Drainage of mouth lesion at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$7,271.58
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.
$14,258.00
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.
$2,238.00 with Blue Shield vs $16,652.00 with Healthnet — 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 | $2,238.00 | ↓ -69% |
| Blue Shield | Hmo/Pos/Ppo | $2,728.00 | ↓ -62% |
| Blue Cross | Epo Exchange | $4,042.00 | ↓ -44% |
| Healthnet | Medicare Managed Care Plan | $4,613.34 | ↓ -37% |
| Aetna | Medicare Managed Care Plan | $4,707.49 | ↓ -35% |
| Unitedhealthcare | Select/Navigate Hmo | $4,737.00 | ↓ -35% |
| Blue Cross | Nonmcs All Commercial Plans | $4,836.00 | ↓ -33% |
| Unitedhealthcare | All Commercial Plans | $5,357.00 | ↓ -26% |
| Blue Cross | Mcs All Commercial Plans | $5,803.00 | ↓ -20% |
| Aetna | All Commercial Plans | $12,908.00 | ↑ +78% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +129% |
Visitor-reported prices
Comments
Drainage of mouth lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $5,759.94 | $1,921.00 – $4,657.00 |
| Queen of The Valley Medical Center | Napa | $6,404.07 | $4,707.49 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,583.37 | $4,264.23 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $3,496.05 | $2,335.00 – $4,467.06 |
| Redwood Memorial Hospital | Fortuna | $4,339.59 | $5,981.00 – $20,799.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,812.00 | $3,281.00 – $7,888.83 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,470.70 | $1,142.00 – $7,332.00 |
| Providence Saint Joseph Medical Center | Burbank | $2,020.55 | $1,142.00 – $7,332.00 |