Bilateral n blobk inj pudendal 64430 at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$1,725.84
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.
$3,384.00
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.
$1,191.92 with Healthnet vs $10,997.00 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 | $1,191.92 | ↓ -31% |
| Aetna | Medicare Managed Care Plan | $1,216.25 | ↓ -30% |
| Blue Shield | Epn Exchange | $1,921.00 | ↑ +11% |
| Blue Shield | Hmo/Pos/Ppo | $2,343.00 | ↑ +36% |
| Unitedhealthcare | Select/Navigate Hmo | $2,695.00 | ↑ +56% |
| Unitedhealthcare | All Commercial Plans | $3,016.00 | ↑ +75% |
| Healthnet | Hmo/Pos/Ppo | $6,127.00 | ↑ +255% |
| Aetna | All Commercial Plans | $10,997.00 | ↑ +537% |
Visitor-reported prices
Comments
Bilateral n blobk inj pudendal 64430 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Queen of The Valley Medical Center | Napa | $2,962.59 | $1,255.83 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,929.84 | $1,137.58 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,047.03 | $1,191.69 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,139.85 | $5,981.00 – $20,799.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,523.81 | $80.31 – $2,177.28 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,845.69 | $1,230.71 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,874.40 | $966.94 – $5,171.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,133.28 | $136.53 – $1,669.92 |