Alteplase 100 mg infusion from pyxis vial at Dominican Hospital

1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$9,512.83

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$21,139.62

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$61.23 with BCBS - Anthem vs $593.92 with Multiplan — 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 →

Payer
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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
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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 Commercial|All Other Plans $61.23 ↓ -99%
BCBS - Anthem Commercial|MCS $85.54 ↓ -99%
Blue Shield CA Commercial|DHMF $87.78 ↓ -99%
COSC Psych Medicaid|All Plans $91.46 ↓ -99%
Central California Alliance for Health Medicaid|All Plans $91.46 ↓ -99%
Blue Shield CA Medicare|All Plans $129.35 ↓ -99%
United Medicare|All Plans $129.35 ↓ -99%
Kaiser Medicare|All Plans $129.35 ↓ -99%
Health Net Medicare|All Plans $129.35 ↓ -99%
Blue Shield CA Commercial|All Other Plans $138.15 ↓ -99%
Blue Shield CA Commercial|ACO Trio $138.15 ↓ -99%
Blue Shield CA Commercial|Exchange $138.15 ↓ -99%
Health Net Medicaid|< 21 $138.38 ↓ -99%
Health Net Medicaid|> 21 $138.38 ↓ -99%
United Commercial|Non-Options PPO $144.66 ↓ -98%
United Commercial|Options PPO $146.80 ↓ -98%
United Commercial|HMO $150.94 ↓ -98%
United Commercial|All Other Plans $150.94 ↓ -98%
Health Net Commercial|Community Care $177.59 ↓ -98%
Health Net Commercial|Care Product $221.03 ↓ -98%
Health Net Commercial|Blue Gold $224.29 ↓ -98%
Health Net Commercial|All Other Plans $247.04 ↓ -97%
Cigna Commercial|LocalPlus $260.66 ↓ -97%
Cigna Commercial|All Other Plans $277.26 ↓ -97%
Sutter Health Commercial|All Plans $404.87 ↓ -96%
Kaiser Commercial|All Plans $454.17 ↓ -95%
Aetna Commercial|HMO $471.02 ↓ -95%
Aetna Commercial|PPO $474.40 ↓ -95%
Western Growers Commercial|All Plans $475.13 ↓ -95%
Healthsmart Commercial|All Plans $558.98 ↓ -94%
First Health Commercial|All Plans $593.92 ↓ -94%
Multiplan Commercial|All Plans $593.92 ↓ -94%

Visitor-reported prices

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Alteplase 100 mg infusion from pyxis vial at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $8,148.12 $44.51 – $197.54
Petaluma Valley Hospital Petaluma $17,531.48 $41.66 – $196.64
Arroyo Grande Hospital Santa Maria $16,050.00 $73.81 – $1,290.66
French Hospital San Luis Obispo $14,700.00 $91.46 – $1,034.88
Mercy Hospitals – Bakersfield Bakersfield $13,762.99 $21.60 – $91.46
Bakersfield Memorial Hospital Bakersfield $13,614.60 $66.52 – $274.92
Queen of The Valley Medical Center Napa $17,531.48 $45.10 – $196.64
Providence St Joseph Hospital Eureka Eureka $17,531.48 $53.79 – $196.64

All California hospitals for this procedure →