Rmvl ndwellg tun pleural cath at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$1,171.47
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.
$2,297.00
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.
$593.00 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 | $593.00 | ↓ -49% |
| Blue Shield | Hmo/Pos/Ppo | $724.00 | ↓ -38% |
| Healthnet | Medicare Managed Care Plan | $845.36 | ↓ -28% |
| Aetna | Medicare Managed Care Plan | $862.61 | ↓ -26% |
| Unitedhealthcare | Select/Navigate Hmo | $2,695.00 | ↑ +130% |
| Unitedhealthcare | All Commercial Plans | $3,016.00 | ↑ +157% |
| Healthnet | Hmo/Pos/Ppo | $3,331.00 | ↑ +184% |
| Aetna | All Commercial Plans | $10,997.00 | ↑ +839% |
Visitor-reported prices
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Rmvl ndwellg tun pleural cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $686.35 | $215.45 – $1,452.04 |
| Arroyo Grande Hospital | Santa Maria | $1,459.06 | $175.16 – $961.38 |
| French Hospital | San Luis Obispo | $1,336.33 | $125.55 – $465.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,024.71 | $175.16 – $2,209.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,013.66 | $175.16 – $2,181.98 |
| Queen of The Valley Medical Center | Napa | $1,302.54 | $890.68 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,310.19 | $806.82 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $710.94 | $721.00 – $3,982.87 |