Acetone qualitative at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$143.82
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.
$282.00
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.
$4.43 with Healthnet vs $53.09 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 |
|---|---|---|---|
| Healthnet | Medicare Managed Care Plan | $4.43 | ↓ -97% |
| Aetna | Medicare Managed Care Plan | $4.52 | ↓ -97% |
| Unitedhealthcare | All Commercial Plans | $9.04 | ↓ -94% |
| Unitedhealthcare | Select/Navigate Hmo | $9.04 | ↓ -94% |
| Aetna | All Commercial Plans | $31.54 | ↓ -78% |
| Blue Cross | Epo Exchange | $36.93 | ↓ -74% |
| Blue Cross | Nonmcs All Commercial Plans | $44.24 | ↓ -69% |
| Blue Cross | Mcs All Commercial Plans | $53.09 | ↓ -63% |
Visitor-reported prices
Comments
Acetone qualitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $135.87 | $4.52 – $183.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $129.85 | $4.52 – $86.40 |
| Bakersfield Memorial Hospital | Bakersfield | $128.45 | $4.52 – $85.32 |
| St. Joseph's Behavioral Health Center | Stockton | $106.78 | $4.52 – $149.60 |
| St. Joseph's Medical Center Stockton | Stockton | $79.97 | $3.84 – $223.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $84.66 | $4.43 – $39.71 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $52.13 | $2.36 – $4.52 |
| Mercy Medical Center Merced | Merced | $78.80 | $4.52 – $143.82 |