G-tube reposition at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$435.54
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.
$854.00
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.
$336.70 with Healthnet 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 |
|---|---|---|---|
| Healthnet | Medicare Managed Care Plan | $336.70 | ↓ -23% |
| Aetna | Medicare Managed Care Plan | $343.57 | ↓ -21% |
| Blue Shield | Epn Exchange | $593.00 | ↑ +36% |
| Blue Shield | Hmo/Pos/Ppo | $724.00 | ↑ +66% |
| Healthnet | Hmo/Pos/Ppo | $1,333.00 | ↑ +206% |
| Unitedhealthcare | Select/Navigate Hmo | $1,687.00 | ↑ +287% |
| Unitedhealthcare | All Commercial Plans | $1,886.00 | ↑ +333% |
| Aetna | All Commercial Plans | $10,997.00 | ↑ +2425% |
Visitor-reported prices
Comments
G-tube reposition at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $663.57 | $111.93 – $1,181.70 |
| Arroyo Grande Hospital | Santa Maria | $1,437.23 | $91.00 – $3,134.04 |
| French Hospital | San Luis Obispo | $1,316.34 | $91.00 – $740.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,068.11 | $91.00 – $588.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,056.60 | $91.00 – $580.65 |
| Queen of The Valley Medical Center | Napa | $483.99 | $354.75 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,093.44 | $321.35 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $264.18 | $336.63 – $3,982.87 |