Coronary angio/cath placement bypass graft/lv gram/lt heart at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$18,048.60
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.
$40,108.00
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.
$1,203.26 with BCBS - Anthem vs $42,470.00 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 | $1,203.26 | ↓ -93% |
| COSC Psych | Medicaid|All Plans | $1,329.89 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $1,329.89 | ↓ -93% |
| Health Net | Medicaid|> 21 | $1,480.01 | ↓ -92% |
| Health Net | Medicaid|< 21 | $1,480.01 | ↓ -92% |
| Health Net | Medicare|All Plans | $4,418.90 | ↓ -76% |
| United | Medicare|All Plans | $4,418.90 | ↓ -76% |
| Kaiser | Medicare|All Plans | $4,418.90 | ↓ -76% |
| Blue Shield CA | Medicare|All Plans | $4,418.90 | ↓ -76% |
| Blue Shield CA | Commercial|DHMF | $5,037.55 | ↓ -72% |
| Health Net | Commercial|Community Care | $9,380.00 | ↓ -48% |
| Health Net | Commercial|Care Product | $11,420.00 | ↓ -37% |
| Health Net | Commercial|Blue Gold | $11,553.00 | ↓ -36% |
| Health Net | Commercial|All Other Plans | $12,689.00 | ↓ -30% |
| Sutter Health | Commercial|All Plans | $13,831.16 | ↓ -23% |
| Blue Shield CA | Commercial|Exchange | $18,797.00 | ↑ +4% |
| Blue Shield CA | Commercial|ACO Trio | $19,646.00 | ↑ +9% |
| Aetna | Commercial|HMO | $23,989.00 | ↑ +33% |
| Blue Shield CA | Commercial|All Other Plans | $24,015.00 | ↑ +33% |
| Aetna | Commercial|PPO | $24,174.00 | ↑ +34% |
| Kaiser | Commercial|All Plans | $26,070.20 | ↑ +44% |
| Western Growers | Commercial|All Plans | $28,075.60 | ↑ +56% |
| BCBS - Anthem | Commercial|All Other Plans | $30,401.00 | ↑ +68% |
| Healthsmart | Commercial|All Plans | $32,086.40 | ↑ +78% |
| Multiplan | Commercial|All Plans | $34,091.80 | ↑ +89% |
| First Health | Commercial|All Plans | $34,091.80 | ↑ +89% |
| United | Commercial|All Other Plans | $36,097.20 | ↑ +100% |
| United | Commercial|Options PPO | $38,503.68 | ↑ +113% |
| United | Commercial|HMO | $38,503.68 | ↑ +113% |
| United | Commercial|Non-Options PPO | $40,108.00 | ↑ +122% |
| BCBS - Anthem | Commercial|MCS | $42,470.00 | ↑ +135% |
Visitor-reported prices
Comments
Coronary angio/cath placement bypass graft/lv gram/lt heart at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $9,624.18 | $1,480.01 – $17,138.94 |
| Arroyo Grande Hospital | Santa Maria | $9,329.12 | $1,203.26 – $21,361.06 |
| French Hospital | San Luis Obispo | $8,288.06 | $1,203.26 – $20,720.14 |
| Bakersfield Memorial Hospital | Bakersfield | $5,637.86 | $1,203.26 – $12,135.98 |
| Queen of The Valley Medical Center | Napa | $23,269.26 | $4,603.09 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $10,521.30 | $4,169.67 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $14,675.01 | $1,048.57 – $41,928.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,996.19 | $4,511.03 – $12,568.00 |