Analgesics non-opioid definitive assay 1 or 2 acetaminophen at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$623.22
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.
$1,222.00
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.
$0.06 with Aetna vs $218.11 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 | ↓ -100% |
| Blue Cross | Epo Exchange | $151.74 | ↓ -76% |
| Blue Cross | Nonmcs All Commercial Plans | $181.76 | ↓ -71% |
| Blue Cross | Mcs All Commercial Plans | $218.11 | ↓ -65% |
Visitor-reported prices
Comments
Analgesics non-opioid definitive assay 1 or 2 acetaminophen at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $96.40 | $2.87 – $6.79 |
| Providence St Joseph Hospital Eureka | Eureka | $594.66 | $362.45 – $362.45 |
| Healdsburg Hospital | Healdsburg | $82.62 | $0.03 – $86.75 |
| Redwood Memorial Hospital | Fortuna | $420.24 | $363.30 – $363.30 |
| Santa Rosa Memorial Hospital | Santa Rosa | $600.78 | $0.07 – $163.14 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $163.80 | $0.02 – $124.58 |
| Providence Saint Joseph Medical Center | Burbank | $436.45 | $0.02 – $124.83 |
| Providence Holy Cross Medical Center | Mission Hills | $321.65 | $0.02 – $98.84 |