Drainage lymph node lesion 38300 at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$5,079.60
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.
$9,960.00
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 $10,997.00 with Aetna — 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 | ↓ -62% |
| Blue Shield | Hmo/Pos/Ppo | $2,343.00 | ↓ -54% |
| Healthnet | Medicare Managed Care Plan | $3,914.43 | ↓ -23% |
| Aetna | Medicare Managed Care Plan | $3,994.31 | ↓ -21% |
| Unitedhealthcare | Select/Navigate Hmo | $4,657.00 | ↓ -8% |
| Unitedhealthcare | All Commercial Plans | $5,208.00 | ↑ +3% |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | ↑ +94% |
| Aetna | All Commercial Plans | $10,997.00 | ↑ +116% |
Visitor-reported prices
Comments
Drainage lymph node lesion 38300 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Queen of The Valley Medical Center | Napa | $5,815.02 | $4,124.29 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,849.19 | $3,735.95 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $3,174.75 | $2,335.00 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $3,455.25 | $5,981.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,595.21 | $2,238.00 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,987.68 | $3,175.56 – $5,995.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,031.75 | $1,142.00 – $4,856.73 |
| Providence Saint Joseph Medical Center | Burbank | $3,021.20 | $1,142.00 – $4,856.73 |