Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm 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.
$995.98 with Healthnet vs $11,153.00 with Aetna — 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 | $995.98 | — |
| Aetna | Medicare Managed Care Plan | $1,016.31 | — |
| Blue Shield | Epn Exchange | $2,570.00 | — |
| Blue Shield | Hmo/Pos/Ppo | $3,135.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $4,657.00 | — |
| Unitedhealthcare | All Commercial Plans | $5,208.00 | — |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | — |
| Aetna | All Commercial Plans | $11,153.00 | — |
Visitor-reported prices
Comments
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,012.60 | $117.28 – $1,806.00 |
| Mark Twain Medical Center | San Andreas | $183.15 | $71.15 – $269.50 |
| Bakersfield Memorial Hospital | Bakersfield | $918.97 | $95.35 – $1,753.00 |
| Healdsburg Hospital | Healdsburg | $1,760.52 | $995.78 – $5,198.77 |
| Sierra Nevada Memorial Hospital | Grass Valley | $1,641.00 | $95.35 – $2,950.78 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $675.50 | $950.57 – $2,606.00 |
| Providence Saint Joseph Medical Center | Burbank | $1,760.85 | $950.57 – $2,654.00 |
| Providence St Joseph Hospital Orange | Orange | $1,345.44 | $807.98 – $6,652.00 |