Artery x-rays lung at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$7,908.57
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.
$15,507.00
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.
$839.24 with Aetna vs $4,434.05 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 |
|---|---|---|---|
| Aetna | All Commercial Plans | $839.24 | ↓ -89% |
| Blue Cross | Epo Exchange | $2,926.68 | ↓ -63% |
| Blue Cross | Nonmcs All Commercial Plans | $3,505.76 | ↓ -56% |
| Blue Cross | Mcs All Commercial Plans | $4,206.91 | ↓ -47% |
| Healthnet | Medicare Managed Care Plan | $4,255.05 | ↓ -46% |
| Aetna | Medicare Managed Care Plan | $4,341.89 | ↓ -45% |
| Unitedhealthcare | Select/Navigate Hmo | $4,434.05 | ↓ -44% |
| Unitedhealthcare | All Commercial Plans | $4,434.05 | ↓ -44% |
Visitor-reported prices
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Artery x-rays lung at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,562.74 | $258.31 – $13,858.31 |
| Providence St Joseph Hospital Eureka | Eureka | $6,008.82 | $4,061.05 – $4,434.05 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,191.58 | $1,078.13 – $4,434.05 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,535.68 | $878.87 – $7,512.94 |
| Providence Saint Joseph Medical Center | Burbank | $1,482.60 | $278.93 – $10,797.87 |
| St Jude Medical Center | Fullerton | $5,676.96 | $878.87 – $7,512.94 |
| Providence St Joseph Hospital Orange | Orange | $2,770.08 | $861.96 – $7,512.94 |
| Providence Holy Cross Medical Center | Mission Hills | $4,123.00 | $347.62 – $10,837.86 |