Arthrt hip expl/rmv loose/fb at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
not published by hospital
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.
not published by hospital
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.
$677.58 with BCBS - Anthem vs $30,719.32 with Sutter Health — 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 | $677.58 | — |
| Health Net | Medicaid|< 21 | $833.42 | — |
| Health Net | Medicaid|> 21 | $833.42 | — |
| COSC Psych | Medicaid|All Plans | $1,068.10 | — |
| Central California Alliance for Health | Medicaid|All Plans | $1,068.10 | — |
| Health Net | Commercial|Community Care | $9,380.00 | — |
| Blue Shield CA | Commercial|Exchange | $9,630.00 | — |
| United | Medicare|All Plans | $9,814.48 | — |
| Blue Shield CA | Medicare|All Plans | $9,814.48 | — |
| Kaiser | Medicare|All Plans | $9,814.48 | — |
| Health Net | Medicare|All Plans | $9,814.48 | — |
| Blue Shield CA | Commercial|ACO Trio | $10,065.00 | — |
| Blue Shield CA | Commercial|DHMF | $11,188.51 | — |
| Health Net | Commercial|Care Product | $11,420.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $11,529.00 | — |
| Health Net | Commercial|Blue Gold | $11,553.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $12,303.00 | — |
| Health Net | Commercial|All Other Plans | $12,689.00 | — |
| BCBS - Anthem | Commercial|MCS | $16,016.00 | — |
| Aetna | Commercial|HMO | $23,174.00 | — |
| Aetna | Commercial|PPO | $23,352.00 | — |
| Sutter Health | Commercial|All Plans | $30,719.32 | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Western Growers | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Arthrt hip expl/rmv loose/fb at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | not published | $833.42 – $16,602.72 |
| Petaluma Valley Hospital | Petaluma | not published | $2,937.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $677.58 – $9,076.82 |
| Mark Twain Medical Center | San Andreas | not published | $677.58 – $677.58 |
| French Hospital | San Luis Obispo | not published | $677.58 – $9,076.82 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $677.58 – $9,076.82 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $677.58 – $9,076.82 |
| Queen of The Valley Medical Center | Napa | not published | $7,745.00 – $17,909.00 |