Impl neurostim electr perc at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$16,565.82
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.
$32,482.00
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.
$2,995.00 with Blue Shield vs $35,965.00 with Healthnet — 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $2,995.00 | ↓ -82% |
| Blue Shield | Hmo/Pos/Ppo | $3,650.00 | ↓ -78% |
| Blue Cross | Epo Exchange | $4,042.00 | ↓ -76% |
| Blue Cross | Nonmcs All Commercial Plans | $4,836.00 | ↓ -71% |
| Blue Cross | Mcs All Commercial Plans | $5,803.00 | ↓ -65% |
| Healthnet | Medicare Managed Care Plan | $8,867.79 | ↓ -46% |
| Aetna | Medicare Managed Care Plan | $9,048.77 | ↓ -45% |
| Aetna | All Commercial Plans | $15,202.00 | ↓ -8% |
| Unitedhealthcare | Select/Navigate Hmo | $15,575.00 | ↓ -6% |
| Unitedhealthcare | All Commercial Plans | $17,615.00 | ↑ +6% |
| Healthnet | Hmo/Pos/Ppo | $35,965.00 | ↑ +117% |
Visitor-reported prices
Comments
Impl neurostim electr perc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $8,027.57 | $500.71 – $18,380.88 |
| Mark Twain Medical Center | San Andreas | $849.15 | $329.85 – $1,249.50 |
| French Hospital | San Luis Obispo | $7,352.36 | $500.71 – $18,380.88 |
| Providence St Joseph Hospital Eureka | Eureka | $13,093.23 | $7,809.00 – $35,965.00 |
| Mercy San Juan Medical Center | Carmichael | $6,776.85 | $422.63 – $20,528.39 |
| Mercy General Hospital | Sacramento | $5,391.80 | $422.63 – $19,786.40 |
| Mercy Hospital of Folsom | Folsom | $9,621.14 | $422.63 – $20,281.06 |
| Woodland Memorial Hospital | Woodland | $6,776.85 | $500.71 – $24,733.00 |