Ampho b cholesteryl sulfate at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$864.00
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.
$1,920.00
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.
$25.49 with COSC Psych vs $1,632.00 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 →
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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 |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $25.49 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $25.49 | ↓ -97% |
| BCBS - Anthem | Commercial|All Other Plans | $30.55 | ↓ -96% |
| Health Net | Medicaid|< 21 | $38.56 | ↓ -96% |
| Health Net | Medicaid|> 21 | $38.56 | ↓ -96% |
| Cigna | Commercial|LocalPlus | $39.90 | ↓ -95% |
| Cigna | Commercial|All Other Plans | $42.44 | ↓ -95% |
| BCBS - Anthem | Commercial|MCS | $42.68 | ↓ -95% |
| Aetna | Commercial|HMO | $82.40 | ↓ -90% |
| Aetna | Commercial|PPO | $82.99 | ↓ -90% |
| United | Commercial|All Other Plans | $116.89 | ↓ -86% |
| United | Commercial|HMO | $116.89 | ↓ -86% |
| United | Commercial|Options PPO | $118.32 | ↓ -86% |
| United | Commercial|Non-Options PPO | $125.05 | ↓ -86% |
| Kaiser | Commercial|All Plans | $1,248.00 | ↑ +44% |
| Western Growers | Commercial|All Plans | $1,305.60 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $1,536.00 | ↑ +78% |
| First Health | Commercial|All Plans | $1,632.00 | ↑ +89% |
| Multiplan | Commercial|All Plans | $1,632.00 | ↑ +89% |
Visitor-reported prices
Comments
Ampho b cholesteryl sulfate at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northridge Hospital Medical Center | Northridge | $258.64 | $25.49 – $927.00 |
| Community Hospital San Bernardino | San Bernardino | $828.92 | $33.48 – $2,120.00 |
| Glendale Memorial Hospital Health Center | Glendale | $809.14 | $25.49 – $1,985.60 |
| St. Bernardine Medical Center | San Bernardino | $438.23 | $28.40 – $1,118.60 |
| Petaluma Valley Hospital | Petaluma | not published | $20.79 – $152.31 |
| Queen of The Valley Medical Center | Napa | not published | $22.50 – $152.31 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $26.84 – $152.31 |
| Healdsburg Hospital | Healdsburg | not published | $26.56 – $53.00 |