ER Visit (level 4) at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$2,791.80
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.
$6,204.00
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.
$98.04 with COSC Psych vs $14,940.00 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 |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $98.04 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $98.04 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $98.04 | ↓ -96% |
| Health Net | Medicaid|> 21 | $148.33 | ↓ -95% |
| Health Net | Medicaid|< 21 | $148.33 | ↓ -95% |
| Health Net | Medicare|All Plans | $585.02 | ↓ -79% |
| Blue Shield CA | Medicare|All Plans | $585.02 | ↓ -79% |
| Kaiser | Medicare|All Plans | $585.02 | ↓ -79% |
| United | Medicare|All Plans | $585.02 | ↓ -79% |
| Blue Shield CA | Commercial|DHMF | $666.92 | ↓ -76% |
| Sutter Health | Commercial|All Plans | $1,831.11 | ↓ -34% |
| Aetna | Commercial|HMO | $2,667.72 | ↓ -4% |
| Aetna | Commercial|PPO | $2,667.72 | ↓ -4% |
| Blue Shield CA | Commercial|ACO Trio | $3,660.36 | ↑ +31% |
| Kaiser | Commercial|All Plans | $3,722.40 | ↑ +33% |
| Cigna | Commercial|LocalPlus | $3,722.40 | ↑ +33% |
| Blue Shield CA | Commercial|Exchange | $3,784.44 | ↑ +36% |
| Cigna | Commercial|All Other Plans | $3,970.56 | ↑ +42% |
| Western Growers | Commercial|All Plans | $4,218.72 | ↑ +51% |
| Blue Shield CA | Commercial|All Other Plans | $4,466.88 | ↑ +60% |
| Healthsmart | Commercial|All Plans | $4,963.20 | ↑ +78% |
| First Health | Commercial|All Plans | $5,273.40 | ↑ +89% |
| Multiplan | Commercial|All Plans | $5,273.40 | ↑ +89% |
| United | Commercial|HMO | $7,166.00 | ↑ +157% |
| Health Net | Commercial|Community Care | $9,377.00 | ↑ +236% |
| BCBS - Anthem | Commercial|All Other Plans | $9,417.00 | ↑ +237% |
| Health Net | Commercial|Care Product | $11,417.00 | ↑ +309% |
| Health Net | Commercial|Blue Gold | $11,551.00 | ↑ +314% |
| United | Commercial|Non-Options PPO | $12,322.00 | ↑ +341% |
| Health Net | Commercial|All Other Plans | $12,686.00 | ↑ +354% |
| BCBS - Anthem | Commercial|MCS | $13,156.00 | ↑ +371% |
| United | Commercial|All Other Plans | $14,818.00 | ↑ +431% |
| United | Commercial|Options PPO | $14,940.00 | ↑ +435% |
Visitor-reported prices
Comments
ER Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,112.96 | $148.33 – $1,735.94 |
| Banner Lassen Medical Center | Susanville | $2,826.36 | $85.16 – $1,742.12 |
| Petaluma Valley Hospital | Petaluma | $3,274.71 | $562.31 – $573.78 |
| Arroyo Grande Hospital | Santa Maria | $1,131.21 | $98.04 – $2,255.96 |
| Mark Twain Medical Center | San Andreas | $1,310.03 | $92.10 – $348.88 |
| French Hospital | San Luis Obispo | $992.55 | $98.04 – $2,299.08 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,184.98 | $98.04 – $2,619.08 |
| Bakersfield Memorial Hospital | Bakersfield | $1,172.20 | $98.04 – $2,619.08 |