Amantadine (symmetrel)-sendout 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.
$0.06 with Aetna vs $194.17 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 | All Commercial Plans | $0.06 | — |
| Blue Cross | Epo Exchange | $135.08 | — |
| Blue Cross | Nonmcs All Commercial Plans | $161.81 | — |
| Blue Cross | Mcs All Commercial Plans | $194.17 | — |
Visitor-reported prices
Comments
Amantadine (symmetrel)-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $85.76 | $4.51 – $10.67 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $31.21 | $0.02 – $110.92 |
| Providence Saint Joseph Medical Center | Burbank | $31.21 | $0.02 – $111.14 |
| Providence Holy Cross Medical Center | Mission Hills | $31.21 | $0.02 – $88.00 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $31.21 | $0.02 – $90.81 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $31.21 | $0.02 – $87.23 |
| Queen of The Valley Medical Center | Napa | not published | $0.07 – $170.71 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $322.68 – $322.68 |