Mr sfty implt&/fb asmt stf 1 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.
$39.18 with Unitedhealthcare vs $105.28 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $39.18 | — |
| Unitedhealthcare | Select/Navigate Hmo | $39.18 | — |
| Healthnet | Medicare Managed Care Plan | $40.25 | — |
| Aetna | Medicare Managed Care Plan | $41.07 | — |
| Blue Cross | Epo Exchange | $73.39 | — |
| Aetna | All Commercial Plans | $74.77 | — |
| Blue Cross | Nonmcs All Commercial Plans | $87.73 | — |
| Blue Cross | Mcs All Commercial Plans | $105.28 | — |
Visitor-reported prices
Comments
Mr sfty implt&/fb asmt stf 1 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $24.93 | $4.90 – $36.86 |
| Arroyo Grande Hospital | Santa Maria | $39.81 | $46.50 – $91.14 |
| Mercy Hospitals – Bakersfield | Bakersfield | $30.43 | $41.00 – $65.60 |
| Bakersfield Memorial Hospital | Bakersfield | $30.10 | $41.00 – $81.18 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $44.64 | $31.62 – $68.82 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $60.69 | $18.72 – $76.44 |
| Dominican Hospital | Santa Cruz | $45.00 | $65.00 – $90.00 |
| St. Mary Medical Center | Long Beach | $39.99 | $23.25 – $93.00 |