Heart infarct image at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,540.80
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.
$3,424.00
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.
$125.54 with BCBS - Anthem vs $6,551.66 with Cigna — 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 | $125.54 | ↓ -92% |
| Central California Alliance for Health | Medicaid|All Plans | $125.54 | ↓ -92% |
| COSC Psych | Medicaid|All Plans | $125.54 | ↓ -92% |
| Health Net | Medicaid|< 21 | $189.92 | ↓ -88% |
| Health Net | Medicaid|> 21 | $189.92 | ↓ -88% |
| Blue Shield CA | Medicare|All Plans | $552.06 | ↓ -64% |
| United | Medicare|All Plans | $552.06 | ↓ -64% |
| Health Net | Medicare|All Plans | $552.06 | ↓ -64% |
| Kaiser | Medicare|All Plans | $552.06 | ↓ -64% |
| Blue Shield CA | Commercial|DHMF | $629.35 | ↓ -59% |
| United | Commercial|All Other Plans | $848.52 | ↓ -45% |
| United | Commercial|Non-Options PPO | $848.52 | ↓ -45% |
| United | Commercial|HMO | $848.52 | ↓ -45% |
| United | Commercial|Options PPO | $848.52 | ↓ -45% |
| BCBS - Anthem | Commercial|All Other Plans | $1,178.34 | ↓ -24% |
| BCBS - Anthem | Commercial|MCS | $1,646.56 | ↑ +7% |
| Sutter Health | Commercial|All Plans | $1,727.95 | ↑ +12% |
| Aetna | Commercial|PPO | $1,732.73 | ↑ +12% |
| Aetna | Commercial|HMO | $1,732.73 | ↑ +12% |
| Kaiser | Commercial|All Plans | $2,225.60 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,396.80 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $2,739.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $2,910.40 | ↑ +89% |
| First Health | Commercial|All Plans | $2,910.40 | ↑ +89% |
| Cigna | Commercial|LocalPlus | $6,158.70 | ↑ +300% |
| Cigna | Commercial|All Other Plans | $6,551.66 | ↑ +325% |
Visitor-reported prices
Comments
Heart infarct image at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $587.80 | $189.92 – $1,824.90 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,757.97 | $556.27 – $658.70 |
| Northridge Hospital Medical Center | Northridge | $910.94 | $125.54 – $3,265.00 |
| California Hospital Medical Center | Los Angeles | $1,613.60 | $112.99 – $2,628.33 |
| St. Mary Medical Center | Long Beach | $570.61 | $112.99 – $1,327.00 |
| Community Hospital San Bernardino | San Bernardino | $1,612.49 | $125.54 – $4,124.00 |
| Glendale Memorial Hospital Health Center | Glendale | $376.86 | $125.54 – $1,533.86 |
| St. Bernardine Medical Center | San Bernardino | $795.87 | $125.54 – $2,031.50 |