Cryptococcus abs qn - sendout at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$23.97
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.
$47.00
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.
$14.12 with Healthnet vs $144.25 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 | $14.12 | ↓ -41% |
| Aetna | Medicare Managed Care Plan | $14.41 | ↓ -40% |
| Unitedhealthcare | All Commercial Plans | $28.82 | ↑ +20% |
| Unitedhealthcare | Select/Navigate Hmo | $28.82 | ↑ +20% |
| Aetna | All Commercial Plans | $92.78 | ↑ +287% |
| Blue Cross | Epo Exchange | $100.35 | ↑ +319% |
| Blue Cross | Nonmcs All Commercial Plans | $120.21 | ↑ +402% |
| Blue Cross | Mcs All Commercial Plans | $144.25 | ↑ +502% |
Visitor-reported prices
Comments
Cryptococcus abs qn - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $59.88 | $2.88 – $91.18 |
| Queen of The Valley Medical Center | Napa | $23.97 | $14.41 – $126.82 |
| Providence St Joseph Hospital Eureka | Eureka | $23.97 | $14.41 – $143.81 |
| Redwood Memorial Hospital | Fortuna | $23.97 | $144.15 – $144.15 |
| Santa Rosa Memorial Hospital | Santa Rosa | $23.97 | $14.12 – $107.89 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $22.56 | $12.25 – $28.82 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $11.67 | $7.80 – $14.70 |
| Sierra Nevada Memorial Hospital | Grass Valley | $5.51 | $6.77 – $10.10 |