Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$11,826.00
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.
?
What you pay up front if you don't use insurance.
$26,280.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$16.50 with Central California Alliance for Health vs $75.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $16.50 | ↓ -100% |
| United | Commercial|Non-Options PPO | $35.25 | ↓ -100% |
| United | Commercial|All Other Plans | $36.75 | ↓ -100% |
| United | Commercial|HMO | $37.50 | ↓ -100% |
| Health Net | Commercial|Community Care | $42.00 | ↓ -100% |
| United | Commercial|Options PPO | $47.25 | ↓ -100% |
| Kaiser | Commercial|All Plans | $48.75 | ↓ -100% |
| Health Net | Commercial|Care Product | $51.00 | ↓ -100% |
| Health Net | Commercial|Blue Gold | $51.75 | ↓ -100% |
| Western Growers | Commercial|All Plans | $52.50 | ↓ -100% |
| Health Net | Commercial|All Other Plans | $57.00 | ↓ -100% |
| Cigna | Commercial|LocalPlus | $58.50 | ↓ -100% |
| Healthsmart | Commercial|All Plans | $60.00 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $60.75 | ↓ -99% |
| Cigna | Commercial|All Other Plans | $62.25 | ↓ -99% |
| First Health | Commercial|All Plans | $63.75 | ↓ -99% |
| Multiplan | Commercial|All Plans | $63.75 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $66.00 | ↓ -99% |
| Blue Shield CA | Commercial|All Other Plans | $67.50 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $69.00 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $69.00 | ↓ -99% |
| Aetna | Commercial|HMO | $75.00 | ↓ -99% |
| Aetna | Commercial|PPO | $75.00 | ↓ -99% |
Visitor-reported prices
Comments
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $17,578.26 | $186.24 – $605.28 |
| Petaluma Valley Hospital | Petaluma | $45,440.26 | not published |
| Arroyo Grande Hospital | Santa Maria | $17,178.21 | $303.37 – $1,292.62 |
| Mark Twain Medical Center | San Andreas | $7,277.39 | $584.93 – $2,215.78 |
| French Hospital | San Luis Obispo | $15,733.32 | $250.61 – $1,292.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16,544.75 | $250.85 – $778.50 |
| Bakersfield Memorial Hospital | Bakersfield | $16,366.37 | $216.25 – $839.05 |
| Queen of The Valley Medical Center | Napa | $33,892.73 | not published |