Fna bx w/ct gdn 1st les at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$811.80
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.
$1,804.00
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.
$428.52 with Central California Alliance for Health vs $9,244.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $428.52 | ↓ -47% |
| BCBS - Anthem | Medicaid|All Plans | $428.52 | ↓ -47% |
| COSC Psych | Medicaid|All Plans | $428.52 | ↓ -47% |
| Health Net | Medicaid|> 21 | $648.31 | ↓ -20% |
| Health Net | Medicaid|< 21 | $648.31 | ↓ -20% |
| Blue Shield CA | Medicare|All Plans | $966.63 | ↑ +19% |
| United | Medicare|All Plans | $966.63 | ↑ +19% |
| Health Net | Medicare|All Plans | $966.63 | ↑ +19% |
| Kaiser | Medicare|All Plans | $966.63 | ↑ +19% |
| Blue Shield CA | Commercial|DHMF | $1,101.96 | ↑ +36% |
| Kaiser | Commercial|All Plans | $1,172.60 | ↑ +44% |
| Western Growers | Commercial|All Plans | $1,226.72 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $1,443.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $1,533.40 | ↑ +89% |
| First Health | Commercial|All Plans | $1,533.40 | ↑ +89% |
| United | Commercial|All Other Plans | $1,623.60 | ↑ +100% |
| United | Commercial|Options PPO | $1,731.84 | ↑ +113% |
| United | Commercial|HMO | $1,731.84 | ↑ +113% |
| United | Commercial|Non-Options PPO | $1,804.00 | ↑ +122% |
| Blue Shield CA | Commercial|Exchange | $1,944.00 | ↑ +139% |
| Blue Shield CA | Commercial|ACO Trio | $2,032.00 | ↑ +150% |
| Blue Shield CA | Commercial|All Other Plans | $2,484.00 | ↑ +206% |
| Sutter Health | Commercial|All Plans | $3,025.55 | ↑ +273% |
| Health Net | Commercial|Community Care | $5,842.00 | ↑ +620% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +715% |
| Health Net | Commercial|Care Product | $7,113.00 | ↑ +776% |
| Health Net | Commercial|Blue Gold | $7,196.00 | ↑ +786% |
| Health Net | Commercial|All Other Plans | $7,903.00 | ↑ +874% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +1027% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +1036% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +1039% |
Visitor-reported prices
Comments
Fna bx w/ct gdn 1st les at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $969.30 | $597.51 – $1,726.14 |
| Banner Lassen Medical Center | Susanville | $911.93 | $140.72 – $1,694.59 |
| Arroyo Grande Hospital | Santa Maria | $1,016.50 | $428.52 – $2,327.50 |
| French Hospital | San Luis Obispo | $2,299.48 | $428.52 – $2,235.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $428.52 – $1,913.60 |
| Bakersfield Memorial Hospital | Bakersfield | $914.94 | $428.52 – $1,969.47 |
| Queen of The Valley Medical Center | Napa | $3,269.10 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,601.00 | $910.78 – $8,018.00 |