Biopsy skin incisional single lesion at Dominican Hospital

1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$264.60

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$588.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$108.71 with COSC Psych vs $10,766.00 with Blue Shield CA — 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 →

Payer
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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
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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 $108.71 ↓ -59%
BCBS - Anthem Medicaid|All Plans $108.71 ↓ -59%
Central California Alliance for Health Medicaid|All Plans $108.71 ↓ -59%
Health Net Medicaid|> 21 $164.46 ↓ -38%
Health Net Medicaid|< 21 $164.46 ↓ -38%
Kaiser Commercial|All Plans $382.20 ↑ +44%
Western Growers Commercial|All Plans $399.84 ↑ +51%
Healthsmart Commercial|All Plans $470.40 ↑ +78%
First Health Commercial|All Plans $499.80 ↑ +89%
Multiplan Commercial|All Plans $499.80 ↑ +89%
United Commercial|All Other Plans $529.20 ↑ +100%
United Commercial|HMO $564.48 ↑ +113%
United Commercial|Options PPO $564.48 ↑ +113%
Kaiser Medicare|All Plans $588.00 ↑ +122%
United Medicare|All Plans $588.00 ↑ +122%
United Commercial|Non-Options PPO $588.00 ↑ +122%
Health Net Medicare|All Plans $588.00 ↑ +122%
Blue Shield CA Commercial|DHMF $670.32 ↑ +153%
Blue Shield CA Medicare|All Plans $840.98 ↑ +218%
Sutter Health Commercial|All Plans $1,840.44 ↑ +596%
Health Net Commercial|Community Care $4,988.00 ↑ +1785%
Health Net Commercial|Care Product $6,074.00 ↑ +2196%
Health Net Commercial|Blue Gold $6,144.00 ↑ +2222%
BCBS - Anthem Commercial|All Other Plans $6,617.00 ↑ +2401%
Health Net Commercial|All Other Plans $6,748.00 ↑ +2450%
Blue Shield CA Commercial|Exchange $8,426.00 ↑ +3084%
Blue Shield CA Commercial|ACO Trio $8,807.00 ↑ +3228%
Aetna Commercial|HMO $9,146.00 ↑ +3357%
Aetna Commercial|PPO $9,218.00 ↑ +3384%
BCBS - Anthem Commercial|MCS $9,244.00 ↑ +3394%
Blue Shield CA Commercial|All Other Plans $10,766.00 ↑ +3969%

Visitor-reported prices

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Biopsy skin incisional single lesion at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $552.37 $164.46 – $1,458.18
Petaluma Valley Hospital Petaluma $1,176.57 $995.98 – $2,695.00
Mark Twain Medical Center San Andreas $114.56 $42.17 – $159.74
Mercy Hospitals – Bakersfield Bakersfield $148.40 $108.71 – $400.00
Bakersfield Memorial Hospital Bakersfield $153.41 $108.71 – $400.00
Queen of The Valley Medical Center Napa $1,308.15 $1,049.38 – $7,483.00
Providence St Joseph Hospital Eureka Eureka $1,315.80 $950.57 – $8,018.00
Healdsburg Hospital Healdsburg $808.35 $995.78 – $3,982.87

All California hospitals for this procedure →