Revision tips at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$20,368.89
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.
$39,939.00
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 $33,905.00 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 | ↓ -89% |
| Blue Shield | Hmo/Pos/Ppo | $2,728.00 | ↓ -87% |
| Healthnet | Medicare Managed Care Plan | $7,919.61 | ↓ -61% |
| Aetna | Medicare Managed Care Plan | $8,081.23 | ↓ -60% |
| Blue Cross | Epo Exchange | $9,773.00 | ↓ -52% |
| Blue Cross | Nonmcs All Commercial Plans | $11,684.00 | ↓ -43% |
| Blue Cross | Mcs All Commercial Plans | $14,021.00 | ↓ -31% |
| Unitedhealthcare | Select/Navigate Hmo | $20,488.00 | ↑ +1% |
| Unitedhealthcare | All Commercial Plans | $23,169.00 | ↑ +14% |
| Healthnet | Hmo/Pos/Ppo | $27,307.00 | ↑ +34% |
| Aetna | All Commercial Plans | $33,905.00 | ↑ +66% |
Visitor-reported prices
Comments
Revision tips at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,078.52 | $377.94 – $13,090.66 |
| Arroyo Grande Hospital | Santa Maria | $41,050.34 | $249.81 – $25,078.20 |
| French Hospital | San Luis Obispo | $38,254.89 | $249.81 – $25,078.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $14,616.29 | $249.81 – $31,517.60 |
| Bakersfield Memorial Hospital | Bakersfield | $14,458.70 | $249.81 – $31,123.63 |
| St. Joseph's Medical Center Stockton | Stockton | $4,848.65 | $249.81 – $13,853.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,331.84 | $5,171.00 – $14,208.00 |
| Mercy Medical Center Merced | Merced | $19,754.37 | $249.81 – $37,974.42 |