Cllr miami j sm at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$504.45
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.
$1,121.00
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.
$262.39 with BCBS - Anthem vs $663.00 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 →
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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 | $262.39 | ↓ -48% |
| COSC Psych | Medicaid|All Plans | $262.39 | ↓ -48% |
| Central California Alliance for Health | Medicaid|All Plans | $262.39 | ↓ -48% |
| United | Commercial|Non-Options PPO | $311.61 | ↓ -38% |
| United | Commercial|All Other Plans | $324.87 | ↓ -36% |
| United | Commercial|HMO | $331.50 | ↓ -34% |
| Health Net | Commercial|Community Care | $371.28 | ↓ -26% |
| Health Net | Medicaid|< 21 | $396.97 | ↓ -21% |
| Health Net | Medicaid|> 21 | $396.97 | ↓ -21% |
| United | Commercial|Options PPO | $417.69 | ↓ -17% |
| Kaiser | Commercial|All Plans | $430.95 | ↓ -15% |
| Health Net | Commercial|Care Product | $450.84 | ↓ -11% |
| Health Net | Commercial|Blue Gold | $457.47 | ↓ -9% |
| Western Growers | Commercial|All Plans | $464.10 | ↓ -8% |
| Health Net | Commercial|All Other Plans | $503.88 | ↓ -0% |
| Cigna | Commercial|LocalPlus | $517.14 | ↑ +3% |
| Healthsmart | Commercial|All Plans | $530.40 | ↑ +5% |
| Blue Shield CA | Commercial|Exchange | $537.03 | ↑ +6% |
| Cigna | Commercial|All Other Plans | $550.29 | ↑ +9% |
| Multiplan | Commercial|All Plans | $563.55 | ↑ +12% |
| First Health | Commercial|All Plans | $563.55 | ↑ +12% |
| Blue Shield CA | Commercial|ACO Trio | $583.44 | ↑ +16% |
| Blue Shield CA | Commercial|All Other Plans | $596.70 | ↑ +18% |
| BCBS - Anthem | Commercial|MCS | $609.96 | ↑ +21% |
| BCBS - Anthem | Commercial|All Other Plans | $609.96 | ↑ +21% |
| Aetna | Commercial|HMO | $663.00 | ↑ +31% |
| Aetna | Commercial|PPO | $663.00 | ↑ +31% |
Visitor-reported prices
Comments
Cllr miami j sm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $977.62 | $143.04 – $464.88 |
| Petaluma Valley Hospital | Petaluma | $928.84 | not published |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $101.50 – $203.00 |
| French Hospital | San Luis Obispo | $137.60 | $38.57 – $203.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $706.76 | $43.75 – $175.00 |
| Bakersfield Memorial Hospital | Bakersfield | $699.14 | $43.75 – $175.00 |
| Queen of The Valley Medical Center | Napa | $863.82 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $995.19 | not published |