Echo guide for artery repair at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$698.70
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.
$1,370.00
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.
$300.45 with Healthnet vs $1,294.21 with Blue Cross — 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 | $300.45 | ↓ -57% |
| Aetna | Medicare Managed Care Plan | $306.58 | ↓ -56% |
| Unitedhealthcare | All Commercial Plans | $404.96 | ↓ -42% |
| Unitedhealthcare | Select/Navigate Hmo | $404.96 | ↓ -42% |
| Aetna | All Commercial Plans | $746.91 | ↑ +7% |
| Blue Cross | Epo Exchange | $902.14 | ↑ +29% |
| Blue Cross | Nonmcs All Commercial Plans | $1,078.50 | ↑ +54% |
| Blue Cross | Mcs All Commercial Plans | $1,294.21 | ↑ +85% |
Visitor-reported prices
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Echo guide for artery repair at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3,168.83 | $365.29 – $1,383.76 |
| French Hospital | San Luis Obispo | $340.65 | $234.63 – $1,462.63 |
| Queen of The Valley Medical Center | Napa | $2,981.46 | $306.58 – $1,060.39 |
| Providence St Joseph Hospital Eureka | Eureka | $2,314.38 | $277.71 – $1,202.49 |
| Redwood Memorial Hospital | Fortuna | $1,128.12 | $1,205.30 – $1,205.30 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $614.88 | $236.06 – $513.77 |
| Dominican Hospital | Santa Cruz | $1,638.90 | $427.82 – $4,323.87 |
| Northridge Hospital Medical Center | Northridge | $578.93 | $306.00 – $2,075.00 |