Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$3,437.91
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.
$6,741.00
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.
$2,717.15 with Healthnet 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 |
|---|---|---|---|
| Healthnet | Medicare Managed Care Plan | $2,717.15 | ↓ -21% |
| Aetna | Medicare Managed Care Plan | $2,772.60 | ↓ -19% |
| Blue Shield | Epn Exchange | $3,423.00 | ↓ -0% |
| Blue Cross | Epo Exchange | $4,042.00 | ↑ +18% |
| Blue Shield | Hmo/Pos/Ppo | $4,172.00 | ↑ +21% |
| Blue Cross | Nonmcs All Commercial Plans | $4,836.00 | ↑ +41% |
| Blue Cross | Mcs All Commercial Plans | $5,803.00 | ↑ +69% |
| Unitedhealthcare | Select/Navigate Hmo | $6,732.00 | ↑ +96% |
| Unitedhealthcare | All Commercial Plans | $7,614.00 | ↑ +121% |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | ↑ +187% |
| Aetna | All Commercial Plans | $12,908.00 | ↑ +275% |
Visitor-reported prices
Comments
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,073.66 | $224.16 – $4,748.10 |
| Mark Twain Medical Center | San Andreas | $3,300.70 | $152.90 – $579.18 |
| French Hospital | San Luis Obispo | $1,899.24 | $224.16 – $4,748.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,031.97 | $224.16 – $4,381.60 |
| Bakersfield Memorial Hospital | Bakersfield | $2,146.59 | $224.16 – $4,620.71 |
| Providence St Joseph Hospital Eureka | Eureka | $4,277.37 | $2,511.53 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $761.43 | $2,630.99 – $3,982.87 |
| St. Joseph's Medical Center Stockton | Stockton | $2,035.07 | $195.34 – $4,370.52 |