Bx vulva or perineum/1 lesion 56605 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
not published by hospital
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.
not published by hospital
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.
$84.31 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 | $84.31 | — |
| COSC Psych | Medicaid|All Plans | $84.31 | — |
| Central California Alliance for Health | Medicaid|All Plans | $84.31 | — |
| Health Net | Medicaid|> 21 | $127.55 | — |
| Health Net | Medicaid|< 21 | $127.55 | — |
| Kaiser | Medicare|All Plans | $1,196.27 | — |
| United | Medicare|All Plans | $1,196.27 | — |
| Blue Shield CA | Medicare|All Plans | $1,196.27 | — |
| Health Net | Medicare|All Plans | $1,196.27 | — |
| Blue Shield CA | Commercial|DHMF | $1,363.75 | — |
| Sutter Health | Commercial|All Plans | $3,744.33 | — |
| Health Net | Commercial|Community Care | $5,842.00 | — |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | — |
| Health Net | Commercial|Care Product | $7,113.00 | — |
| Health Net | Commercial|Blue Gold | $7,196.00 | — |
| Health Net | Commercial|All Other Plans | $7,903.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | — |
| Aetna | Commercial|HMO | $9,146.00 | — |
| Aetna | Commercial|PPO | $9,218.00 | — |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
| Western Growers | Commercial|All Plans | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Bx vulva or perineum/1 lesion 56605 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,390.77 | $1,241.22 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $107.23 | $41.66 – $157.78 |
| Queen of The Valley Medical Center | Napa | $1,459.11 | $1,307.76 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,584.06 | $1,184.62 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $1,700.34 | $1,240.97 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $976.65 | $3,331.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,552.44 | $1,281.61 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,446.24 | $1,006.93 – $5,171.00 |