Tvh w/mmk 58267 at Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
not published by hospital
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.
not published by hospital
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 $18,030.00 with Blue Cross — 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 | — |
| Blue Shield | Hmo/Pos/Ppo | $2,728.00 | — |
| Unitedhealthcare | Select/Navigate Hmo | $11,377.00 | — |
| Blue Cross | Epo Exchange | $12,568.00 | — |
| Unitedhealthcare | All Commercial Plans | $12,866.00 | — |
| Blue Cross | Nonmcs All Commercial Plans | $15,025.00 | — |
| Blue Cross | Mcs All Commercial Plans | $18,030.00 | — |
Visitor-reported prices
Comments
Tvh w/mmk 58267 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $689.51 | $30.91 – $2,220.65 |
| HANFORD COMMUNITY HOSPITAL | Selma | $689.51 | $35.00 – $2,220.65 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $544.35 | $40.00 – $2,282.94 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,395.14 | $70.00 – $1,660.71 |
| WILLITS HOSPITAL INC | Willits | $1,088.70 | $70.00 – $2,372.74 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $254.03 | $65.00 – $2,220.65 |
| SONORA COMMUNITY HOSPITAL | Sonora | $616.93 | $924.35 – $2,372.74 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $979.83 | $212.81 – $2,282.94 |