Homogenization tissue at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$45.45
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.
$101.00
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.
$5.88 with Kaiser vs $101.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $5.88 | ↓ -87% |
| United | Medicare|All Plans | $5.88 | ↓ -87% |
| Blue Shield CA | Medicare|All Plans | $5.88 | ↓ -87% |
| Health Net | Medicare|All Plans | $5.88 | ↓ -87% |
| Blue Shield CA | Commercial|DHMF | $6.70 | ↓ -85% |
| United | Commercial|Options PPO | $7.06 | ↓ -84% |
| United | Commercial|All Other Plans | $7.06 | ↓ -84% |
| United | Commercial|HMO | $7.06 | ↓ -84% |
| United | Commercial|Non-Options PPO | $7.06 | ↓ -84% |
| COSC Psych | Medicaid|All Plans | $7.50 | ↓ -83% |
| Central California Alliance for Health | Medicaid|All Plans | $7.50 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $7.50 | ↓ -83% |
| Health Net | Medicaid|< 21 | $11.34 | ↓ -75% |
| Health Net | Medicaid|> 21 | $11.34 | ↓ -75% |
| Sutter Health | Commercial|All Plans | $18.40 | ↓ -60% |
| Blue Shield CA | Commercial|Exchange | $46.46 | ↑ +2% |
| Blue Shield CA | Commercial|ACO Trio | $46.46 | ↑ +2% |
| Cigna | Commercial|LocalPlus | $52.62 | ↑ +16% |
| Cigna | Commercial|All Other Plans | $55.98 | ↑ +23% |
| Blue Shield CA | Commercial|All Other Plans | $56.56 | ↑ +24% |
| Aetna | Commercial|PPO | $62.09 | ↑ +37% |
| Aetna | Commercial|HMO | $62.09 | ↑ +37% |
| Kaiser | Commercial|All Plans | $65.65 | ↑ +44% |
| Western Growers | Commercial|All Plans | $70.70 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $80.80 | ↑ +78% |
| BCBS - Anthem | Commercial|All Other Plans | $83.83 | ↑ +84% |
| Multiplan | Commercial|All Plans | $85.85 | ↑ +89% |
| First Health | Commercial|All Plans | $85.85 | ↑ +89% |
| BCBS - Anthem | Commercial|MCS | $101.00 | ↑ +122% |
Visitor-reported prices
Comments
Homogenization tissue at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $40.30 | $5.88 – $71.76 |
| Arroyo Grande Hospital | Santa Maria | $74.05 | $5.88 – $16.66 |
| Mark Twain Medical Center | San Andreas | $9.80 | $5.88 – $14.41 |
| French Hospital | San Luis Obispo | $67.82 | $4.59 – $17.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7.64 | $5.88 – $16.89 |
| Bakersfield Memorial Hospital | Bakersfield | $7.55 | $5.88 – $16.89 |
| St. Joseph's Behavioral Health Center | Stockton | $11.75 | $1.70 – $13.60 |
| St. Joseph's Medical Center Stockton | Stockton | $47.04 | $3.15 – $15.00 |