Debridement subcutaneous tissue <= 20 sq cm at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$696.15
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.
$1,365.00
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.
$565.65 with Healthnet vs $15,202.00 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 |
|---|---|---|---|
| Healthnet | Medicare Managed Care Plan | $565.65 | ↓ -19% |
| Aetna | Medicare Managed Care Plan | $577.20 | ↓ -17% |
| Healthnet | Hmo/Pos/Ppo | $1,333.00 | ↑ +91% |
| Unitedhealthcare | Select/Navigate Hmo | $1,716.00 | ↑ +146% |
| Unitedhealthcare | All Commercial Plans | $1,940.00 | ↑ +179% |
| Blue Shield | Epn Exchange | $2,995.00 | ↑ +330% |
| Blue Shield | Hmo/Pos/Ppo | $3,650.00 | ↑ +424% |
| Blue Cross | Epo Exchange | $4,042.00 | ↑ +481% |
| Blue Cross | Nonmcs All Commercial Plans | $4,836.00 | ↑ +595% |
| Blue Cross | Mcs All Commercial Plans | $5,803.00 | ↑ +734% |
| Aetna | All Commercial Plans | $15,202.00 | ↑ +2084% |
Visitor-reported prices
Comments
Debridement subcutaneous tissue <= 20 sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $598.85 | $146.60 – $936.40 |
| Petaluma Valley Hospital | Petaluma | $595.68 | $547.82 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $613.76 | $119.19 – $1,405.32 |
| Mark Twain Medical Center | San Andreas | $261.74 | $31.83 – $120.54 |
| French Hospital | San Luis Obispo | $562.13 | $119.19 – $1,405.32 |
| Mercy Hospitals – Bakersfield | Bakersfield | $451.14 | $119.19 – $972.80 |
| Bakersfield Memorial Hospital | Bakersfield | $446.28 | $119.19 – $960.64 |
| Queen of The Valley Medical Center | Napa | $1,008.78 | $577.20 – $7,483.00 |