Prq card stent w/angio addl at Queen of The Valley Medical Center
1000 Trancas St, Napa, CA · Providence · · NPI 1013080084
$19,179.57
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.
$37,607.00
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.
$7,745.00 with Blue Cross vs $27,195.00 with Unitedhealthcare — 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 |
|---|---|---|---|
| Blue Cross | Epo Exchange | $7,745.00 | ↓ -60% |
| Blue Cross | Nonmcs All Commercial Plans | $9,287.00 | ↓ -52% |
| Blue Cross | Mcs Ppo | $11,144.00 | ↓ -42% |
| Blue Shield | Epn Exchange | $12,022.00 | ↓ -37% |
| Blue Shield | Hmo/Pos/Ppo | $14,645.00 | ↓ -24% |
| Unitedhealthcare | Select/Navigate Hmo | $24,453.00 | ↑ +27% |
| Unitedhealthcare | All Commercial Plans | $27,195.00 | ↑ +42% |
Visitor-reported prices
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Prq card stent w/angio addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,305.71 | $6,352.83 – $18,352.62 |
| Bakersfield Memorial Hospital | Bakersfield | $9,509.71 | $1,333.64 – $25,652.88 |
| Providence St Joseph Hospital Eureka | Eureka | $7,592.88 | $9,008.00 – $24,039.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,836.07 | $7,025.76 – $28,103.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $22,529.25 | $4,812.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,896.96 | $9,718.00 – $11,117.00 |
| Mercy Medical Center Merced | Merced | $13,364.77 | $1,161.88 – $9,399.06 |
| Dominican Hospital | Santa Cruz | $7,436.25 | $10,741.25 – $14,872.50 |