Brachy source palladium 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

$163.35

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.

$363.00

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.

$79.86 with Central California Alliance for Health vs $363.00 with Aetna — 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
Central California Alliance for Health Medicaid|All Plans $79.86 ↓ -51%
Health Net Medicare|All Plans $95.74 ↓ -41%
Kaiser Medicare|All Plans $95.74 ↓ -41%
United Medicare|All Plans $95.74 ↓ -41%
Blue Shield CA Medicare|All Plans $95.74 ↓ -41%
Blue Shield CA Commercial|DHMF $109.14 ↓ -33%
United Commercial|Non-Options PPO $170.61 ↑ +4%
United Commercial|All Other Plans $177.87 ↑ +9%
United Commercial|HMO $181.50 ↑ +11%
Health Net Commercial|Community Care $203.28 ↑ +24%
United Commercial|Options PPO $228.69 ↑ +40%
Kaiser Commercial|All Plans $235.95 ↑ +44%
Health Net Commercial|Care Product $246.84 ↑ +51%
Health Net Commercial|Blue Gold $250.47 ↑ +53%
Western Growers Commercial|All Plans $254.10 ↑ +56%
Health Net Commercial|All Other Plans $275.88 ↑ +69%
Cigna Commercial|LocalPlus $283.14 ↑ +73%
Healthsmart Commercial|All Plans $290.40 ↑ +78%
Blue Shield CA Commercial|Exchange $294.03 ↑ +80%
Sutter Health Commercial|All Plans $299.67 ↑ +83%
Cigna Commercial|All Other Plans $301.29 ↑ +84%
First Health Commercial|All Plans $308.55 ↑ +89%
Multiplan Commercial|All Plans $308.55 ↑ +89%
Blue Shield CA Commercial|ACO Trio $319.44 ↑ +96%
Blue Shield CA Commercial|All Other Plans $326.70 ↑ +100%
BCBS - Anthem Commercial|MCS $333.96 ↑ +104%
BCBS - Anthem Commercial|All Other Plans $333.96 ↑ +104%
Aetna Commercial|HMO $363.00 ↑ +122%
Aetna Commercial|PPO $363.00 ↑ +122%

Visitor-reported prices

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Brachy source palladium at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $273.11 $86.49 – $88.26
Arroyo Grande Hospital Santa Maria $70.62 $37.95 – $161.70
French Hospital San Luis Obispo $64.68 $31.35 – $161.70
Queen of The Valley Medical Center Napa $211.42 $88.26 – $88.26
Providence St Joseph Hospital Eureka Eureka $258.65 not published
Healdsburg Hospital Healdsburg $176.72 not published
Redwood Memorial Hospital Fortuna $258.65 not published
Santa Rosa Memorial Hospital Santa Rosa $273.11 $86.49 – $88.26

All California hospitals for this procedure →