Ercp biliary & pancreas at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,589.85
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.
?
What you pay up front if you don't use insurance.
$3,533.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$165.14 with BCBS - Anthem vs $3,533.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $165.14 | ↓ -90% |
| COSC Psych | Medicaid|All Plans | $165.14 | ↓ -90% |
| Central California Alliance for Health | Medicaid|All Plans | $165.14 | ↓ -90% |
| Health Net | Medicaid|< 21 | $249.84 | ↓ -84% |
| Health Net | Medicaid|> 21 | $249.84 | ↓ -84% |
| BCBS - Anthem | Commercial|All Other Plans | $1,407.08 | ↓ -11% |
| Aetna | Commercial|HMO | $1,444.16 | ↓ -9% |
| Aetna | Commercial|PPO | $1,444.16 | ↓ -9% |
| BCBS - Anthem | Commercial|MCS | $1,966.18 | ↑ +24% |
| Kaiser | Commercial|All Plans | $2,296.45 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,473.10 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $2,826.40 | ↑ +78% |
| Multiplan | Commercial|All Plans | $3,003.05 | ↑ +89% |
| First Health | Commercial|All Plans | $3,003.05 | ↑ +89% |
| United | Commercial|All Other Plans | $3,179.70 | ↑ +100% |
| United | Commercial|Options PPO | $3,391.68 | ↑ +113% |
| United | Commercial|HMO | $3,391.68 | ↑ +113% |
| United | Commercial|Non-Options PPO | $3,533.00 | ↑ +122% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,772.59 | $249.84 – $3,156.66 |
| Arroyo Grande Hospital | Santa Maria | $1,124.36 | $165.14 – $2,471.56 |
| Mark Twain Medical Center | San Andreas | $662.01 | $165.14 – $806.54 |
| French Hospital | San Luis Obispo | $988.63 | $165.14 – $2,009.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $645.17 | $165.14 – $1,252.00 |
| Bakersfield Memorial Hospital | Bakersfield | $638.22 | $165.14 – $1,549.35 |
| Queen of The Valley Medical Center | Napa | $2,008.38 | $924.55 – $981.34 |
| Providence St Joseph Hospital Eureka | Eureka | $4,122.84 | $1,048.44 – $1,048.44 |