Change of ureter tube/stent 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.
$1,921.00 with Blue Shield 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $1,921.00 | — |
| Blue Shield | Hmo/Pos/Ppo | $2,343.00 | — |
| Healthnet | Medicare Managed Care Plan | $2,817.02 | — |
| Aetna | Medicare Managed Care Plan | $2,874.51 | — |
| 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 | $10,997.00 | — |
Visitor-reported prices
Comments
Change of ureter tube/stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,881.65 | $63.59 – $4,655.74 |
| Arroyo Grande Hospital | Santa Maria | $2,517.50 | $51.70 – $5,764.36 |
| French Hospital | San Luis Obispo | $2,305.75 | $51.70 – $5,764.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,137.71 | $51.70 – $4,609.60 |
| Bakersfield Memorial Hospital | Bakersfield | $2,058.51 | $51.70 – $4,431.11 |
| St. Joseph's Medical Center Stockton | Stockton | $1,190.41 | $51.70 – $3,401.16 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,834.40 | $2,238.00 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,636.80 | $2,285.30 – $5,171.00 |