Correct rectal prolapse at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$5,231.07
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.
$10,257.00
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.
$1,921.00 with Blue Shield vs $16,652.00 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 | $1,921.00 | ↓ -63% |
| Blue Shield | Hmo/Pos/Ppo | $2,343.00 | ↓ -55% |
| Healthnet | Medicare Managed Care Plan | $3,740.51 | ↓ -28% |
| Aetna | Medicare Managed Care Plan | $3,816.85 | ↓ -27% |
| Aetna | All Commercial Plans | $11,153.00 | ↑ +113% |
| Unitedhealthcare | Select/Navigate Hmo | $11,185.00 | ↑ +114% |
| Unitedhealthcare | All Commercial Plans | $12,508.00 | ↑ +139% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +218% |
Visitor-reported prices
Comments
Correct rectal prolapse at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,662.34 | $645.72 – $2,446.08 |
| Queen of The Valley Medical Center | Napa | $5,662.02 | $3,941.05 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,056.65 | $3,569.96 – $17,611.00 |
| Healdsburg Hospital | Healdsburg | $2,620.89 | $2,335.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $3,276.24 | $5,981.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,721.69 | $2,238.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,993.92 | $3,034.47 – $7,883.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,834.00 | $1,142.00 – $6,604.43 |