Fine needle aspiration biopsy without img gdn; ea addtl 10004 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$272.70
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.
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What you pay up front if you don't use insurance.
$606.00
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.
$45.05 with BCBS - Anthem vs $9,244.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $45.05 | ↓ -83% |
| COSC Psych | Medicaid|All Plans | $45.05 | ↓ -83% |
| Central California Alliance for Health | Medicaid|All Plans | $45.05 | ↓ -83% |
| Health Net | Medicaid|< 21 | $68.15 | ↓ -75% |
| Health Net | Medicaid|> 21 | $68.15 | ↓ -75% |
| Kaiser | Commercial|All Plans | $393.90 | ↑ +44% |
| Western Growers | Commercial|All Plans | $412.08 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $484.80 | ↑ +78% |
| Multiplan | Commercial|All Plans | $515.10 | ↑ +89% |
| First Health | Commercial|All Plans | $515.10 | ↑ +89% |
| United | Commercial|All Other Plans | $545.40 | ↑ +100% |
| United | Commercial|Options PPO | $581.76 | ↑ +113% |
| United | Commercial|HMO | $581.76 | ↑ +113% |
| United | Commercial|Non-Options PPO | $606.00 | ↑ +122% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +2326% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +3254% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +3280% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +3290% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy without img gdn; ea addtl 10004 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $444.72 | $1,687.00 – $10,997.00 |
| Queen of The Valley Medical Center | Napa | $469.20 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,499.40 | $2,699.00 – $21,319.00 |
| Healdsburg Hospital | Healdsburg | $414.63 | $3,982.87 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,059.78 | $8,222.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $450.84 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $576.48 | $1,200.00 – $5,357.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $266.70 | $1,287.00 – $4,776.00 |