Athrectomy tib/pero/unilat/ini ves 37229 at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$20,278.62
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.
$39,762.00
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.
$4,233.00 with Blue Shield vs $89,248.00 with Healthnet — 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 | $4,233.00 | ↓ -79% |
| Blue Shield | Hmo/Pos/Ppo | $5,159.00 | ↓ -75% |
| Blue Cross | Epo Exchange | $9,773.00 | ↓ -52% |
| Blue Cross | Nonmcs All Commercial Plans | $11,684.00 | ↓ -42% |
| Blue Cross | Mcs All Commercial Plans | $14,021.00 | ↓ -31% |
| Unitedhealthcare | Select/Navigate Hmo | $20,488.00 | ↑ +1% |
| Unitedhealthcare | All Commercial Plans | $23,169.00 | ↑ +14% |
| Aetna | All Commercial Plans | $25,242.00 | ↑ +24% |
| Healthnet | Hmo/Pos/Ppo | $89,248.00 | ↑ +340% |
Visitor-reported prices
Comments
Athrectomy tib/pero/unilat/ini ves 37229 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $18,189.27 | $927.68 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $14,930.78 | $613.18 – $34,187.30 |
| French Hospital | San Luis Obispo | $13,674.92 | $613.18 – $34,025.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,273.98 | $613.18 – $33,664.00 |
| Bakersfield Memorial Hospital | Bakersfield | $15,443.36 | $613.18 – $33,243.20 |
| Queen of The Valley Medical Center | Napa | $25,453.59 | $9,256.00 – $89,248.00 |
| Providence St Joseph Hospital Eureka | Eureka | $18,127.95 | $11,036.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,303.80 | $0.80 – $18,829.00 |