Hast w/i&r phys/qhp at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$230.40
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.
$512.00
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.
$177.09 with Blue Shield CA vs $554.29 with Sutter 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 | $177.09 | ↓ -23% |
| Health Net | Medicare|All Plans | $177.09 | ↓ -23% |
| United | Medicare|All Plans | $177.09 | ↓ -23% |
| Kaiser | Medicare|All Plans | $177.09 | ↓ -23% |
| Blue Shield CA | Commercial|DHMF | $201.88 | ↓ -12% |
| Kaiser | Commercial|All Plans | $332.80 | ↑ +44% |
| Western Growers | Commercial|All Plans | $358.40 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $409.60 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $424.96 | ↑ +84% |
| Multiplan | Commercial|All Plans | $435.20 | ↑ +89% |
| First Health | Commercial|All Plans | $435.20 | ↑ +89% |
| United | Commercial|All Other Plans | $460.80 | ↑ +100% |
| United | Commercial|HMO | $491.52 | ↑ +113% |
| United | Commercial|Options PPO | $491.52 | ↑ +113% |
| United | Commercial|Non-Options PPO | $512.00 | ↑ +122% |
| BCBS - Anthem | Commercial|MCS | $512.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $554.29 | ↑ +141% |
Visitor-reported prices
Comments
Hast w/i&r phys/qhp at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $107.00 | $125.00 – $245.00 |
| Mark Twain Medical Center | San Andreas | $179.82 | $69.85 – $264.60 |
| French Hospital | San Luis Obispo | $95.26 | $65.61 – $238.14 |
| St. Joseph's Medical Center Stockton | Stockton | $166.11 | $118.65 – $474.60 |
| Mercy Medical Center Merced | Merced | $142.66 | $143.25 – $274.23 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $133.00 | $79.87 – $316.58 |
| Sequoia Hospital | Redwood City | $469.56 | $65.76 – $1,057.80 |
| Providence Saint Joseph Medical Center | Burbank | $195.65 | $154.48 – $316.58 |