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.
$1,086.00
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.
$283.41 with Aetna vs $8,976.00 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 | $283.41 | ↓ -49% |
| Healthnet | Hmo/Pos/Ppo | $1,333.00 | ↑ +141% |
| Blue Cross | Epo Exchange | $6,200.00 | ↑ +1019% |
| Blue Cross | Nonmcs All Commercial Plans | $7,480.00 | ↑ +1251% |
| Aetna | All Commercial Plans | $8,621.00 | ↑ +1457% |
| Blue Cross | Mcs Ppo | $8,976.00 | ↑ +1521% |
Visitor-reported prices
Comments
Nasopharyngoscopy w/endoscope at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $276.38 | $51.90 – $517.42 |
| Petaluma Valley Hospital | Petaluma | $415.14 | $268.99 – $274.48 |
| Arroyo Grande Hospital | Santa Maria | $373.65 | $47.95 – $855.54 |
| Mark Twain Medical Center | San Andreas | $203.80 | $47.95 – $299.88 |
| French Hospital | San Luis Obispo | $323.01 | $47.95 – $807.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $197.75 | $47.95 – $437.06 |
| Bakersfield Memorial Hospital | Bakersfield | $195.62 | $47.95 – $437.06 |
| Providence St Joseph Hospital Eureka | Eureka | $272.85 | $256.73 – $8,018.00 |