Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$5,380.65
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.
$11,957.00
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.
$131.79 with Blue Shield CA vs $4,184.00 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|DHMF | $131.79 | ↓ -98% |
| COSC Psych | Medicaid|All Plans | $134.06 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $134.06 | ↓ -98% |
| Central California Alliance for Health | Medicaid|All Plans | $134.06 | ↓ -98% |
| Health Net | Medicaid|> 21 | $202.81 | ↓ -96% |
| Health Net | Medicaid|< 21 | $202.81 | ↓ -96% |
| United | Commercial|Non-Options PPO | $221.20 | ↓ -96% |
| United | Commercial|Options PPO | $224.93 | ↓ -96% |
| United | Commercial|All Other Plans | $228.94 | ↓ -96% |
| United | Commercial|HMO | $228.94 | ↓ -96% |
| BCBS - Anthem | Commercial|All Other Plans | $287.64 | ↓ -95% |
| Cigna | Commercial|LocalPlus | $388.65 | ↓ -93% |
| BCBS - Anthem | Commercial|MCS | $401.84 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $413.41 | ↓ -92% |
| Health Net | Commercial|Community Care | $2,343.04 | ↓ -56% |
| Kaiser | Commercial|All Plans | $2,719.60 | ↓ -49% |
| Health Net | Commercial|Care Product | $2,845.12 | ↓ -47% |
| Health Net | Commercial|Blue Gold | $2,886.96 | ↓ -46% |
| Western Growers | Commercial|All Plans | $2,928.80 | ↓ -46% |
| Health Net | Commercial|All Other Plans | $3,179.84 | ↓ -41% |
| Healthsmart | Commercial|All Plans | $3,347.20 | ↓ -38% |
| Blue Shield CA | Commercial|Exchange | $3,389.04 | ↓ -37% |
| First Health | Commercial|All Plans | $3,556.40 | ↓ -34% |
| Multiplan | Commercial|All Plans | $3,556.40 | ↓ -34% |
| Blue Shield CA | Commercial|ACO Trio | $3,681.92 | ↓ -32% |
| Blue Shield CA | Commercial|All Other Plans | $3,765.60 | ↓ -30% |
| Aetna | Commercial|HMO | $4,184.00 | ↓ -22% |
| Aetna | Commercial|PPO | $4,184.00 | ↓ -22% |
Visitor-reported prices
Comments
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $4,624.54 | $134.06 – $10,588.90 |
| French Hospital | San Luis Obispo | $4,235.56 | $134.06 – $10,588.90 |
| Providence St Joseph Hospital Eureka | Eureka | $10,924.20 | $160.06 – $293.20 |
| Redwood Memorial Hospital | Fortuna | $10,924.20 | $253.32 – $272.35 |
| St. Joseph's Medical Center Stockton | Stockton | $8,559.23 | $134.06 – $1,048.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $10,345.85 | $134.06 – $1,590.54 |
| Northridge Hospital Medical Center | Northridge | $4,240.53 | $134.06 – $8,988.00 |
| Sequoia Hospital | Redwood City | $4,631.18 | $27.50 – $5,264.35 |