Dch validity tests at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$23.40
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.
$52.00
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.
$3.08 with Central California Alliance for Health vs $33.12 with Cigna — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $3.08 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $3.08 | ↓ -87% |
| COSC Psych | Medicaid|All Plans | $3.08 | ↓ -87% |
| Blue Shield CA | Medicare|All Plans | $3.48 | ↓ -85% |
| United | Medicare|All Plans | $3.48 | ↓ -85% |
| Health Net | Medicare|All Plans | $3.48 | ↓ -85% |
| Kaiser | Medicare|All Plans | $3.48 | ↓ -85% |
| Blue Shield CA | Commercial|DHMF | $3.97 | ↓ -83% |
| United | Commercial|Options PPO | $4.18 | ↓ -82% |
| United | Commercial|Non-Options PPO | $4.18 | ↓ -82% |
| United | Commercial|HMO | $4.18 | ↓ -82% |
| United | Commercial|All Other Plans | $4.18 | ↓ -82% |
| Health Net | Medicaid|> 21 | $4.66 | ↓ -80% |
| Health Net | Medicaid|< 21 | $4.66 | ↓ -80% |
| Blue Shield CA | Commercial|ACO Trio | $7.36 | ↓ -69% |
| Blue Shield CA | Commercial|Exchange | $7.36 | ↓ -69% |
| Blue Shield CA | Commercial|All Other Plans | $8.96 | ↓ -62% |
| Kaiser | Commercial|All Plans | $10.40 | ↓ -56% |
| Sutter Health | Commercial|All Plans | $10.89 | ↓ -53% |
| Western Growers | Commercial|All Plans | $11.20 | ↓ -52% |
| Healthsmart | Commercial|All Plans | $12.80 | ↓ -45% |
| BCBS - Anthem | Commercial|All Other Plans | $13.28 | ↓ -43% |
| Multiplan | Commercial|All Plans | $13.60 | ↓ -42% |
| First Health | Commercial|All Plans | $13.60 | ↓ -42% |
| Aetna | Commercial|PPO | $16.00 | ↓ -32% |
| Aetna | Commercial|HMO | $16.00 | ↓ -32% |
| BCBS - Anthem | Commercial|MCS | $16.00 | ↓ -32% |
| Cigna | Commercial|LocalPlus | $31.13 | ↑ +33% |
| Cigna | Commercial|All Other Plans | $33.12 | ↑ +42% |
Visitor-reported prices
Comments
Dch validity tests at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $42.05 | $3.48 – $10.86 |
| Banner Lassen Medical Center | Susanville | $21.79 | $0.70 – $35.89 |
| Petaluma Valley Hospital | Petaluma | $49.47 | $3.41 – $19.40 |
| Arroyo Grande Hospital | Santa Maria | $62.49 | $3.08 – $9.80 |
| Mark Twain Medical Center | San Andreas | $9.33 | $3.08 – $13.72 |
| French Hospital | San Luis Obispo | $58.41 | $2.70 – $10.53 |
| Mercy Hospitals – Bakersfield | Bakersfield | $27.09 | $3.02 – $24.00 |
| Bakersfield Memorial Hospital | Bakersfield | $26.80 | $3.02 – $23.70 |