Echo stress at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$2,059.20
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.
$4,576.00
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.
$137.87 with BCBS - Anthem vs $20,963.00 with United — 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 | $137.87 | ↓ -93% |
| COSC Psych | Medicaid|All Plans | $137.87 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $137.87 | ↓ -93% |
| Health Net | Medicaid|< 21 | $208.58 | ↓ -90% |
| Health Net | Medicaid|> 21 | $208.58 | ↓ -90% |
| Kaiser | Medicare|All Plans | $753.29 | ↓ -63% |
| United | Medicare|All Plans | $753.29 | ↓ -63% |
| Blue Shield CA | Medicare|All Plans | $753.29 | ↓ -63% |
| Health Net | Medicare|All Plans | $753.29 | ↓ -63% |
| Blue Shield CA | Commercial|DHMF | $858.75 | ↓ -58% |
| BCBS - Anthem | Commercial|All Other Plans | $974.45 | ↓ -53% |
| BCBS - Anthem | Commercial|MCS | $1,361.65 | ↓ -34% |
| Sutter Health | Commercial|All Plans | $2,357.80 | ↑ +15% |
| Kaiser | Commercial|All Plans | $2,974.40 | ↑ +44% |
| Western Growers | Commercial|All Plans | $3,203.20 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $3,660.80 | ↑ +78% |
| First Health | Commercial|All Plans | $3,889.60 | ↑ +89% |
| Multiplan | Commercial|All Plans | $3,889.60 | ↑ +89% |
| United | Commercial|Non-Options PPO | $4,072.64 | ↑ +98% |
| Health Net | Commercial|Community Care | $5,842.00 | ↑ +184% |
| Health Net | Commercial|Care Product | $7,113.00 | ↑ +245% |
| Health Net | Commercial|Blue Gold | $7,196.00 | ↑ +249% |
| Health Net | Commercial|All Other Plans | $7,903.00 | ↑ +284% |
| United | Commercial|HMO | $16,583.00 | ↑ +705% |
| United | Commercial|All Other Plans | $17,458.00 | ↑ +748% |
| United | Commercial|Options PPO | $20,963.00 | ↑ +918% |
Visitor-reported prices
Comments
Echo stress at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,465.55 | $208.58 – $2,609.88 |
| Banner Lassen Medical Center | Susanville | $739.27 | $59.86 – $158.60 |
| Arroyo Grande Hospital | Santa Maria | $1,081.56 | $137.87 – $2,476.46 |
| French Hospital | San Luis Obispo | $990.59 | $137.87 – $2,476.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $761.67 | $137.87 – $1,642.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,608.20 | $137.87 – $1,621.87 |
| Queen of The Valley Medical Center | Napa | $8,183.46 | $640.28 – $3,331.00 |
| Providence St Joseph Hospital Eureka | Eureka | $971.04 | $702.78 – $3,331.00 |