Below knee total contact at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$854.10
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.
$1,898.00
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.
$353.08 with BCBS - Anthem vs $1,460.00 with Aetna — 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 | $353.08 | ↓ -59% |
| COSC Psych | Medicaid|All Plans | $353.08 | ↓ -59% |
| Central California Alliance for Health | Medicaid|All Plans | $353.08 | ↓ -59% |
| Health Net | Medicaid|> 21 | $534.18 | ↓ -37% |
| Health Net | Medicaid|< 21 | $534.18 | ↓ -37% |
| United | Commercial|Non-Options PPO | $686.20 | ↓ -20% |
| United | Commercial|All Other Plans | $715.40 | ↓ -16% |
| United | Commercial|HMO | $730.00 | ↓ -15% |
| Health Net | Commercial|Community Care | $817.60 | ↓ -4% |
| United | Commercial|Options PPO | $919.80 | ↑ +8% |
| Kaiser | Commercial|All Plans | $949.00 | ↑ +11% |
| Health Net | Commercial|Care Product | $992.80 | ↑ +16% |
| Health Net | Commercial|Blue Gold | $1,007.40 | ↑ +18% |
| Western Growers | Commercial|All Plans | $1,022.00 | ↑ +20% |
| Health Net | Commercial|All Other Plans | $1,109.60 | ↑ +30% |
| Cigna | Commercial|LocalPlus | $1,138.80 | ↑ +33% |
| Healthsmart | Commercial|All Plans | $1,168.00 | ↑ +37% |
| Blue Shield CA | Commercial|Exchange | $1,182.60 | ↑ +38% |
| Cigna | Commercial|All Other Plans | $1,211.80 | ↑ +42% |
| Multiplan | Commercial|All Plans | $1,241.00 | ↑ +45% |
| First Health | Commercial|All Plans | $1,241.00 | ↑ +45% |
| Blue Shield CA | Commercial|ACO Trio | $1,284.80 | ↑ +50% |
| Blue Shield CA | Commercial|All Other Plans | $1,314.00 | ↑ +54% |
| BCBS - Anthem | Commercial|MCS | $1,343.20 | ↑ +57% |
| BCBS - Anthem | Commercial|All Other Plans | $1,343.20 | ↑ +57% |
| Aetna | Commercial|HMO | $1,460.00 | ↑ +71% |
| Aetna | Commercial|PPO | $1,460.00 | ↑ +71% |
Visitor-reported prices
Comments
Below knee total contact at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,262.70 | $389.52 – $1,590.54 |
| St. Mary Medical Center | Long Beach | $926.65 | $254.00 – $1,765.40 |
| Community Hospital San Bernardino | San Bernardino | $842.61 | $266.70 – $1,765.40 |
| Glendale Memorial Hospital Health Center | Glendale | $702.53 | $40.00 – $1,493.53 |
| Mercy Medical Center Redding | Redding | $676.34 | $293.48 – $1,334.00 |
| St. Bernardine Medical Center | San Bernardino | $717.62 | $254.00 – $1,765.40 |
| St. Elizabeth Community Hospital | Red Bluff | $779.06 | $280.14 – $1,334.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $469.72 – $868.98 |