Pet fdg brain metoblic eval sb at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$4,218.72
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.
$8,272.00
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.
$1,989.72 with Healthnet vs $16,147.41 with Aetna — 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 |
|---|---|---|---|
| Healthnet | Medicare Managed Care Plan | $1,989.72 | ↓ -53% |
| Aetna | Medicare Managed Care Plan | $2,030.33 | ↓ -52% |
| Unitedhealthcare | All Commercial Plans | $2,308.94 | ↓ -45% |
| Unitedhealthcare | Select/Navigate Hmo | $2,308.94 | ↓ -45% |
| Blue Cross | Epo Exchange | $5,370.12 | ↑ +27% |
| Blue Cross | Nonmcs All Commercial Plans | $6,419.93 | ↑ +52% |
| Blue Cross | Mcs All Commercial Plans | $7,703.96 | ↑ +83% |
| Aetna | All Commercial Plans | $16,147.41 | ↑ +283% |
Visitor-reported prices
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Pet fdg brain metoblic eval sb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $5,082.93 | $1,853.28 – $11,638.48 |
| Mark Twain Medical Center | San Andreas | $2,880.45 | $925.89 – $3,507.42 |
| French Hospital | San Luis Obispo | $1,931.78 | $1,330.56 – $4,829.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,448.39 | $1,853.28 – $3,330.77 |
| Bakersfield Memorial Hospital | Bakersfield | $1,432.77 | $1,374.36 – $3,084.16 |
| Queen of The Valley Medical Center | Napa | $5,614.59 | $2,030.33 – $6,312.15 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,517.92 | $1,563.28 – $3,402.43 |
| Mercy Medical Center Merced | Merced | $2,271.15 | $1,197.36 – $2,019.00 |