Paliperidone 117 mg/0.75 ml inj 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.
$8.45 with Blue Cross vs $31.69 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 |
|---|---|---|---|
| Blue Cross | Epo Exchange | $8.45 | — |
| Blue Cross | Nonmcs All Commercial Plans | $10.13 | — |
| Blue Cross | Mcs All Commercial Plans | $10.13 | — |
| Healthnet | Medicare Managed Care Plan | $14.78 | — |
| Aetna | Medicare Managed Care Plan | $15.08 | — |
| Aetna | All Commercial Plans | $29.48 | — |
| Unitedhealthcare | Select/Navigate Hmo | $31.69 | — |
| Unitedhealthcare | All Commercial Plans | $31.69 | — |
Visitor-reported prices
Comments
Paliperidone 117 mg/0.75 ml inj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $14,408.62 | $14.98 – $19,687.22 |
| Mark Twain Medical Center | San Andreas | $11,647.57 | $3,016.32 – $11,426.31 |
| French Hospital | San Luis Obispo | $13,196.68 | $17.01 – $21,995.12 |
| St. Joseph's Behavioral Health Center | Stockton | $5,588.95 | $20.14 – $2,610.40 |
| St. Joseph's Medical Center Stockton | Stockton | $3,066.42 | $17.39 – $2,851.14 |
| Dominican Hospital | Santa Cruz | $3,787.23 | $10.94 – $6,800.00 |
| California Hospital Medical Center | Los Angeles | $2,657.80 | $0.01 – $4,329.20 |
| Providence Saint Joseph Medical Center | Burbank | $12,567.75 | $15.08 – $31.69 |