Incision of windpipe at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$9,150.30
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.
$20,334.00
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.
$256.33 with BCBS - Anthem vs $25,438.42 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $256.33 | ↓ -97% |
| Health Net | Medicaid|< 21 | $315.29 | ↓ -97% |
| Health Net | Medicaid|> 21 | $315.29 | ↓ -97% |
| COSC Psych | Medicaid|All Plans | $404.07 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $404.07 | ↓ -96% |
| Blue Shield CA | Medicare|All Plans | $8,127.29 | ↓ -11% |
| United | Medicare|All Plans | $8,127.29 | ↓ -11% |
| Health Net | Medicare|All Plans | $8,127.29 | ↓ -11% |
| Kaiser | Medicare|All Plans | $8,127.29 | ↓ -11% |
| Blue Shield CA | Commercial|DHMF | $9,265.11 | ↑ +1% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +1% |
| Health Net | Commercial|Community Care | $10,984.00 | ↑ +20% |
| Blue Shield CA | Commercial|Exchange | $11,908.00 | ↑ +30% |
| Blue Shield CA | Commercial|ACO Trio | $12,446.00 | ↑ +36% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +42% |
| Kaiser | Commercial|All Plans | $13,217.10 | ↑ +44% |
| Aetna | Commercial|PPO | $13,217.10 | ↑ +44% |
| Health Net | Commercial|Care Product | $13,372.00 | ↑ +46% |
| Aetna | Commercial|HMO | $13,420.44 | ↑ +47% |
| Health Net | Commercial|Blue Gold | $13,528.00 | ↑ +48% |
| Western Growers | Commercial|All Plans | $13,827.12 | ↑ +51% |
| Health Net | Commercial|All Other Plans | $14,857.00 | ↑ +62% |
| Blue Shield CA | Commercial|All Other Plans | $15,214.00 | ↑ +66% |
| Healthsmart | Commercial|All Plans | $16,267.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $17,283.90 | ↑ +89% |
| First Health | Commercial|All Plans | $17,283.90 | ↑ +89% |
| United | Commercial|All Other Plans | $18,300.60 | ↑ +100% |
| United | Commercial|HMO | $19,520.64 | ↑ +113% |
| United | Commercial|Options PPO | $19,520.64 | ↑ +113% |
| United | Commercial|Non-Options PPO | $20,334.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $25,438.42 | ↑ +178% |
Visitor-reported prices
Comments
Incision of windpipe at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Mt. Shasta | Mt Shasta | $13,138.09 | $435.77 – $16,549.26 |
| Sierra Nevada Memorial Hospital | Grass Valley | $10,529.40 | $256.33 – $18,933.60 |
| Mercy San Juan Medical Center | Carmichael | $5,293.68 | $256.33 – $15,272.00 |
| Mercy Medical Center Redding | Redding | $8,561.21 | $509.47 – $16,548.28 |
| Mercy General Hospital | Sacramento | $4,211.76 | $256.33 – $14,720.00 |
| Mercy Hospital of Folsom | Folsom | $7,515.48 | $256.33 – $15,088.00 |
| Woodland Memorial Hospital | Woodland | $5,293.68 | $256.33 – $18,400.00 |
| Methodist Hospital of Sacramento | Sacramento | $5,564.16 | $256.33 – $15,272.00 |