MRI breast c-+ w/cad uni at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$4,296.75
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.
$8,425.00
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.
$459.63 with Unitedhealthcare vs $3,446.76 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 |
|---|---|---|---|
| Unitedhealthcare | All Commercial Plans | $459.63 | ↓ -89% |
| Unitedhealthcare | Select/Navigate Hmo | $459.63 | ↓ -89% |
| Blue Cross | Epo Exchange | $2,402.60 | ↓ -44% |
| Aetna | All Commercial Plans | $2,563.69 | ↓ -40% |
| Blue Cross | Nonmcs All Commercial Plans | $2,872.28 | ↓ -33% |
| Blue Cross | Mcs All Commercial Plans | $3,446.76 | ↓ -20% |
Visitor-reported prices
Comments
MRI breast c-+ w/cad uni at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $1,576.26 | $547.04 – $2,199.96 |
| Queen of The Valley Medical Center | Napa | $6,576.45 | $459.63 – $2,928.65 |
| Providence St Joseph Hospital Eureka | Eureka | $3,520.02 | $459.63 – $3,202.50 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,588.16 | $459.63 – $3,824.98 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,238.25 | $459.63 – $1,860.23 |
| Providence Saint Joseph Medical Center | Burbank | $2,840.60 | $459.63 – $1,863.97 |
| St Jude Medical Center | Fullerton | $3,690.72 | $459.63 – $3,611.41 |
| Providence St Joseph Hospital Orange | Orange | $2,475.84 | $459.63 – $3,534.12 |