Reposition pm/icd lead at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$4,158.54
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.
$8,154.00
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.
$4,042.00 with Blue Cross vs $19,505.00 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 Cross | Epo Exchange | $4,042.00 | ↓ -3% |
| Healthnet | Medicare Managed Care Plan | $4,393.52 | ↑ +6% |
| Aetna | Medicare Managed Care Plan | $4,483.19 | ↑ +8% |
| Blue Cross | Nonmcs All Commercial Plans | $4,836.00 | ↑ +16% |
| Blue Cross | Mcs All Commercial Plans | $5,803.00 | ↑ +40% |
| Blue Shield | Epn Exchange | $8,992.00 | ↑ +116% |
| Blue Shield | Hmo/Pos/Ppo | $10,959.00 | ↑ +164% |
| Unitedhealthcare | Select/Navigate Hmo | $11,377.00 | ↑ +174% |
| Unitedhealthcare | All Commercial Plans | $12,866.00 | ↑ +209% |
| Healthnet | Hmo/Pos/Ppo | $16,652.00 | ↑ +300% |
| Aetna | All Commercial Plans | $19,505.00 | ↑ +369% |
Visitor-reported prices
Comments
Reposition pm/icd lead at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,354.25 | $228.67 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $3,820.33 | $151.15 – $8,747.48 |
| French Hospital | San Luis Obispo | $3,570.73 | $151.15 – $8,926.82 |
| Bakersfield Memorial Hospital | Bakersfield | $2,430.28 | $151.15 – $5,231.38 |
| Queen of The Valley Medical Center | Napa | $4,098.36 | $4,483.19 – $22,465.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,231.36 | $4,061.05 – $23,444.00 |
| Redwood Memorial Hospital | Fortuna | $5,193.84 | $8,222.00 – $36,398.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,651.70 | $151.15 – $4,719.12 |