Coombs indirect qualitative each reagent red cell reference at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$87.72
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.
$172.00
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.
$11.44 with Unitedhealthcare vs $241.90 with Aetna — 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $11.44 | ↓ -87% |
| Unitedhealthcare | Select/Navigate Hmo | $11.44 | ↓ -87% |
| Aetna | All Commercial Plans | $44.90 | ↓ -49% |
| Blue Cross | Epo Exchange | $50.22 | ↓ -43% |
| Blue Cross | Nonmcs All Commercial Plans | $60.04 | ↓ -32% |
| Blue Cross | Mcs All Commercial Plans | $72.05 | ↓ -18% |
| Healthnet | Medicare Managed Care Plan | $237.06 | ↑ +170% |
| Aetna | Medicare Managed Care Plan | $241.90 | ↑ +176% |
Visitor-reported prices
Comments
Coombs indirect qualitative each reagent red cell reference at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $87.72 | $11.44 – $229.59 |
| Queen of The Valley Medical Center | Napa | $87.72 | $11.44 – $59.03 |
| Providence St Joseph Hospital Eureka | Eureka | $87.72 | $11.44 – $219.12 |
| Redwood Memorial Hospital | Fortuna | $166.26 | $67.10 – $67.10 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $73.53 | $5.09 – $92.61 |
| Dominican Hospital | Santa Cruz | $244.80 | $6.86 – $736.86 |
| Northridge Hospital Medical Center | Northridge | $184.14 | $6.86 – $660.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $174.95 | $6.86 – $314.58 |