CT Scan of Abdomen and Pelvis (with contrast) at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$10,290.27
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.
$20,177.00
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.
$470.15 with Healthnet vs $2,238.54 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 | $470.15 | ↓ -95% |
| Aetna | Medicare Managed Care Plan | $479.74 | ↓ -95% |
| Unitedhealthcare | All Commercial Plans | $610.96 | ↓ -94% |
| Unitedhealthcare | Select/Navigate Hmo | $610.96 | ↓ -94% |
| Aetna | All Commercial Plans | $1,371.50 | ↓ -87% |
| Blue Cross | Epo Exchange | $1,557.32 | ↓ -85% |
| Blue Cross | Nonmcs All Commercial Plans | $1,865.45 | ↓ -82% |
| Blue Cross | Mcs All Commercial Plans | $2,238.54 | ↓ -78% |
Visitor-reported prices
Comments
CT Scan of Abdomen and Pelvis (with contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,198.28 | $426.33 – $5,695.56 |
| Banner Lassen Medical Center | Susanville | $2,979.85 | $71.43 – $5,079.89 |
| Arroyo Grande Hospital | Santa Maria | $4,274.01 | $281.80 – $7,413.70 |
| Mark Twain Medical Center | San Andreas | $7,250.08 | $281.80 – $2,347.10 |
| French Hospital | San Luis Obispo | $3,425.30 | $281.80 – $1,768.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,233.64 | $281.80 – $6,972.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,198.78 | $281.80 – $6,885.64 |
| Queen of The Valley Medical Center | Napa | $4,750.14 | $495.35 – $2,040.92 |