MRI cardiac morph & func wwo IV cont w/stress img 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$1,089.31 with Unitedhealthcare vs $6,588.27 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 | $1,089.31 | — |
| Unitedhealthcare | Select/Navigate Hmo | $1,089.31 | — |
| Healthnet | Medicare Managed Care Plan | $1,090.80 | — |
| Aetna | Medicare Managed Care Plan | $1,113.06 | — |
| Aetna | All Commercial Plans | $2,563.69 | — |
| Blue Cross | Epo Exchange | $4,592.42 | — |
| Blue Cross | Nonmcs All Commercial Plans | $5,490.20 | — |
| Blue Cross | Mcs All Commercial Plans | $6,588.27 | — |
Visitor-reported prices
Comments
MRI cardiac morph & func wwo IV cont w/stress img at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| California Hospital Medical Center | Los Angeles | $1,200.86 | $619.00 – $1,956.04 |
| St. Mary Medical Center | Long Beach | $1,763.43 | $695.00 – $4,101.00 |
| Providence Saint Joseph Medical Center | Burbank | $4,216.10 | $585.98 – $3,206.81 |
| Community Hospital San Bernardino | San Bernardino | $1,767.32 | $643.87 – $4,520.00 |
| Glendale Memorial Hospital Health Center | Glendale | $2,054.46 | $1,003.85 – $5,041.60 |
| St. Bernardine Medical Center | San Bernardino | $1,715.62 | $735.00 – $4,224.64 |
| Providence Saint John's Health Center | Santa Monica | $1,697.15 | $813.72 – $1,865.27 |
| Petaluma Valley Hospital | Petaluma | not published | $1,056.42 – $4,271.42 |