Coombs direct at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$166.95
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.
$371.00
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.
$6.47 with United vs $86.27 with Sutter Health — 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 | Commercial|HMO | $6.47 | ↓ -96% |
| United | Commercial|All Other Plans | $6.47 | ↓ -96% |
| United | Commercial|Options PPO | $6.47 | ↓ -96% |
| United | Commercial|Non-Options PPO | $6.47 | ↓ -96% |
| COSC Psych | Medicaid|All Plans | $6.87 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $6.87 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $6.87 | ↓ -96% |
| Health Net | Medicaid|< 21 | $10.39 | ↓ -94% |
| Health Net | Medicaid|> 21 | $10.39 | ↓ -94% |
| Blue Shield CA | Commercial|Exchange | $12.68 | ↓ -92% |
| Blue Shield CA | Commercial|ACO Trio | $12.68 | ↓ -92% |
| Blue Shield CA | Commercial|All Other Plans | $15.44 | ↓ -91% |
| Kaiser | Commercial|All Plans | $17.92 | ↓ -89% |
| Western Growers | Commercial|All Plans | $19.30 | ↓ -88% |
| Healthsmart | Commercial|All Plans | $22.05 | ↓ -87% |
| BCBS - Anthem | Commercial|All Other Plans | $22.88 | ↓ -86% |
| Multiplan | Commercial|All Plans | $23.43 | ↓ -86% |
| First Health | Commercial|All Plans | $23.43 | ↓ -86% |
| Aetna | Commercial|HMO | $27.56 | ↓ -83% |
| Aetna | Commercial|PPO | $27.56 | ↓ -83% |
| BCBS - Anthem | Commercial|MCS | $27.56 | ↓ -83% |
| Health Net | Medicare|All Plans | $27.56 | ↓ -83% |
| Kaiser | Medicare|All Plans | $27.56 | ↓ -83% |
| United | Medicare|All Plans | $27.56 | ↓ -83% |
| Blue Shield CA | Commercial|DHMF | $31.42 | ↓ -81% |
| Cigna | Commercial|LocalPlus | $48.22 | ↓ -71% |
| Cigna | Commercial|All Other Plans | $51.29 | ↓ -69% |
| Blue Shield CA | Medicare|All Plans | $81.61 | ↓ -51% |
| Sutter Health | Commercial|All Plans | $86.27 | ↓ -48% |
Visitor-reported prices
Comments
Coombs direct at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $90.67 | $5.83 – $43.12 |
| Banner Lassen Medical Center | Susanville | $80.90 | $1.08 – $7.90 |
| Petaluma Valley Hospital | Petaluma | $85.17 | $10.78 – $79.50 |
| Arroyo Grande Hospital | Santa Maria | $141.57 | $6.18 – $16.00 |
| Mark Twain Medical Center | San Andreas | $97.24 | $5.39 – $27.01 |
| French Hospital | San Luis Obispo | $129.66 | $4.32 – $16.31 |
| Mercy Hospitals – Bakersfield | Bakersfield | $111.30 | $6.47 – $26.25 |
| Bakersfield Memorial Hospital | Bakersfield | $110.10 | $6.47 – $26.25 |