Hdr rdncl ntrstl/icav brchtx at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$4,555.83
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.
$8,933.00
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.
$969.12 with Healthnet vs $2,642.33 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 | $969.12 | ↓ -79% |
| Aetna | Medicare Managed Care Plan | $988.90 | ↓ -78% |
| Blue Cross | Epo Exchange | $1,841.86 | ↓ -60% |
| Blue Cross | Nonmcs All Commercial Plans | $2,201.93 | ↓ -52% |
| Blue Cross | Mcs All Commercial Plans | $2,642.33 | ↓ -42% |
Visitor-reported prices
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Hdr rdncl ntrstl/icav brchtx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $497.57 | $306.72 – $1,763.10 |
| Providence St Joseph Hospital Eureka | Eureka | $6,042.48 | $895.78 – $2,455.08 |
| St. Joseph's Medical Center Stockton | Stockton | $1,637.88 | $290.89 – $5,571.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,345.92 | $761.42 – $1,657.20 |
| Mercy Medical Center Merced | Merced | $1,269.48 | $290.89 – $2,465.00 |
| Northridge Hospital Medical Center | Northridge | $2,261.30 | $290.89 – $8,105.00 |
| Sequoia Hospital | Redwood City | $2,967.70 | $290.89 – $7,600.00 |
| St. Mary Medical Center | Long Beach | $1,409.11 | $261.80 – $3,277.00 |