Biopsy of salivary gland 42400 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,333.35
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.
$2,963.00
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.
$57.67 with BCBS - Anthem vs $9,244.00 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 | $57.67 | ↓ -96% |
| Health Net | Medicaid|> 21 | $70.93 | ↓ -95% |
| Health Net | Medicaid|< 21 | $70.93 | ↓ -95% |
| Central California Alliance for Health | Medicaid|All Plans | $90.91 | ↓ -93% |
| COSC Psych | Medicaid|All Plans | $90.91 | ↓ -93% |
| Blue Shield CA | Medicare|All Plans | $966.63 | ↓ -28% |
| United | Medicare|All Plans | $966.63 | ↓ -28% |
| Health Net | Medicare|All Plans | $966.63 | ↓ -28% |
| Kaiser | Medicare|All Plans | $966.63 | ↓ -28% |
| Blue Shield CA | Commercial|DHMF | $1,101.96 | ↓ -17% |
| Kaiser | Commercial|All Plans | $1,925.95 | ↑ +44% |
| Blue Shield CA | Commercial|Exchange | $1,944.00 | ↑ +46% |
| Western Growers | Commercial|All Plans | $2,014.84 | ↑ +51% |
| Blue Shield CA | Commercial|ACO Trio | $2,032.00 | ↑ +52% |
| Healthsmart | Commercial|All Plans | $2,370.40 | ↑ +78% |
| Blue Shield CA | Commercial|All Other Plans | $2,484.00 | ↑ +86% |
| First Health | Commercial|All Plans | $2,518.55 | ↑ +89% |
| Multiplan | Commercial|All Plans | $2,518.55 | ↑ +89% |
| United | Commercial|All Other Plans | $2,666.70 | ↑ +100% |
| United | Commercial|Options PPO | $2,844.48 | ↑ +113% |
| United | Commercial|HMO | $2,844.48 | ↑ +113% |
| United | Commercial|Non-Options PPO | $2,963.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $3,025.55 | ↑ +127% |
| Health Net | Commercial|Community Care | $5,842.00 | ↑ +338% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +396% |
| Health Net | Commercial|Care Product | $7,113.00 | ↑ +433% |
| Health Net | Commercial|Blue Gold | $7,196.00 | ↑ +440% |
| Health Net | Commercial|All Other Plans | $7,903.00 | ↑ +493% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +586% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +591% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +593% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $723.14 | $70.93 – $1,628.92 |
| Banner Lassen Medical Center | Susanville | $854.51 | $82.93 – $1,587.89 |
| Arroyo Grande Hospital | Santa Maria | $1,322.95 | $57.67 – $2,940.98 |
| Mark Twain Medical Center | San Andreas | $1,341.99 | $57.67 – $864.36 |
| French Hospital | San Luis Obispo | $1,087.41 | $57.67 – $1,940.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $912.66 | $57.67 – $1,968.00 |
| Bakersfield Memorial Hospital | Bakersfield | $902.82 | $57.67 – $1,943.40 |
| Queen of The Valley Medical Center | Napa | $843.03 | $1,005.45 – $6,200.00 |