C-1 esterase, berinert at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$8,888.84
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.
$17,429.09
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.
$49.34 with Blue Cross vs $155.38 with Unitedhealthcare — 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 | $49.34 | ↓ -99% |
| Blue Cross | Nonmcs All Commercial Plans | $58.98 | ↓ -99% |
| Blue Cross | Mcs All Commercial Plans | $58.98 | ↓ -99% |
| Healthnet | Medicare Managed Care Plan | $74.53 | ↓ -99% |
| Aetna | Medicare Managed Care Plan | $76.05 | ↓ -99% |
| Aetna | All Commercial Plans | $144.53 | ↓ -98% |
| Unitedhealthcare | Select/Navigate Hmo | $155.38 | ↓ -98% |
| Unitedhealthcare | All Commercial Plans | $155.38 | ↓ -98% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $8,859.60 | $61.95 – $20,286.00 |
| French Hospital | San Luis Obispo | $8,114.40 | $61.95 – $20,286.00 |
| Queen of The Valley Medical Center | Napa | $8,888.84 | $49.67 – $155.38 |
| Providence St Joseph Hospital Eureka | Eureka | $8,888.84 | $59.25 – $155.38 |
| St. Joseph's Medical Center Stockton | Stockton | $1,978.04 | $67.77 – $5,516.96 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,764.85 | $60.73 – $155.38 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $48.94 – $6,800.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $14,315.92 | $76.05 – $155.38 |