MRI lower extremity other than joint without & w/contrast (both sides) at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$4,833.27
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.
$9,477.00
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.
$470.15 with Healthnet vs $3,716.18 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 | $470.15 | ↓ -90% |
| Aetna | Medicare Managed Care Plan | $479.74 | ↓ -90% |
| Unitedhealthcare | All Commercial Plans | $610.96 | ↓ -87% |
| Unitedhealthcare | Select/Navigate Hmo | $610.96 | ↓ -87% |
| Aetna | All Commercial Plans | $1,995.63 | ↓ -59% |
| Blue Cross | Epo Exchange | $2,585.29 | ↓ -47% |
| Blue Cross | Nonmcs All Commercial Plans | $3,096.82 | ↓ -36% |
| Blue Cross | Mcs All Commercial Plans | $3,716.18 | ↓ -23% |
Visitor-reported prices
Comments
MRI lower extremity other than joint without & w/contrast (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,073.93 | $453.77 – $3,693.30 |
| Banner Lassen Medical Center | Susanville | $1,603.36 | $644.29 – $2,237.79 |
| Queen of The Valley Medical Center | Napa | $10,690.11 | $495.35 – $3,267.16 |
| Providence St Joseph Hospital Eureka | Eureka | $4,597.65 | $448.71 – $3,704.98 |
| Healdsburg Hospital | Healdsburg | $2,993.70 | $470.05 – $1,477.97 |
| Redwood Memorial Hospital | Fortuna | $2,010.42 | $3,713.64 – $3,713.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,392.34 | $485.45 – $2,779.57 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,062.40 | $381.40 – $830.11 |