Electrophysiology evaluation at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$13,014.18
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.
$25,518.00
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.
$1,716.00 with Unitedhealthcare vs $25,815.00 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 |
|---|---|---|---|
| Unitedhealthcare | Select/Navigate Hmo | $1,716.00 | ↓ -87% |
| Unitedhealthcare | All Commercial Plans | $1,940.00 | ↓ -85% |
| Blue Cross | Epo Exchange | $9,773.00 | ↓ -25% |
| Blue Cross | Nonmcs All Commercial Plans | $11,684.00 | ↓ -10% |
| Blue Cross | Mcs All Commercial Plans | $14,021.00 | ↑ +8% |
| Aetna | All Commercial Plans | $25,815.00 | ↑ +98% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,882.74 | $987.09 – $12,256.92 |
| Arroyo Grande Hospital | Santa Maria | $439.13 | $513.00 – $1,026.00 |
| French Hospital | San Luis Obispo | $402.20 | $277.02 – $1,026.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,171.47 | $802.51 – $3,192.00 |
| Queen of The Valley Medical Center | Napa | $4,485.45 | $2,747.00 – $19,158.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,279.20 | $802.51 – $3,567.82 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,682.08 | $1,200.00 – $13,634.00 |
| Mercy Medical Center Merced | Merced | $1,391.02 | $802.51 – $2,701.00 |