Ghs i and d perirectal abscess 46040 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,855.80
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.
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What you pay up front if you don't use insurance.
$4,124.00
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.
$205.06 with BCBS - Anthem vs $23,352.00 with Aetna — 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 | $205.06 | ↓ -89% |
| Health Net | Medicaid|> 21 | $252.22 | ↓ -86% |
| Health Net | Medicaid|< 21 | $252.22 | ↓ -86% |
| Central California Alliance for Health | Medicaid|All Plans | $323.26 | ↓ -83% |
| COSC Psych | Medicaid|All Plans | $323.26 | ↓ -83% |
| Kaiser | Medicare|All Plans | $1,619.89 | ↓ -13% |
| United | Medicare|All Plans | $1,619.89 | ↓ -13% |
| Health Net | Medicare|All Plans | $1,619.89 | ↓ -13% |
| Blue Shield CA | Medicare|All Plans | $1,619.89 | ↓ -13% |
| Blue Shield CA | Commercial|DHMF | $1,846.67 | ↓ -0% |
| Kaiser | Commercial|All Plans | $2,680.60 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,804.32 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $3,299.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $3,505.40 | ↑ +89% |
| First Health | Commercial|All Plans | $3,505.40 | ↑ +89% |
| United | Commercial|All Other Plans | $3,711.60 | ↑ +100% |
| United | Commercial|Options PPO | $3,959.04 | ↑ +113% |
| United | Commercial|HMO | $3,959.04 | ↑ +113% |
| United | Commercial|Non-Options PPO | $4,124.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $5,070.26 | ↑ +173% |
| Health Net | Commercial|Community Care | $6,840.00 | ↑ +269% |
| Health Net | Commercial|Care Product | $8,328.00 | ↑ +349% |
| Health Net | Commercial|Blue Gold | $8,425.00 | ↑ +354% |
| Health Net | Commercial|All Other Plans | $9,253.00 | ↑ +399% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +400% |
| Blue Shield CA | Commercial|Exchange | $9,630.00 | ↑ +419% |
| Blue Shield CA | Commercial|ACO Trio | $10,065.00 | ↑ +442% |
| Blue Shield CA | Commercial|All Other Plans | $12,303.00 | ↑ +563% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +598% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +1149% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +1158% |
Visitor-reported prices
Comments
Ghs i and d perirectal abscess 46040 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $5,102.04 | $1,612.61 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $754.58 | $205.06 – $1,110.34 |
| Queen of The Valley Medical Center | Napa | $8,986.20 | $1,699.06 – $8,552.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,981.28 | $1,539.08 – $8,925.00 |
| Healdsburg Hospital | Healdsburg | $2,159.85 | $1,612.29 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $5,999.64 | $6,127.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,938.33 | $1,665.08 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $6,182.88 | $1,308.22 – $7,908.00 |