Core ndl bx lng/med perq at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$3,329.28
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.
$6,528.00
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.
$691.00 with Blue Shield vs $12,908.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $691.00 | ↓ -79% |
| Blue Shield | Hmo/Pos/Ppo | $842.00 | ↓ -75% |
| Healthnet | Medicare Managed Care Plan | $2,298.14 | ↓ -31% |
| Aetna | Medicare Managed Care Plan | $2,345.04 | ↓ -30% |
| Blue Cross | Epo Exchange | $4,042.00 | ↑ +21% |
| Unitedhealthcare | Select/Navigate Hmo | $4,737.00 | ↑ +42% |
| Blue Cross | Nonmcs All Commercial Plans | $4,836.00 | ↑ +45% |
| Unitedhealthcare | All Commercial Plans | $5,357.00 | ↑ +61% |
| Blue Cross | Mcs All Commercial Plans | $5,803.00 | ↑ +74% |
| Aetna | All Commercial Plans | $12,908.00 | ↑ +288% |
Visitor-reported prices
Comments
Core ndl bx lng/med perq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,497.92 | $1,329.27 – $4,448.34 |
| Banner Lassen Medical Center | Susanville | $1,806.12 | $324.05 – $3,356.20 |
| Petaluma Valley Hospital | Petaluma | $3,036.03 | $593.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $2,163.12 | $878.63 – $3,665.20 |
| Mark Twain Medical Center | San Andreas | $2,363.64 | $878.63 – $3,478.02 |
| French Hospital | San Luis Obispo | $1,822.41 | $878.63 – $3,665.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,456.92 | $878.63 – $3,141.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,441.21 | $878.63 – $3,102.33 |