Bone marrow biopsyneedle/trocar 38221 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

$2,237.85

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.

$4,973.00

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.

$224.72 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 →

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
BCBS - Anthem Medicaid|All Plans $224.72 ↓ -90%
Central California Alliance for Health Medicaid|All Plans $246.96 ↓ -89%
COSC Psych Medicaid|All Plans $246.96 ↓ -89%
Health Net Medicaid|> 21 $276.41 ↓ -88%
Health Net Medicaid|< 21 $276.41 ↓ -88%
Kaiser Commercial|All Plans $1,879.15 ↓ -16%
Blue Shield CA Commercial|Exchange $1,944.00 ↓ -13%
Western Growers Commercial|All Plans $1,965.88 ↓ -12%
Blue Shield CA Commercial|ACO Trio $2,032.00 ↓ -9%
Blue Shield CA Medicare|All Plans $2,225.98 ↓ -1%
United Medicare|All Plans $2,225.98 ↓ -1%
Health Net Medicare|All Plans $2,225.98 ↓ -1%
Kaiser Medicare|All Plans $2,225.98 ↓ -1%
Healthsmart Commercial|All Plans $2,312.80 ↑ +3%
First Health Commercial|All Plans $2,457.35 ↑ +10%
Multiplan Commercial|All Plans $2,457.35 ↑ +10%
Blue Shield CA Commercial|All Other Plans $2,484.00 ↑ +11%
Blue Shield CA Commercial|DHMF $2,537.62 ↑ +13%
United Commercial|All Other Plans $2,601.90 ↑ +16%
United Commercial|Options PPO $2,775.36 ↑ +24%
United Commercial|HMO $2,775.36 ↑ +24%
United Commercial|Non-Options PPO $2,891.00 ↑ +29%
BCBS - Anthem Commercial|All Other Plans $6,617.00 ↑ +196%
Sutter Health Commercial|All Plans $6,967.32 ↑ +211%
Health Net Commercial|Community Care $8,010.00 ↑ +258%
Aetna Commercial|HMO $9,146.00 ↑ +309%
Aetna Commercial|PPO $9,218.00 ↑ +312%
BCBS - Anthem Commercial|MCS $9,244.00 ↑ +313%
Health Net Commercial|Care Product $9,752.00 ↑ +336%
Health Net Commercial|Blue Gold $9,866.00 ↑ +341%
Health Net Commercial|All Other Plans $10,835.00 ↑ +384%

Visitor-reported prices

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Bone marrow biopsyneedle/trocar 38221 at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,011.78 $276.41 – $3,763.88
Banner Lassen Medical Center Susanville $943.78 $323.12 – $1,168.85
Arroyo Grande Hospital Santa Maria $765.70 $224.72 – $1,723.00
Mark Twain Medical Center San Andreas $2,293.04 $224.72 – $2,044.28
French Hospital San Luis Obispo $1,843.97 $224.72 – $1,723.00
Mercy Hospitals – Bakersfield Bakersfield $1,186.83 $224.72 – $1,623.00
Bakersfield Memorial Hospital Bakersfield $1,174.04 $224.72 – $1,623.00
Queen of The Valley Medical Center Napa $2,782.05 $1,727.00 – $9,858.00

All California hospitals for this procedure →