Abd/low ext cath addl at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$693.00
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.
$1,540.00
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.
$52.98 with BCBS - Anthem vs $23,352.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $52.98 | ↓ -92% |
| Health Net | Medicaid|< 21 | $65.17 | ↓ -91% |
| Health Net | Medicaid|> 21 | $65.17 | ↓ -91% |
| COSC Psych | Medicaid|All Plans | $83.51 | ↓ -88% |
| Central California Alliance for Health | Medicaid|All Plans | $83.51 | ↓ -88% |
| Kaiser | Commercial|All Plans | $1,001.00 | ↑ +44% |
| Western Growers | Commercial|All Plans | $1,047.20 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $1,232.00 | ↑ +78% |
| Multiplan | Commercial|All Plans | $1,309.00 | ↑ +89% |
| First Health | Commercial|All Plans | $1,309.00 | ↑ +89% |
| United | Commercial|All Other Plans | $1,386.00 | ↑ +100% |
| United | Commercial|Options PPO | $1,478.40 | ↑ +113% |
| United | Commercial|HMO | $1,478.40 | ↑ +113% |
| United | Commercial|Non-Options PPO | $1,540.00 | ↑ +122% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +855% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +1234% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +3244% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +3270% |
Visitor-reported prices
Comments
Abd/low ext cath addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $273.32 | $65.17 – $486.72 |
| Arroyo Grande Hospital | Santa Maria | $561.11 | $52.98 – $992.74 |
| French Hospital | San Luis Obispo | $513.92 | $52.98 – $992.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,114.86 | $52.98 – $2,674.45 |
| Bakersfield Memorial Hospital | Bakersfield | $1,102.84 | $52.98 – $2,974.95 |
| Queen of The Valley Medical Center | Napa | $584.97 | $392.75 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $68.34 | $2,699.00 – $26,648.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,400.81 | $52.98 – $6,859.44 |