Cls tx of heel fracture w/manip 28405 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.
$329.56 with United vs $23,352.00 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 |
|---|---|---|---|
| United | Medicare|All Plans | $329.56 | — |
| Health Net | Medicare|All Plans | $329.56 | — |
| Kaiser | Medicare|All Plans | $329.56 | — |
| Blue Shield CA | Medicare|All Plans | $329.56 | — |
| Blue Shield CA | Commercial|DHMF | $375.70 | — |
| BCBS - Anthem | Medicaid|All Plans | $480.20 | — |
| Health Net | Medicaid|< 21 | $590.65 | — |
| Health Net | Medicaid|> 21 | $590.65 | — |
| COSC Psych | Medicaid|All Plans | $756.96 | — |
| Central California Alliance for Health | Medicaid|All Plans | $756.96 | — |
| Sutter Health | Commercial|All Plans | $1,031.52 | — |
| Health Net | Commercial|Community Care | $4,988.00 | — |
| Health Net | Commercial|Care Product | $6,074.00 | — |
| Health Net | Commercial|Blue Gold | $6,144.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | — |
| Health Net | Commercial|All Other Plans | $6,748.00 | — |
| Blue Shield CA | Commercial|Exchange | $8,426.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $8,807.00 | — |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $10,766.00 | — |
| Aetna | Commercial|HMO | $23,174.00 | — |
| Aetna | Commercial|PPO | $23,352.00 | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Commercial|HMO | 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 | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
Visitor-reported prices
Comments
Cls tx of heel fracture w/manip 28405 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $419.73 | $332.41 – $2,570.00 |
| Mark Twain Medical Center | San Andreas | $618.05 | $240.08 – $909.44 |
| Queen of The Valley Medical Center | Napa | $466.14 | $350.23 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $469.20 | $317.26 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $521.22 | $332.35 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $276.93 | $1,333.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,323.78 | $343.23 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $475.68 | $269.67 – $6,920.00 |