Gi inhouse confirmation at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$409.50
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.
$910.00
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.
$9.44 with Blue Shield CA vs $773.50 with First Health — 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 | Medicare|All Plans | $9.44 | ↓ -98% |
| United | Medicare|All Plans | $9.44 | ↓ -98% |
| Health Net | Medicare|All Plans | $9.44 | ↓ -98% |
| Kaiser | Medicare|All Plans | $9.44 | ↓ -98% |
| Blue Shield CA | Commercial|DHMF | $10.76 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $11.26 | ↓ -97% |
| COSC Psych | Medicaid|All Plans | $11.26 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $11.26 | ↓ -97% |
| United | Commercial|Non-Options PPO | $11.33 | ↓ -97% |
| United | Commercial|All Other Plans | $11.33 | ↓ -97% |
| United | Commercial|HMO | $11.33 | ↓ -97% |
| United | Commercial|Options PPO | $11.33 | ↓ -97% |
| Health Net | Medicaid|< 21 | $17.04 | ↓ -96% |
| Health Net | Medicaid|> 21 | $17.04 | ↓ -96% |
| Sutter Health | Commercial|All Plans | $29.55 | ↓ -93% |
| Cigna | Commercial|LocalPlus | $84.58 | ↓ -79% |
| Cigna | Commercial|All Other Plans | $89.98 | ↓ -78% |
| Aetna | Commercial|PPO | $99.59 | ↓ -76% |
| Aetna | Commercial|HMO | $99.59 | ↓ -76% |
| BCBS - Anthem | Commercial|All Other Plans | $148.09 | ↓ -64% |
| BCBS - Anthem | Commercial|MCS | $206.93 | ↓ -49% |
| Blue Shield CA | Commercial|Exchange | $418.60 | ↑ +2% |
| Blue Shield CA | Commercial|ACO Trio | $418.60 | ↑ +2% |
| Blue Shield CA | Commercial|All Other Plans | $509.60 | ↑ +24% |
| Kaiser | Commercial|All Plans | $591.50 | ↑ +44% |
| Western Growers | Commercial|All Plans | $637.00 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $728.00 | ↑ +78% |
| Multiplan | Commercial|All Plans | $773.50 | ↑ +89% |
| First Health | Commercial|All Plans | $773.50 | ↑ +89% |
Visitor-reported prices
Comments
Gi inhouse confirmation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $303.54 | $9.44 – $29.46 |
| Banner Lassen Medical Center | Susanville | $7.25 | $1.89 – $12.95 |
| Petaluma Valley Hospital | Petaluma | $192.27 | $9.25 – $76.99 |
| Arroyo Grande Hospital | Santa Maria | $320.15 | $6.67 – $24.34 |
| Mark Twain Medical Center | San Andreas | $55.95 | $9.44 – $23.13 |
| French Hospital | San Luis Obispo | $293.22 | $3.61 – $28.61 |
| Mercy Hospitals – Bakersfield | Bakersfield | $129.85 | $6.67 – $27.14 |
| Bakersfield Memorial Hospital | Bakersfield | $128.45 | $6.67 – $27.14 |