Placement nephrostomy catheter (both sides) at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$3,618.96
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.
$7,096.00
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.
$2,238.00 with Blue Shield vs $15,202.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $2,238.00 | ↓ -38% |
| Blue Shield | Hmo/Pos/Ppo | $2,728.00 | ↓ -25% |
| Healthnet | Medicare Managed Care Plan | $2,908.69 | ↓ -20% |
| Aetna | Medicare Managed Care Plan | $2,968.05 | ↓ -18% |
| Blue Cross | Epo Exchange | $4,042.00 | ↑ +12% |
| Blue Cross | Nonmcs All Commercial Plans | $4,836.00 | ↑ +34% |
| Blue Cross | Mcs All Commercial Plans | $5,803.00 | ↑ +60% |
| Unitedhealthcare | Select/Navigate Hmo | $6,732.00 | ↑ +86% |
| Unitedhealthcare | All Commercial Plans | $7,614.00 | ↑ +110% |
| Healthnet | Hmo/Pos/Ppo | $9,858.00 | ↑ +172% |
| Aetna | All Commercial Plans | $15,202.00 | ↑ +320% |
Visitor-reported prices
Comments
Placement nephrostomy catheter (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,691.95 | $1,170.44 – $4,793.88 |
| Arroyo Grande Hospital | Santa Maria | $5,419.34 | $773.64 – $9,926.42 |
| French Hospital | San Luis Obispo | $4,913.72 | $773.64 – $9,926.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,847.27 | $773.64 – $2,350.00 |
| Bakersfield Memorial Hospital | Bakersfield | $3,805.79 | $773.64 – $2,350.00 |
| Queen of The Valley Medical Center | Napa | $2,734.11 | $2,968.05 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,172.09 | $2,688.58 – $10,413.00 |
| St. Joseph's Medical Center Stockton | Stockton | $5,344.63 | $773.64 – $5,090.40 |