Felbamate (felbatol(r)) - sendout at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$7.67
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.
$17.03
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.
$7.84 with Blue Shield CA vs $177.62 with Cigna — 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|ACO Trio | $7.84 | ↑ +2% |
| Blue Shield CA | Commercial|Exchange | $7.84 | ↑ +2% |
| Blue Shield CA | Commercial|All Other Plans | $9.54 | ↑ +24% |
| Kaiser | Commercial|All Plans | $11.07 | ↑ +44% |
| Western Growers | Commercial|All Plans | $11.93 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $13.63 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $14.14 | ↑ +84% |
| First Health | Commercial|All Plans | $14.48 | ↑ +89% |
| Multiplan | Commercial|All Plans | $14.48 | ↑ +89% |
| COSC Psych | Medicaid|All Plans | $14.91 | ↑ +94% |
| BCBS - Anthem | Medicaid|All Plans | $14.91 | ↑ +94% |
| Central California Alliance for Health | Medicaid|All Plans | $14.91 | ↑ +94% |
| Kaiser | Medicare|All Plans | $17.03 | ↑ +122% |
| BCBS - Anthem | Commercial|MCS | $17.03 | ↑ +122% |
| Aetna | Commercial|PPO | $17.03 | ↑ +122% |
| United | Commercial|HMO | $17.03 | ↑ +122% |
| United | Commercial|Options PPO | $17.03 | ↑ +122% |
| United | Commercial|Non-Options PPO | $17.03 | ↑ +122% |
| Health Net | Medicare|All Plans | $17.03 | ↑ +122% |
| United | Commercial|All Other Plans | $17.03 | ↑ +122% |
| Blue Shield CA | Medicare|All Plans | $17.03 | ↑ +122% |
| Aetna | Commercial|HMO | $17.03 | ↑ +122% |
| United | Medicare|All Plans | $17.03 | ↑ +122% |
| Blue Shield CA | Commercial|DHMF | $19.42 | ↑ +153% |
| Health Net | Medicaid|> 21 | $20.95 | ↑ +173% |
| Health Net | Medicaid|< 21 | $20.95 | ↑ +173% |
| Sutter Health | Commercial|All Plans | $53.31 | ↑ +595% |
| Cigna | Commercial|LocalPlus | $166.97 | ↑ +2077% |
| Cigna | Commercial|All Other Plans | $177.62 | ↑ +2216% |
Visitor-reported prices
Comments
Felbamate (felbatol(r)) - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $15.02 | $3.73 – $24.60 |
| Petaluma Valley Hospital | Petaluma | $39.45 | $18.27 – $51.60 |
| Arroyo Grande Hospital | Santa Maria | $7.29 | $8.52 – $48.04 |
| French Hospital | San Luis Obispo | $6.68 | $4.60 – $56.48 |
| Queen of The Valley Medical Center | Napa | $39.45 | $18.64 – $65.22 |
| Providence St Joseph Hospital Eureka | Eureka | $39.45 | $18.64 – $123.26 |
| Redwood Memorial Hospital | Fortuna | $39.45 | $123.55 – $123.55 |
| Santa Rosa Memorial Hospital | Santa Rosa | $39.45 | $18.27 – $55.48 |