Hc nm myocard infarct avid plnr tomo spect w/wo quant 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$731.71 with Healthnet vs $2,035.50 with Unitedhealthcare — 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 | $731.71 | — |
| Aetna | Medicare Managed Care Plan | $746.64 | — |
| Aetna | All Commercial Plans | $1,145.25 | — |
| Blue Cross | Epo Exchange | $1,210.04 | — |
| Blue Cross | Nonmcs All Commercial Plans | $1,449.47 | — |
| Blue Cross | Mcs All Commercial Plans | $1,739.36 | — |
| Unitedhealthcare | All Commercial Plans | $2,035.50 | — |
| Unitedhealthcare | Select/Navigate Hmo | $2,035.50 | — |
Visitor-reported prices
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Hc nm myocard infarct avid plnr tomo spect w/wo quant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,229.03 | $678.26 – $2,368.99 |
| Dominican Hospital | Santa Cruz | $2,151.45 | $739.51 – $7,994.90 |
| Northridge Hospital Medical Center | Northridge | $1,830.80 | $683.93 – $6,562.00 |
| California Hospital Medical Center | Los Angeles | $1,903.63 | $683.93 – $3,100.75 |
| St. Mary Medical Center | Long Beach | $465.69 | $270.75 – $1,094.29 |
| Community Hospital San Bernardino | San Bernardino | $1,839.27 | $369.50 – $4,704.00 |
| Glendale Memorial Hospital Health Center | Glendale | $1,421.04 | $683.93 – $3,487.20 |
| Mercy San Juan Medical Center | Carmichael | $1,671.68 | $180.21 – $5,063.83 |