Human epididymis protein 4 (he4) at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$130.56
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.
$256.00
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.
$20.39 with Healthnet vs $320.16 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 | $20.39 | ↓ -84% |
| Aetna | Medicare Managed Care Plan | $20.81 | ↓ -84% |
| Unitedhealthcare | All Commercial Plans | $41.62 | ↓ -68% |
| Unitedhealthcare | Select/Navigate Hmo | $41.62 | ↓ -68% |
| Aetna | All Commercial Plans | $163.17 | ↑ +25% |
| Blue Cross | Epo Exchange | $223.17 | ↑ +71% |
| Blue Cross | Nonmcs All Commercial Plans | $266.80 | ↑ +104% |
| Blue Cross | Mcs All Commercial Plans | $320.16 | ↑ +145% |
Visitor-reported prices
Comments
Human epididymis protein 4 (he4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $21.90 | $6.48 – $55.23 |
| Banner Lassen Medical Center | Susanville | $29.30 | $4.16 – $44.62 |
| Petaluma Valley Hospital | Petaluma | $130.56 | $20.39 – $207.57 |
| Arroyo Grande Hospital | Santa Maria | $21.40 | $16.64 – $53.63 |
| French Hospital | San Luis Obispo | $19.60 | $11.51 – $63.05 |
| Mercy Hospitals – Bakersfield | Bakersfield | $94.98 | $18.50 – $59.82 |
| Bakersfield Memorial Hospital | Bakersfield | $93.96 | $18.50 – $59.82 |
| Queen of The Valley Medical Center | Napa | $130.56 | $20.81 – $262.32 |