Prgrmg eval implantable dfb at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$575.28
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.
$1,128.00
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.
$51.93 with Healthnet vs $1,333.00 with Healthnet — 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 | $51.93 | ↓ -91% |
| Aetna | Medicare Managed Care Plan | $52.99 | ↓ -91% |
| Aetna | All Commercial Plans | $177.27 | ↓ -69% |
| Blue Cross | Epo Exchange | $221.69 | ↓ -61% |
| Blue Cross | Nonmcs All Commercial Plans | $265.03 | ↓ -54% |
| Blue Cross | Mcs All Commercial Plans | $318.04 | ↓ -45% |
| Healthnet | Hmo/Pos/Ppo | $1,333.00 | ↑ +132% |
Visitor-reported prices
Comments
Prgrmg eval implantable dfb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Dominican Hospital | Santa Cruz | $232.20 | $51.23 – $438.60 |
| Mercy San Juan Medical Center | Carmichael | $130.70 | $34.65 – $315.00 |
| Mercy General Hospital | Sacramento | $103.99 | $46.21 – $315.00 |
| Mercy Hospital of Folsom | Folsom | $185.56 | $34.65 – $315.00 |
| Woodland Memorial Hospital | Woodland | $130.70 | $34.65 – $315.00 |
| Methodist Hospital of Sacramento | Sacramento | $137.38 | $46.21 – $315.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $47.60 | $48.00 – $88.80 |
| Petaluma Valley Hospital | Petaluma | not published | $50.30 – $206.20 |