Ghs moderate sedation < 5 yr, 30 min, other at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$254.25
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.
$565.00
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.
$78.32 with BCBS - Anthem vs $565.00 with United — 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 | $78.32 | ↓ -69% |
| COSC Psych | Medicaid|All Plans | $78.32 | ↓ -69% |
| Central California Alliance for Health | Medicaid|All Plans | $78.32 | ↓ -69% |
| Health Net | Medicaid|< 21 | $118.49 | ↓ -53% |
| Health Net | Medicaid|> 21 | $118.49 | ↓ -53% |
| Kaiser | Commercial|All Plans | $367.25 | ↑ +44% |
| Western Growers | Commercial|All Plans | $395.50 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $452.00 | ↑ +78% |
| Multiplan | Commercial|All Plans | $480.25 | ↑ +89% |
| First Health | Commercial|All Plans | $480.25 | ↑ +89% |
| United | Commercial|All Other Plans | $508.50 | ↑ +100% |
| United | Commercial|HMO | $542.40 | ↑ +113% |
| United | Commercial|Options PPO | $542.40 | ↑ +113% |
| United | Commercial|Non-Options PPO | $565.00 | ↑ +122% |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min, other at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $171.70 | $105.84 – $305.76 |
| Banner Lassen Medical Center | Susanville | $213.84 | $129.23 – $374.42 |
| Petaluma Valley Hospital | Petaluma | $514.59 | not published |
| Arroyo Grande Hospital | Santa Maria | $174.63 | $78.32 – $399.84 |
| French Hospital | San Luis Obispo | $159.94 | $78.32 – $399.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $302.00 | $78.32 – $651.20 |
| Bakersfield Memorial Hospital | Bakersfield | $298.74 | $78.32 – $805.86 |
| Queen of The Valley Medical Center | Napa | $639.54 | not published |