Dilate biliary duct/ampulla at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$3,503.25
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.
$7,785.00
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.
$469.47 with BCBS - Anthem vs $12,303.00 with Blue Shield CA — 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 | $469.47 | ↓ -87% |
| COSC Psych | Medicaid|All Plans | $469.47 | ↓ -87% |
| Central California Alliance for Health | Medicaid|All Plans | $469.47 | ↓ -87% |
| Health Net | Medicaid|> 21 | $710.26 | ↓ -80% |
| Health Net | Medicaid|< 21 | $710.26 | ↓ -80% |
| Kaiser | Commercial|All Plans | $5,060.25 | ↑ +44% |
| Western Growers | Commercial|All Plans | $5,293.80 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $6,228.00 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +89% |
| Multiplan | Commercial|All Plans | $6,617.25 | ↑ +89% |
| First Health | Commercial|All Plans | $6,617.25 | ↑ +89% |
| United | Commercial|All Other Plans | $7,006.50 | ↑ +100% |
| United | Commercial|HMO | $7,473.60 | ↑ +113% |
| United | Commercial|Options PPO | $7,473.60 | ↑ +113% |
| United | Commercial|Non-Options PPO | $7,785.00 | ↑ +122% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +161% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +163% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +164% |
| Blue Shield CA | Commercial|Exchange | $9,630.00 | ↑ +175% |
| Blue Shield CA | Commercial|ACO Trio | $10,065.00 | ↑ +187% |
| Blue Shield CA | Commercial|All Other Plans | $12,303.00 | ↑ +251% |
Visitor-reported prices
Comments
Dilate biliary duct/ampulla at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $731.90 | $451.17 – $1,303.38 |
| Arroyo Grande Hospital | Santa Maria | $751.14 | $469.47 – $1,719.90 |
| French Hospital | San Luis Obispo | $687.96 | $469.47 – $1,719.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $856.27 | $469.47 – $2,054.12 |
| Bakersfield Memorial Hospital | Bakersfield | $847.04 | $469.47 – $2,284.92 |
| St. Joseph's Medical Center Stockton | Stockton | $645.33 | $460.95 – $1,843.80 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,304.96 | $1,200.00 – $7,908.00 |
| Mercy Medical Center Merced | Merced | $1,156.69 | $469.47 – $2,223.54 |