Biopsy bone trocar/needle superficial at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$2,295.00
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.
?
What you pay up front if you don't use insurance.
$4,500.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,238.00 with Blue Shield vs $12,908.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2,238.00 | ↓ -2% |
| Healthnet | Medicare Managed Care Plan | $2,298.14 | ↑ +0% |
| Aetna | Medicare Managed Care Plan | $2,345.04 | ↑ +2% |
| Blue Shield | Hmo/Pos/Ppo | $2,728.00 | ↑ +19% |
| Unitedhealthcare | Select/Navigate Hmo | $2,741.00 | ↑ +19% |
| Unitedhealthcare | All Commercial Plans | $3,100.00 | ↑ +35% |
| Blue Cross | Epo Exchange | $4,042.00 | ↑ +76% |
| Blue Cross | Nonmcs All Commercial Plans | $4,836.00 | ↑ +111% |
| Blue Cross | Mcs All Commercial Plans | $5,803.00 | ↑ +153% |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | ↑ +330% |
| Aetna | All Commercial Plans | $12,908.00 | ↑ +462% |
Visitor-reported prices
Comments
Biopsy bone trocar/needle superficial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $120.34 – $3,763.88 |
| Arroyo Grande Hospital | Santa Maria | $1,698.31 | $97.84 – $3,305.54 |
| French Hospital | San Luis Obispo | $1,851.03 | $97.84 – $2,916.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,743.70 | $97.84 – $3,608.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,724.90 | $97.84 – $2,058.68 |
| Queen of The Valley Medical Center | Napa | $1,972.17 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,381.01 | $2,124.23 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,097.51 | $97.84 – $1,813.00 |