Ado-trastuzumab emtansine 100 mg intravenous solution at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
not published by hospital
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.
not published by hospital
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.
$36.92 with Blue Cross vs $88.39 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 | $36.92 | — |
| Healthnet | Medicare Managed Care Plan | $41.35 | — |
| Aetna | Medicare Managed Care Plan | $42.20 | — |
| Blue Cross | Mcs All Commercial Plans | $44.22 | — |
| Blue Cross | Nonmcs All Commercial Plans | $44.22 | — |
| Aetna | All Commercial Plans | $82.21 | — |
| Unitedhealthcare | Select/Navigate Hmo | $88.39 | — |
| Unitedhealthcare | All Commercial Plans | $88.39 | — |
Visitor-reported prices
Comments
Ado-trastuzumab emtansine 100 mg intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $16,050.00 | $38.62 – $32,617.34 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8,471.05 | $25.00 – $11,416.80 |
| Bakersfield Memorial Hospital | Bakersfield | $8,379.72 | $53.18 – $11,274.09 |
| Queen of The Valley Medical Center | Napa | $14,653.15 | $39.96 – $88.39 |
| Providence St Joseph Hospital Eureka | Eureka | $14,653.15 | $42.20 – $88.39 |
| St. Joseph's Medical Center Stockton | Stockton | $5,481.63 | $40.04 – $9,555.46 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,621.78 | $35.87 – $88.39 |
| Mercy Medical Center Merced | Merced | $5,909.11 | $41.11 – $7,332.00 |