ER Visit (level 5, high severity) at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$4,498.20
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.
$9,996.00
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.
$155.03 with Central California Alliance for Health vs $17,101.00 with BCBS - Anthem — 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 | $155.03 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $155.03 | ↓ -97% |
| COSC Psych | Medicaid|All Plans | $155.03 | ↓ -97% |
| Health Net | Medicaid|> 21 | $234.55 | ↓ -95% |
| Health Net | Medicaid|< 21 | $234.55 | ↓ -95% |
| Kaiser | Medicare|All Plans | $842.31 | ↓ -81% |
| United | Medicare|All Plans | $842.31 | ↓ -81% |
| Health Net | Medicare|All Plans | $842.31 | ↓ -81% |
| Blue Shield CA | Medicare|All Plans | $842.31 | ↓ -81% |
| Blue Shield CA | Commercial|DHMF | $960.23 | ↓ -79% |
| Sutter Health | Commercial|All Plans | $2,636.43 | ↓ -41% |
| Aetna | Commercial|PPO | $4,298.28 | ↓ -4% |
| Aetna | Commercial|HMO | $4,298.28 | ↓ -4% |
| Blue Shield CA | Commercial|ACO Trio | $5,897.64 | ↑ +31% |
| Cigna | Commercial|LocalPlus | $5,997.60 | ↑ +33% |
| Kaiser | Commercial|All Plans | $5,997.60 | ↑ +33% |
| Blue Shield CA | Commercial|Exchange | $6,097.56 | ↑ +36% |
| Cigna | Commercial|All Other Plans | $6,397.44 | ↑ +42% |
| Western Growers | Commercial|All Plans | $6,797.28 | ↑ +51% |
| United | Commercial|HMO | $7,166.00 | ↑ +59% |
| Blue Shield CA | Commercial|All Other Plans | $7,197.12 | ↑ +60% |
| Healthsmart | Commercial|All Plans | $7,996.80 | ↑ +78% |
| Multiplan | Commercial|All Plans | $8,496.60 | ↑ +89% |
| First Health | Commercial|All Plans | $8,496.60 | ↑ +89% |
| Health Net | Commercial|Community Care | $11,460.00 | ↑ +155% |
| BCBS - Anthem | Commercial|All Other Plans | $12,241.00 | ↑ +172% |
| United | Commercial|Non-Options PPO | $12,322.00 | ↑ +174% |
| Health Net | Commercial|Care Product | $13,953.00 | ↑ +210% |
| Health Net | Commercial|Blue Gold | $14,116.00 | ↑ +214% |
| United | Commercial|All Other Plans | $14,818.00 | ↑ +229% |
| United | Commercial|Options PPO | $14,940.00 | ↑ +232% |
| Health Net | Commercial|All Other Plans | $15,502.00 | ↑ +245% |
| BCBS - Anthem | Commercial|MCS | $17,101.00 | ↑ +280% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,060.79 | $226.60 – $3,279.18 |
| Banner Lassen Medical Center | Susanville | $3,441.94 | $122.62 – $2,525.88 |
| Petaluma Valley Hospital | Petaluma | $4,458.42 | $802.54 – $818.92 |
| Arroyo Grande Hospital | Santa Maria | $1,593.02 | $155.03 – $3,316.32 |
| Mark Twain Medical Center | San Andreas | $1,886.78 | $138.93 – $526.26 |
| French Hospital | San Luis Obispo | $1,459.03 | $155.03 – $3,392.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,521.69 | $155.03 – $5,573.54 |
| Bakersfield Memorial Hospital | Bakersfield | $2,494.50 | $155.03 – $5,573.54 |