Complx repair enel 2.6-7.5 cm 13152 at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$2,640.27
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.
$5,177.00
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.
$1,028.39 with Healthnet vs $19,505.00 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 |
|---|---|---|---|
| Healthnet | Medicare Managed Care Plan | $1,028.39 | ↓ -61% |
| Aetna | Medicare Managed Care Plan | $1,049.38 | ↓ -60% |
| Unitedhealthcare | Select/Navigate Hmo | $1,716.00 | ↓ -35% |
| Unitedhealthcare | All Commercial Plans | $1,940.00 | ↓ -27% |
| Healthnet | Hmo/Pos/Ppo | $3,331.00 | ↑ +26% |
| Blue Shield | Epn Exchange | $3,423.00 | ↑ +30% |
| Blue Shield | Hmo/Pos/Ppo | $4,172.00 | ↑ +58% |
| Blue Cross | Epo Exchange | $5,318.00 | ↑ +101% |
| Blue Cross | Nonmcs All Commercial Plans | $6,358.00 | ↑ +141% |
| Blue Cross | Mcs All Commercial Plans | $7,630.00 | ↑ +189% |
| Aetna | All Commercial Plans | $19,505.00 | ↑ +639% |
Visitor-reported prices
Comments
Complx repair enel 2.6-7.5 cm 13152 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $797.64 | $995.98 – $2,937.00 |
| Queen of The Valley Medical Center | Napa | $3,132.42 | $1,049.38 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,554.08 | $950.57 – $9,008.00 |
| Healdsburg Hospital | Healdsburg | $2,328.66 | $995.78 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $1,207.17 | $3,331.00 – $36,398.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,512.48 | $807.98 – $7,908.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $502.95 | $950.57 – $3,969.00 |
| Providence Saint Joseph Medical Center | Burbank | $602.00 | $950.57 – $3,950.00 |