Brcassure comprehensive panel-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.
$1,788.38 with Healthnet vs $28,376.28 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 |
|---|---|---|---|
| Healthnet | Medicare Managed Care Plan | $1,788.38 | — |
| Aetna | Medicare Managed Care Plan | $1,824.88 | — |
| Unitedhealthcare | All Commercial Plans | $3,649.76 | — |
| Unitedhealthcare | Select/Navigate Hmo | $3,649.76 | — |
| Aetna | All Commercial Plans | $12,325.92 | — |
| Blue Cross | Epo Exchange | $19,740.94 | — |
| Blue Cross | Nonmcs All Commercial Plans | $23,646.96 | — |
| Blue Cross | Mcs All Commercial Plans | $28,376.28 | — |
Visitor-reported prices
Comments
Brcassure comprehensive panel-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $878.19 | $541.35 – $4,841.95 |
| Banner Lassen Medical Center | Susanville | $1,435.04 | $364.98 – $2,676.48 |
| Arroyo Grande Hospital | Santa Maria | $1,065.72 | $72.77 – $4,701.98 |
| Mark Twain Medical Center | San Andreas | $1,335.33 | $1,085.31 – $1,964.90 |
| French Hospital | San Luis Obispo | $976.08 | $39.30 – $5,527.55 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,559.89 | $75.69 – $145.54 |
| Sequoia Hospital | Redwood City | $729.82 | $862.15 – $6,353.13 |
| St. Mary Medical Center | Long Beach | $862.15 | $501.25 – $8,110.55 |