Bilicheck at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$12.60
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.
$28.00
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.
$4.30 with Central California Alliance for Health vs $47.78 with Cigna — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $4.30 | ↓ -66% |
| BCBS - Anthem | Medicaid|All Plans | $4.30 | ↓ -66% |
| COSC Psych | Medicaid|All Plans | $4.30 | ↓ -66% |
| Blue Shield CA | Medicare|All Plans | $5.02 | ↓ -60% |
| United | Medicare|All Plans | $5.02 | ↓ -60% |
| Health Net | Medicare|All Plans | $5.02 | ↓ -60% |
| Kaiser | Medicare|All Plans | $5.02 | ↓ -60% |
| Blue Shield CA | Commercial|DHMF | $5.72 | ↓ -55% |
| United | Commercial|Options PPO | $6.02 | ↓ -52% |
| United | Commercial|Non-Options PPO | $6.02 | ↓ -52% |
| United | Commercial|HMO | $6.02 | ↓ -52% |
| United | Commercial|All Other Plans | $6.02 | ↓ -52% |
| Health Net | Medicaid|> 21 | $6.06 | ↓ -52% |
| Health Net | Medicaid|< 21 | $6.06 | ↓ -52% |
| Blue Shield CA | Commercial|ACO Trio | $12.88 | ↑ +2% |
| Blue Shield CA | Commercial|Exchange | $12.88 | ↑ +2% |
| Blue Shield CA | Commercial|All Other Plans | $15.68 | ↑ +24% |
| Sutter Health | Commercial|All Plans | $15.71 | ↑ +25% |
| Kaiser | Commercial|All Plans | $18.20 | ↑ +44% |
| Western Growers | Commercial|All Plans | $19.60 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $22.40 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $23.24 | ↑ +84% |
| Multiplan | Commercial|All Plans | $23.80 | ↑ +89% |
| First Health | Commercial|All Plans | $23.80 | ↑ +89% |
| Aetna | Commercial|PPO | $28.00 | ↑ +122% |
| Aetna | Commercial|HMO | $28.00 | ↑ +122% |
| BCBS - Anthem | Commercial|MCS | $28.00 | ↑ +122% |
| Cigna | Commercial|LocalPlus | $44.91 | ↑ +256% |
| Cigna | Commercial|All Other Plans | $47.78 | ↑ +279% |
Visitor-reported prices
Comments
Bilicheck at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15.33 | $5.02 – $27.30 |
| Banner Lassen Medical Center | Susanville | $10.02 | $1.00 – $15.52 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $4.01 – $343.98 |
| French Hospital | San Luis Obispo | $137.60 | $4.01 – $343.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12.62 | $4.30 – $27.20 |
| Bakersfield Memorial Hospital | Bakersfield | $12.48 | $4.30 – $26.86 |
| Queen of The Valley Medical Center | Napa | $5.10 | $5.02 – $49.45 |
| Providence St Joseph Hospital Eureka | Eureka | $5.10 | $5.02 – $93.49 |