Ihc/icc per specimen initial single antibody stain at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$276.42
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.
?
What you pay up front if you don't use insurance.
$542.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$83.67 with Blue Cross vs $376.48 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Blue Cross | Epo Exchange | $83.67 | ↓ -70% |
| Blue Cross | Nonmcs All Commercial Plans | $100.02 | ↓ -64% |
| Blue Cross | Mcs All Commercial Plans | $120.03 | ↓ -57% |
| Healthnet | Medicare Managed Care Plan | $237.06 | ↓ -14% |
| Aetna | Medicare Managed Care Plan | $241.90 | ↓ -12% |
| Unitedhealthcare | Select/Navigate Hmo | $287.00 | ↑ +4% |
| Unitedhealthcare | All Commercial Plans | $287.00 | ↑ +4% |
| Aetna | All Commercial Plans | $376.48 | ↑ +36% |
Visitor-reported prices
Comments
Ihc/icc per specimen initial single antibody stain at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $248.35 | $12.69 – $179.98 |
| Petaluma Valley Hospital | Petaluma | $314.67 | $77.82 – $287.00 |
| Arroyo Grande Hospital | Santa Maria | $175.66 | $20.00 – $174.77 |
| Mark Twain Medical Center | San Andreas | $218.45 | $12.94 – $50.00 |
| French Hospital | San Luis Obispo | $160.88 | $10.80 – $205.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $172.89 | $22.50 – $194.92 |
| Bakersfield Memorial Hospital | Bakersfield | $171.03 | $22.50 – $194.92 |
| Queen of The Valley Medical Center | Napa | $364.14 | $98.34 – $287.00 |