Aluminum - quest at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$6.12
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.
$12.00
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.
$24.97 with Healthnet vs $320.84 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 | $24.97 | ↑ +308% |
| Aetna | Medicare Managed Care Plan | $25.48 | ↑ +316% |
| Unitedhealthcare | All Commercial Plans | $50.96 | ↑ +733% |
| Unitedhealthcare | Select/Navigate Hmo | $50.96 | ↑ +733% |
| Aetna | All Commercial Plans | $199.75 | ↑ +3164% |
| Blue Cross | Epo Exchange | $223.64 | ↑ +3554% |
| Blue Cross | Nonmcs All Commercial Plans | $267.36 | ↑ +4269% |
| Blue Cross | Mcs All Commercial Plans | $320.84 | ↑ +5142% |
Visitor-reported prices
Comments
Aluminum - quest at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $11.89 | $5.10 – $32.54 |
| Petaluma Valley Hospital | Petaluma | $6.12 | $24.97 – $208.01 |
| Arroyo Grande Hospital | Santa Maria | $5.17 | $6.03 – $65.64 |
| Mark Twain Medical Center | San Andreas | $8.04 | $6.53 – $12.06 |
| French Hospital | San Luis Obispo | $4.73 | $3.26 – $77.17 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4.48 | $6.03 – $73.21 |
| Bakersfield Memorial Hospital | Bakersfield | $4.43 | $6.03 – $73.21 |
| Queen of The Valley Medical Center | Napa | $6.12 | $25.48 – $262.88 |