CT uppr extremity w/o&w/dye at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$5,116.32
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.
$10,032.00
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.
$236.37 with Healthnet vs $2,469.84 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 | $236.37 | ↓ -95% |
| Aetna | Medicare Managed Care Plan | $241.20 | ↓ -95% |
| Unitedhealthcare | All Commercial Plans | $291.55 | ↓ -94% |
| Unitedhealthcare | Select/Navigate Hmo | $291.55 | ↓ -94% |
| Blue Cross | Epo Exchange | $1,718.23 | ↓ -66% |
| Aetna | All Commercial Plans | $1,766.52 | ↓ -65% |
| Blue Cross | Nonmcs All Commercial Plans | $2,058.21 | ↓ -60% |
| Blue Cross | Mcs All Commercial Plans | $2,469.84 | ↓ -52% |
Visitor-reported prices
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CT uppr extremity w/o&w/dye at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,261.88 | $226.19 – $2,247.18 |
| Banner Lassen Medical Center | Susanville | $1,114.10 | $408.13 – $1,899.26 |
| Queen of The Valley Medical Center | Napa | $5,021.46 | $249.04 – $2,171.42 |
| Providence St Joseph Hospital Eureka | Eureka | $3,377.73 | $225.59 – $2,462.40 |
| Redwood Memorial Hospital | Fortuna | $2,212.38 | $2,468.15 – $2,468.15 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,486.87 | $244.06 – $1,847.36 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,289.12 | $191.76 – $417.35 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,504.65 | $225.59 – $656.11 |