Vital capacity test at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$230.52
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.
$452.00
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.
$25.01 with Blue Cross vs $176.94 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 Cross | Epo Exchange | $25.01 | ↓ -89% |
| Blue Cross | Nonmcs All Commercial Plans | $29.95 | ↓ -87% |
| Blue Cross | Mcs All Commercial Plans | $35.94 | ↓ -84% |
| Healthnet | Medicare Managed Care Plan | $173.40 | ↓ -25% |
| Aetna | Medicare Managed Care Plan | $176.94 | ↓ -23% |
Visitor-reported prices
Comments
Vital capacity test at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $107.31 | $7.86 – $365.02 |
| Banner Lassen Medical Center | Susanville | $53.86 | $9.19 – $96.03 |
| Arroyo Grande Hospital | Santa Maria | $85.60 | $6.39 – $198.80 |
| Mark Twain Medical Center | San Andreas | $128.54 | $6.39 – $188.16 |
| French Hospital | San Luis Obispo | $76.44 | $6.39 – $195.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $122.81 | $6.39 – $264.80 |
| Bakersfield Memorial Hospital | Bakersfield | $121.48 | $6.39 – $261.49 |
| Queen of The Valley Medical Center | Napa | $183.60 | $31.60 – $182.70 |