CT colonography screening 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$321.54 with Healthnet vs $5,069.95 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $321.54 | — |
| Aetna | Medicare Managed Care Plan | $328.10 | — |
| Unitedhealthcare | All Commercial Plans | $1,033.60 | — |
| Unitedhealthcare | Select/Navigate Hmo | $1,033.60 | — |
| Blue Cross | Epo Exchange | $3,527.09 | — |
| Aetna | All Commercial Plans | $3,541.38 | — |
| Blue Cross | Nonmcs All Commercial Plans | $4,224.97 | — |
| Blue Cross | Mcs All Commercial Plans | $5,069.95 | — |
Visitor-reported prices
Comments
CT colonography screening at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $792.78 | $307.13 – $1,566.00 |
| Arroyo Grande Hospital | Santa Maria | $505.90 | $307.13 – $1,756.00 |
| French Hospital | San Luis Obispo | $441.40 | $304.02 – $1,768.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,674.92 | $291.51 – $4,671.54 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $829.85 | $306.88 – $1,379.24 |
| Providence Saint Joseph Medical Center | Burbank | $1,071.70 | $306.88 – $2,667.55 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $1,298.50 | $306.88 – $1,379.24 |
| Queen of The Valley Medical Center | Napa | not published | $338.78 – $4,622.45 |