Biopsy/soft tissue/neck or thorax 21550 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$2,519.55
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.
$5,599.00
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.
$85.44 with BCBS - Anthem vs $10,835.00 with Health Net — 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 | $85.44 | ↓ -97% |
| Health Net | Medicaid|> 21 | $105.09 | ↓ -96% |
| Health Net | Medicaid|< 21 | $105.09 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $134.69 | ↓ -95% |
| COSC Psych | Medicaid|All Plans | $134.69 | ↓ -95% |
| Blue Shield CA | Medicare|All Plans | $2,225.98 | ↓ -12% |
| United | Medicare|All Plans | $2,225.98 | ↓ -12% |
| Health Net | Medicare|All Plans | $2,225.98 | ↓ -12% |
| Kaiser | Medicare|All Plans | $2,225.98 | ↓ -12% |
| Blue Shield CA | Commercial|DHMF | $2,537.62 | ↑ +1% |
| Kaiser | Commercial|All Plans | $3,639.35 | ↑ +44% |
| Western Growers | Commercial|All Plans | $3,807.32 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $4,479.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $4,759.15 | ↑ +89% |
| First Health | Commercial|All Plans | $4,759.15 | ↑ +89% |
| United | Commercial|All Other Plans | $5,039.10 | ↑ +100% |
| United | Commercial|Options PPO | $5,375.04 | ↑ +113% |
| United | Commercial|HMO | $5,375.04 | ↑ +113% |
| United | Commercial|Non-Options PPO | $5,599.00 | ↑ +122% |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | ↑ +150% |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | ↑ +161% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +163% |
| Sutter Health | Commercial|All Plans | $6,967.32 | ↑ +177% |
| Health Net | Commercial|Community Care | $8,010.00 | ↑ +218% |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | ↑ +219% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +263% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +266% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +267% |
| Health Net | Commercial|Care Product | $9,752.00 | ↑ +287% |
| Health Net | Commercial|Blue Gold | $9,866.00 | ↑ +292% |
| Health Net | Commercial|All Other Plans | $10,835.00 | ↑ +330% |
Visitor-reported prices
Comments
Biopsy/soft tissue/neck or thorax 21550 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,779.55 | $105.09 – $4,949.88 |
| Petaluma Valley Hospital | Petaluma | $3,036.03 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $3,606.76 | $85.44 – $7,941.92 |
| Mark Twain Medical Center | San Andreas | $5,170.83 | $85.44 – $411.60 |
| French Hospital | San Luis Obispo | $3,054.08 | $85.44 – $4,673.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,038.65 | $85.44 – $4,396.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,016.67 | $85.44 – $4,341.05 |
| Queen of The Valley Medical Center | Napa | $3,375.69 | $2,345.04 – $9,858.00 |