Debr musc/fascia 20sq cm/< 11043 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$995.40
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.
$2,212.00
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.
$179.86 with BCBS - Anthem 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $179.86 | ↓ -82% |
| Health Net | Medicaid|> 21 | $221.23 | ↓ -78% |
| Health Net | Medicaid|< 21 | $221.23 | ↓ -78% |
| Central California Alliance for Health | Medicaid|All Plans | $283.52 | ↓ -72% |
| COSC Psych | Medicaid|All Plans | $283.52 | ↓ -72% |
| Kaiser | Medicare|All Plans | $840.98 | ↓ -16% |
| United | Medicare|All Plans | $840.98 | ↓ -16% |
| Health Net | Medicare|All Plans | $840.98 | ↓ -16% |
| Blue Shield CA | Medicare|All Plans | $840.98 | ↓ -16% |
| Blue Shield CA | Commercial|DHMF | $958.72 | ↓ -4% |
| Kaiser | Commercial|All Plans | $1,437.80 | ↑ +44% |
| Western Growers | Commercial|All Plans | $1,504.16 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $1,769.60 | ↑ +78% |
| Multiplan | Commercial|All Plans | $1,880.20 | ↑ +89% |
| First Health | Commercial|All Plans | $1,880.20 | ↑ +89% |
| United | Commercial|All Other Plans | $1,990.80 | ↑ +100% |
| United | Commercial|Options PPO | $2,123.52 | ↑ +113% |
| United | Commercial|HMO | $2,123.52 | ↑ +113% |
| United | Commercial|Non-Options PPO | $2,212.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $2,632.27 | ↑ +164% |
| Health Net | Commercial|Community Care | $5,842.00 | ↑ +487% |
| Health Net | Commercial|Care Product | $7,113.00 | ↑ +615% |
| Health Net | Commercial|Blue Gold | $7,196.00 | ↑ +623% |
| Health Net | Commercial|All Other Plans | $7,903.00 | ↑ +694% |
| Blue Shield CA | Commercial|Exchange | $8,426.00 | ↑ +746% |
| Blue Shield CA | Commercial|ACO Trio | $8,807.00 | ↑ +785% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +831% |
| Blue Shield CA | Commercial|All Other Plans | $10,766.00 | ↑ +982% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +1201% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +2228% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +2246% |
Visitor-reported prices
Comments
Debr musc/fascia 20sq cm/< 11043 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $995.17 | $221.23 – $1,458.18 |
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $870.98 | $179.86 – $1,994.30 |
| Mark Twain Medical Center | San Andreas | $277.06 | $107.62 – $407.68 |
| French Hospital | San Luis Obispo | $797.72 | $179.86 – $1,994.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $622.54 | $179.86 – $1,342.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,133.67 | $179.86 – $1,325.62 |
| Queen of The Valley Medical Center | Napa | $910.35 | $1,049.38 – $7,483.00 |