Athrectomy fem/pop/unilateral 37225 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$19,636.20
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.
$43,636.00
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.
$523.83 with COSC Psych vs $77,217.16 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 |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $523.83 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $523.83 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $523.83 | ↓ -97% |
| Health Net | Medicaid|> 21 | $792.50 | ↓ -96% |
| Health Net | Medicaid|< 21 | $792.50 | ↓ -96% |
| BCBS - Anthem | Commercial|All Other Plans | $11,746.00 | ↓ -40% |
| Blue Shield CA | Commercial|Exchange | $11,908.00 | ↓ -39% |
| Blue Shield CA | Commercial|ACO Trio | $12,446.00 | ↓ -37% |
| Blue Shield CA | Commercial|All Other Plans | $15,214.00 | ↓ -23% |
| BCBS - Anthem | Commercial|MCS | $16,409.00 | ↓ -16% |
| Health Net | Commercial|Community Care | $17,637.00 | ↓ -10% |
| Health Net | Commercial|Care Product | $21,472.00 | ↑ +9% |
| Health Net | Commercial|Blue Gold | $21,723.00 | ↑ +11% |
| Health Net | Commercial|All Other Plans | $23,858.00 | ↑ +22% |
| Health Net | Medicare|All Plans | $24,670.02 | ↑ +26% |
| United | Medicare|All Plans | $24,670.02 | ↑ +26% |
| Blue Shield CA | Medicare|All Plans | $24,670.02 | ↑ +26% |
| Kaiser | Medicare|All Plans | $24,670.02 | ↑ +26% |
| Aetna | Commercial|HMO | $26,811.00 | ↑ +37% |
| Aetna | Commercial|PPO | $27,018.00 | ↑ +38% |
| Blue Shield CA | Commercial|DHMF | $28,123.82 | ↑ +43% |
| Kaiser | Commercial|All Plans | $28,363.40 | ↑ +44% |
| Western Growers | Commercial|All Plans | $29,672.48 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $34,908.80 | ↑ +78% |
| Multiplan | Commercial|All Plans | $37,090.60 | ↑ +89% |
| First Health | Commercial|All Plans | $37,090.60 | ↑ +89% |
| United | Commercial|All Other Plans | $39,272.40 | ↑ +100% |
| United | Commercial|HMO | $41,890.56 | ↑ +113% |
| United | Commercial|Options PPO | $41,890.56 | ↑ +113% |
| United | Commercial|Non-Options PPO | $43,636.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $77,217.16 | ↑ +293% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $18,189.27 | $792.50 – $32,391.84 |
| Arroyo Grande Hospital | Santa Maria | $15,342.09 | $523.83 – $34,105.96 |
| French Hospital | San Luis Obispo | $13,642.39 | $523.83 – $34,105.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $32,415.02 | $523.83 – $69,897.60 |
| Bakersfield Memorial Hospital | Bakersfield | $32,065.53 | $523.83 – $69,023.88 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,863.79 | $0.80 – $26,149.20 |