Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm at Santa Rosa Memorial Hospital

1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 11, 2026

$8,482.32

Cash price

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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.

$16,632.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$80.63 with Unitedhealthcare vs $251.57 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 →

Payer
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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
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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 $80.63 ↓ -99%
Unitedhealthcare All Commercial Plans $80.63 ↓ -99%
Healthnet Medicare Managed Care Plan $173.16 ↓ -98%
Aetna Medicare Managed Care Plan $176.69 ↓ -98%
Blue Cross Epo Exchange $210.42 ↓ -98%
Blue Cross Nonmcs All Commercial Plans $251.57 ↓ -97%
Blue Cross Mcs All Commercial Plans $251.57 ↓ -97%

Visitor-reported prices

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Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $5,829.51 $198.83 – $2,075.76
Petaluma Valley Hospital Petaluma $8,482.32 $80.63 – $195.71
Arroyo Grande Hospital Santa Maria $4,624.54 $131.42 – $10,588.90
French Hospital San Luis Obispo $4,235.56 $131.42 – $10,588.90
Mercy Hospitals – Bakersfield Bakersfield $5,791.31 $131.42 – $10,804.50
Bakersfield Memorial Hospital Bakersfield $5,728.87 $61.88 – $2,405.60
Queen of The Valley Medical Center Napa $7,160.40 $80.63 – $211.85
Providence St Joseph Hospital Eureka Eureka $4,199.85 $80.63 – $252.70

All California hospitals for this procedure →