MRI orbit/face/neck without & w/contrast at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$9,118.80
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.
$17,880.00
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 $8,385.53 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 | ↓ -95% |
| Aetna | Medicare Managed Care Plan | $479.74 | ↓ -95% |
| Unitedhealthcare | All Commercial Plans | $610.96 | ↓ -93% |
| Unitedhealthcare | Select/Navigate Hmo | $610.96 | ↓ -93% |
| Aetna | All Commercial Plans | $1,995.63 | ↓ -78% |
| Blue Cross | Epo Exchange | $5,833.69 | ↓ -36% |
| Blue Cross | Nonmcs All Commercial Plans | $6,987.96 | ↓ -23% |
| Blue Cross | Mcs All Commercial Plans | $8,385.53 | ↓ -8% |
Visitor-reported prices
Comments
MRI orbit/face/neck without & w/contrast at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,511.10 | $453.77 – $2,691.00 |
| Banner Lassen Medical Center | Susanville | $3,357.04 | $71.43 – $5,624.06 |
| Arroyo Grande Hospital | Santa Maria | $3,784.38 | $333.68 – $6,585.60 |
| Mark Twain Medical Center | San Andreas | $8,816.51 | $333.68 – $3,263.40 |
| French Hospital | San Luis Obispo | $3,050.16 | $333.68 – $2,111.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,513.68 | $333.68 – $3,264.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,497.36 | $333.68 – $3,223.20 |
| Queen of The Valley Medical Center | Napa | $7,861.14 | $495.35 – $7,372.33 |