Exchange biliary drg cath at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$3,980.70
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.
$8,846.00
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.
$752.05 with BCBS - Anthem vs $23,352.00 with Aetna — 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 | $752.05 | ↓ -81% |
| COSC Psych | Medicaid|All Plans | $752.05 | ↓ -81% |
| Central California Alliance for Health | Medicaid|All Plans | $752.05 | ↓ -81% |
| Health Net | Medicaid|> 21 | $1,137.77 | ↓ -71% |
| Health Net | Medicaid|< 21 | $1,137.77 | ↓ -71% |
| Blue Shield CA | Medicare|All Plans | $4,848.43 | ↑ +22% |
| United | Medicare|All Plans | $4,848.43 | ↑ +22% |
| Kaiser | Medicare|All Plans | $4,848.43 | ↑ +22% |
| Health Net | Medicare|All Plans | $4,848.43 | ↑ +22% |
| Blue Shield CA | Commercial|DHMF | $5,527.21 | ↑ +39% |
| Kaiser | Commercial|All Plans | $5,749.90 | ↑ +44% |
| Western Growers | Commercial|All Plans | $6,015.28 | ↑ +51% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +66% |
| Healthsmart | Commercial|All Plans | $7,076.80 | ↑ +78% |
| Multiplan | Commercial|All Plans | $7,519.10 | ↑ +89% |
| First Health | Commercial|All Plans | $7,519.10 | ↑ +89% |
| United | Commercial|All Other Plans | $7,961.40 | ↑ +100% |
| United | Commercial|Options PPO | $8,492.16 | ↑ +113% |
| United | Commercial|HMO | $8,492.16 | ↑ +113% |
| United | Commercial|Non-Options PPO | $8,846.00 | ↑ +122% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +132% |
| Blue Shield CA | Commercial|Exchange | $9,630.00 | ↑ +142% |
| Blue Shield CA | Commercial|ACO Trio | $10,065.00 | ↑ +153% |
| Health Net | Commercial|Care Product | $11,420.00 | ↑ +187% |
| Blue Shield CA | Commercial|All Other Plans | $12,303.00 | ↑ +209% |
| Sutter Health | Commercial|All Plans | $15,175.59 | ↑ +281% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +482% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +487% |
Visitor-reported prices
Comments
Exchange biliary drg cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,075.64 | $1,137.77 – $8,890.24 |
| Petaluma Valley Hospital | Petaluma | $7,210.38 | $2,937.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | $3,432.99 | $752.05 – $5,780.04 |
| French Hospital | San Luis Obispo | $3,097.59 | $752.05 – $5,780.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,854.69 | $752.05 – $4,484.02 |
| Bakersfield Memorial Hospital | Bakersfield | $3,813.13 | $752.05 – $4,484.02 |
| Queen of The Valley Medical Center | Napa | $7,805.04 | $5,083.67 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,970.68 | $4,604.99 – $17,611.00 |