Rmvl icd by tv extr at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
$5,202.00
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.
$10,200.00
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.
$3,423.00 with Blue Shield vs $27,307.00 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 |
|---|---|---|---|
| Blue Shield | Epn Exchange | $3,423.00 | ↓ -34% |
| Blue Shield | Hmo/Pos/Ppo | $4,172.00 | ↓ -20% |
| Healthnet | Medicare Managed Care Plan | $5,199.85 | ↓ -0% |
| Aetna | Medicare Managed Care Plan | $5,305.96 | ↑ +2% |
| Blue Cross | Epo Exchange | $9,773.00 | ↑ +88% |
| Unitedhealthcare | Select/Navigate Hmo | $11,377.00 | ↑ +119% |
| Blue Cross | Nonmcs All Commercial Plans | $11,684.00 | ↑ +125% |
| Unitedhealthcare | All Commercial Plans | $12,866.00 | ↑ +147% |
| Blue Cross | Mcs All Commercial Plans | $14,021.00 | ↑ +170% |
| Aetna | All Commercial Plans | $25,242.00 | ↑ +385% |
| Healthnet | Hmo/Pos/Ppo | $27,307.00 | ↑ +425% |
Visitor-reported prices
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Rmvl icd by tv extr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,382.72 | $770.88 – $8,410.84 |
| Arroyo Grande Hospital | Santa Maria | $3,331.98 | $626.73 – $7,629.30 |
| French Hospital | San Luis Obispo | $3,105.04 | $626.73 – $7,762.58 |
| Bakersfield Memorial Hospital | Bakersfield | $2,374.49 | $626.73 – $5,111.30 |
| Queen of The Valley Medical Center | Napa | $5,701.29 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,715.28 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,681.39 | $626.73 – $5,163.44 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,503.68 | $4,085.40 – $8,891.76 |