Ghs rsv eia (respir synctial vrs) at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$30.09
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.
$59.00
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.
$13.63 with Healthnet vs $105.46 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 | $13.63 | ↓ -55% |
| Aetna | Medicare Managed Care Plan | $13.91 | ↓ -54% |
| Unitedhealthcare | All Commercial Plans | $27.82 | ↓ -8% |
| Unitedhealthcare | Select/Navigate Hmo | $27.82 | ↓ -8% |
| Aetna | All Commercial Plans | $64.82 | ↑ +115% |
| Blue Cross | Epo Exchange | $73.37 | ↑ +144% |
| Blue Cross | Nonmcs All Commercial Plans | $87.88 | ↑ +192% |
| Blue Cross | Mcs All Commercial Plans | $105.46 | ↑ +250% |
Visitor-reported prices
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Ghs rsv eia (respir synctial vrs) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $26.97 | $4.19 – $41.16 |
| Mark Twain Medical Center | San Andreas | $386.95 | $4.19 – $34.09 |
| French Hospital | San Luis Obispo | $24.70 | $4.19 – $42.13 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12.99 | $4.10 – $39.97 |
| Bakersfield Memorial Hospital | Bakersfield | $12.85 | $4.10 – $39.97 |
| Providence St Joseph Hospital Eureka | Eureka | $160.14 | $13.91 – $105.14 |
| St. Joseph's Behavioral Health Center | Stockton | $156.46 | $13.91 – $219.20 |
| Healdsburg Hospital | Healdsburg | $115.26 | $13.91 – $41.94 |