Warde lipoprotein (a) at Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
$24.29
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.
$47.63
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.
$14.03 with Healthnet vs $148.59 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 | $14.03 | ↓ -42% |
| Aetna | Medicare Managed Care Plan | $14.32 | ↓ -41% |
| Unitedhealthcare | All Commercial Plans | $28.64 | ↑ +18% |
| Unitedhealthcare | Select/Navigate Hmo | $28.64 | ↑ +18% |
| Aetna | All Commercial Plans | $90.33 | ↑ +272% |
| Blue Cross | Epo Exchange | $103.37 | ↑ +326% |
| Blue Cross | Nonmcs All Commercial Plans | $123.83 | ↑ +410% |
| Blue Cross | Mcs All Commercial Plans | $148.59 | ↑ +512% |
Visitor-reported prices
Comments
Warde lipoprotein (a) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7.01 | $4.32 – $38.00 |
| Banner Lassen Medical Center | Susanville | $9.39 | $2.86 – $18.99 |
| Arroyo Grande Hospital | Santa Maria | $24.40 | $8.00 – $36.90 |
| Mark Twain Medical Center | San Andreas | $123.21 | $8.67 – $15.68 |
| French Hospital | San Luis Obispo | $22.35 | $4.32 – $43.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6.31 | $8.00 – $41.16 |
| Bakersfield Memorial Hospital | Bakersfield | $5.88 | $8.00 – $41.16 |
| Queen of The Valley Medical Center | Napa | $24.29 | $14.32 – $130.64 |