Gi tract capsule endoscopy (pillcam) 91110 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$2,347.65
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.
$5,217.00
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.
$922.94 with BCBS - Anthem vs $9,253.00 with Health Net — 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 | $922.94 | ↓ -61% |
| COSC Psych | Medicaid|All Plans | $1,020.07 | ↓ -57% |
| Central California Alliance for Health | Medicaid|All Plans | $1,020.07 | ↓ -57% |
| Health Net | Medicaid|< 21 | $1,135.22 | ↓ -52% |
| Health Net | Medicaid|> 21 | $1,135.22 | ↓ -52% |
| United | Medicare|All Plans | $1,288.08 | ↓ -45% |
| Health Net | Medicare|All Plans | $1,288.08 | ↓ -45% |
| Kaiser | Medicare|All Plans | $1,288.08 | ↓ -45% |
| Blue Shield CA | Medicare|All Plans | $1,288.08 | ↓ -45% |
| Blue Shield CA | Commercial|DHMF | $1,468.41 | ↓ -37% |
| Kaiser | Commercial|All Plans | $3,391.05 | ↑ +44% |
| Western Growers | Commercial|All Plans | $3,547.56 | ↑ +51% |
| Sutter Health | Commercial|All Plans | $4,031.69 | ↑ +72% |
| Healthsmart | Commercial|All Plans | $4,173.60 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $4,330.11 | ↑ +84% |
| Multiplan | Commercial|All Plans | $4,434.45 | ↑ +89% |
| First Health | Commercial|All Plans | $4,434.45 | ↑ +89% |
| United | Commercial|All Other Plans | $4,695.30 | ↑ +100% |
| United | Commercial|HMO | $5,008.32 | ↑ +113% |
| United | Commercial|Options PPO | $5,008.32 | ↑ +113% |
| United | Commercial|Non-Options PPO | $5,217.00 | ↑ +122% |
| BCBS - Anthem | Commercial|MCS | $5,217.00 | ↑ +122% |
| Health Net | Commercial|Community Care | $6,840.00 | ↑ +191% |
| Health Net | Commercial|Care Product | $8,328.00 | ↑ +255% |
| Health Net | Commercial|Blue Gold | $8,425.00 | ↑ +259% |
| Health Net | Commercial|All Other Plans | $9,253.00 | ↑ +294% |
Visitor-reported prices
Comments
Gi tract capsule endoscopy (pillcam) 91110 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $2,203.00 | $922.94 – $4,750.40 |
| Bakersfield Memorial Hospital | Bakersfield | $2,179.25 | $922.94 – $4,691.02 |
| St. Joseph's Medical Center Stockton | Stockton | $1,274.79 | $804.29 – $3,642.24 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $815.52 | $991.55 – $3,281.00 |
| Mercy Medical Center Merced | Merced | $2,254.16 | $922.94 – $4,333.23 |
| St. Mary Medical Center | Long Beach | $993.30 | $577.50 – $5,100.35 |
| Providence Saint Joseph Medical Center | Burbank | $1,729.35 | $1,166.53 – $3,245.22 |
| St Jude Medical Center | Fullerton | $1,266.72 | $991.55 – $3,465.00 |