Adh-sendout at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$20.25
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.
$45.00
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.
$20.70 with Blue Shield CA vs $323.29 with Cigna — 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 CA | Commercial|ACO Trio | $20.70 | ↑ +2% |
| Blue Shield CA | Commercial|Exchange | $20.70 | ↑ +2% |
| Blue Shield CA | Commercial|All Other Plans | $25.20 | ↑ +24% |
| Kaiser | Commercial|All Plans | $29.25 | ↑ +44% |
| Western Growers | Commercial|All Plans | $31.50 | ↑ +56% |
| Blue Shield CA | Medicare|All Plans | $33.94 | ↑ +68% |
| Health Net | Medicare|All Plans | $33.94 | ↑ +68% |
| United | Medicare|All Plans | $33.94 | ↑ +68% |
| Kaiser | Medicare|All Plans | $33.94 | ↑ +68% |
| Healthsmart | Commercial|All Plans | $36.00 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $37.35 | ↑ +84% |
| Multiplan | Commercial|All Plans | $38.25 | ↑ +89% |
| First Health | Commercial|All Plans | $38.25 | ↑ +89% |
| Blue Shield CA | Commercial|DHMF | $38.69 | ↑ +91% |
| United | Commercial|Non-Options PPO | $40.73 | ↑ +101% |
| United | Commercial|Options PPO | $40.73 | ↑ +101% |
| United | Commercial|HMO | $40.73 | ↑ +101% |
| United | Commercial|All Other Plans | $40.73 | ↑ +101% |
| BCBS - Anthem | Medicaid|All Plans | $43.28 | ↑ +114% |
| Central California Alliance for Health | Medicaid|All Plans | $43.28 | ↑ +114% |
| COSC Psych | Medicaid|All Plans | $43.28 | ↑ +114% |
| BCBS - Anthem | Commercial|MCS | $45.00 | ↑ +122% |
| Aetna | Commercial|HMO | $45.00 | ↑ +122% |
| Aetna | Commercial|PPO | $45.00 | ↑ +122% |
| Health Net | Medicaid|> 21 | $55.35 | ↑ +173% |
| Health Net | Medicaid|< 21 | $55.35 | ↑ +173% |
| Sutter Health | Commercial|All Plans | $106.23 | ↑ +425% |
| Cigna | Commercial|LocalPlus | $303.90 | ↑ +1401% |
| Cigna | Commercial|All Other Plans | $323.29 | ↑ +1496% |
Visitor-reported prices
Comments
Adh-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $19.71 | $12.15 – $90.05 |
| Banner Lassen Medical Center | Susanville | $29.42 | $6.79 – $49.78 |
| Petaluma Valley Hospital | Petaluma | $15.30 | $33.26 – $278.14 |
| Arroyo Grande Hospital | Santa Maria | $96.84 | $22.50 – $87.45 |
| Mark Twain Medical Center | San Andreas | $29.97 | $24.36 – $44.10 |
| French Hospital | San Luis Obispo | $88.69 | $12.15 – $102.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16.70 | $8.50 – $97.53 |
| Bakersfield Memorial Hospital | Bakersfield | $16.52 | $8.50 – $97.53 |