Cltx mndblr fx ntrdntl fixj at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$10,809.96
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.
$21,196.00
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.
$2,937.00 with Blue Shield vs $27,307.00 with Healthnet — 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 | $2,937.00 | ↓ -73% |
| Blue Shield | Hmo/Pos/Ppo | $3,583.00 | ↓ -67% |
| Healthnet | Medicare Managed Care Plan | $7,977.62 | ↓ -26% |
| Aetna | Medicare Managed Care Plan | $8,140.43 | ↓ -25% |
| Unitedhealthcare | Select/Navigate Hmo | $11,185.00 | ↑ +3% |
| Unitedhealthcare | All Commercial Plans | $12,508.00 | ↑ +16% |
| Aetna | All Commercial Plans | $14,372.00 | ↑ +33% |
| Healthnet | Hmo/Pos/Ppo | $27,307.00 | ↑ +153% |
Visitor-reported prices
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Cltx mndblr fx ntrdntl fixj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Queen of The Valley Medical Center | Napa | $12,019.68 | $7,745.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $12,090.57 | $7,613.89 – $27,307.00 |
| Healdsburg Hospital | Healdsburg | $4,560.93 | $3,572.00 – $7,976.05 |
| Redwood Memorial Hospital | Fortuna | $7,141.53 | $9,031.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,565.78 | $3,423.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $13,195.20 | $6,471.81 – $14,085.70 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,353.40 | $1,747.00 – $12,111.00 |
| Providence Saint Joseph Medical Center | Burbank | $3,377.50 | $1,747.00 – $12,111.00 |