Incision & drainage hematoma/seroma/fluid collection at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$4,778.19
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.
$9,369.00
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 | ↓ -60% |
| Healthnet | Medicare Managed Care Plan | $2,225.71 | ↓ -53% |
| Aetna | Medicare Managed Care Plan | $2,271.13 | ↓ -52% |
| Blue Shield | Hmo/Pos/Ppo | $2,343.00 | ↓ -51% |
| Unitedhealthcare | Select/Navigate Hmo | $4,657.00 | ↓ -3% |
| Unitedhealthcare | All Commercial Plans | $5,208.00 | ↑ +9% |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | ↑ +106% |
| Aetna | All Commercial Plans | $10,997.00 | ↑ +130% |
Visitor-reported prices
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Incision & drainage hematoma/seroma/fluid collection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,125.66 | $70.42 – $3,763.88 |
| Arroyo Grande Hospital | Santa Maria | $1,868.22 | $57.25 – $4,066.02 |
| Mark Twain Medical Center | San Andreas | $795.87 | $57.25 – $305.76 |
| French Hospital | San Luis Obispo | $1,780.47 | $57.25 – $4,239.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,003.40 | $57.25 – $4,320.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,005.29 | $57.25 – $4,316.56 |
| Queen of The Valley Medical Center | Napa | $7,008.93 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,923.32 | $2,124.23 – $9,858.00 |