Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$471.60
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.
$1,048.00
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.
$60.67 with BCBS - Anthem vs $16,016.00 with BCBS - Anthem — 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 | $60.67 | ↓ -87% |
| Central California Alliance for Health | Medicaid|All Plans | $66.67 | ↓ -86% |
| COSC Psych | Medicaid|All Plans | $66.67 | ↓ -86% |
| Health Net | Medicaid|> 21 | $74.62 | ↓ -84% |
| Health Net | Medicaid|< 21 | $74.62 | ↓ -84% |
| Kaiser | Medicare|All Plans | $405.55 | ↓ -14% |
| United | Medicare|All Plans | $405.55 | ↓ -14% |
| Health Net | Medicare|All Plans | $405.55 | ↓ -14% |
| Blue Shield CA | Medicare|All Plans | $405.55 | ↓ -14% |
| Blue Shield CA | Commercial|DHMF | $462.33 | ↓ -2% |
| Kaiser | Commercial|All Plans | $681.20 | ↑ +44% |
| Western Growers | Commercial|All Plans | $712.64 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $838.40 | ↑ +78% |
| Multiplan | Commercial|All Plans | $890.80 | ↑ +89% |
| First Health | Commercial|All Plans | $890.80 | ↑ +89% |
| United | Commercial|All Other Plans | $943.20 | ↑ +100% |
| United | Commercial|Options PPO | $1,006.08 | ↑ +113% |
| United | Commercial|HMO | $1,006.08 | ↑ +113% |
| United | Commercial|Non-Options PPO | $1,048.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $1,269.37 | ↑ +169% |
| Blue Shield CA | Commercial|Exchange | $1,944.00 | ↑ +312% |
| Blue Shield CA | Commercial|ACO Trio | $2,032.00 | ↑ +331% |
| Blue Shield CA | Commercial|All Other Plans | $2,484.00 | ↑ +427% |
| Health Net | Commercial|Community Care | $4,988.00 | ↑ +958% |
| Health Net | Commercial|Care Product | $6,074.00 | ↑ +1188% |
| Health Net | Commercial|Blue Gold | $6,144.00 | ↑ +1203% |
| Health Net | Commercial|All Other Plans | $6,748.00 | ↑ +1331% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +1839% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +1855% |
| BCBS - Anthem | Commercial|All Other Plans | $11,529.00 | ↑ +2345% |
| BCBS - Anthem | Commercial|MCS | $16,016.00 | ↑ +3296% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $610.88 | $74.62 – $761.28 |
| Banner Lassen Medical Center | Susanville | $1,340.16 | $87.24 – $1,241.60 |
| Petaluma Valley Hospital | Petaluma | $2,254.71 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $1,555.78 | $60.67 – $3,229.10 |
| Mark Twain Medical Center | San Andreas | $536.13 | $41.91 – $158.76 |
| French Hospital | San Luis Obispo | $1,291.64 | $60.67 – $876.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $323.15 | $60.67 – $696.80 |
| Bakersfield Memorial Hospital | Bakersfield | $319.66 | $60.67 – $688.09 |