Mayo hemosiderin qualitative urine at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
not published by hospital
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.
not published by hospital
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.
$4.66 with Healthnet vs $59.76 with Blue Cross — 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 |
|---|---|---|---|
| Healthnet | Medicare Managed Care Plan | $4.66 | — |
| Aetna | Medicare Managed Care Plan | $4.75 | — |
| Unitedhealthcare | All Commercial Plans | $9.50 | — |
| Unitedhealthcare | Select/Navigate Hmo | $9.50 | — |
| Aetna | All Commercial Plans | $37.18 | — |
| Blue Cross | Epo Exchange | $41.66 | — |
| Blue Cross | Nonmcs All Commercial Plans | $49.80 | — |
| Blue Cross | Mcs All Commercial Plans | $59.76 | — |
Visitor-reported prices
Comments
Mayo hemosiderin qualitative urine at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $20.66 | $0.95 – $32.01 |
| Arroyo Grande Hospital | Santa Maria | $4.54 | $4.75 – $12.25 |
| Mark Twain Medical Center | San Andreas | $7.06 | $4.75 – $10.38 |
| French Hospital | San Luis Obispo | $4.16 | $2.86 – $14.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3.93 | $3.17 – $13.66 |
| Bakersfield Memorial Hospital | Bakersfield | $3.89 | $3.17 – $13.66 |
| St. Joseph's Behavioral Health Center | Stockton | $6.05 | $0.64 – $5.08 |
| St. Joseph's Medical Center Stockton | Stockton | $3.12 | $1.34 – $6.34 |