Embo or occlude vascular tumor/organ/infarct s&i 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.
$593.00 with Blue Shield vs $62,607.00 with Healthnet — 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $593.00 | — |
| Blue Shield | Hmo/Pos/Ppo | $724.00 | — |
| Aetna | All Commercial Plans | $14,372.00 | — |
| Healthnet | Medicare Managed Care Plan | $15,557.07 | — |
| Aetna | Medicare Managed Care Plan | $15,874.56 | — |
| Unitedhealthcare | Select/Navigate Hmo | $20,143.00 | — |
| Unitedhealthcare | All Commercial Plans | $22,527.00 | — |
| Healthnet | Hmo/Pos/Ppo | $62,607.00 | — |
Visitor-reported prices
Comments
Embo or occlude vascular tumor/organ/infarct s&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,078.52 | $771.65 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $18,047.48 | $510.05 – $41,323.66 |
| French Hospital | San Luis Obispo | $17,025.35 | $510.05 – $41,323.66 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13,040.65 | $510.05 – $28,120.00 |
| Bakersfield Memorial Hospital | Bakersfield | $12,900.05 | $510.05 – $27,768.50 |
| St. Joseph's Medical Center Stockton | Stockton | $16,805.63 | $510.05 – $26,889.24 |
| Santa Rosa Memorial Hospital | Santa Rosa | $14,433.51 | $691.00 – $20,488.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $25,170.24 | $1,597.00 – $27,468.35 |