Indigotindisulfonate 8 mg/ml soln 5 ml ampule at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,728.00
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.
$3,840.00
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.
$1,113.60 with Central California Alliance for Health vs $3,840.00 with United — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $1,113.60 | ↓ -36% |
| Kaiser | Commercial|All Plans | $2,496.00 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,611.20 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $3,072.00 | ↑ +78% |
| First Health | Commercial|All Plans | $3,264.00 | ↑ +89% |
| Multiplan | Commercial|All Plans | $3,264.00 | ↑ +89% |
| United | Commercial|All Other Plans | $3,456.00 | ↑ +100% |
| BCBS - Anthem | Commercial|All Other Plans | $3,494.40 | ↑ +102% |
| United | Commercial|HMO | $3,686.40 | ↑ +113% |
| United | Commercial|Options PPO | $3,686.40 | ↑ +113% |
| BCBS - Anthem | Commercial|MCS | $3,840.00 | ↑ +122% |
| United | Commercial|Non-Options PPO | $3,840.00 | ↑ +122% |
Visitor-reported prices
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Indigotindisulfonate 8 mg/ml soln 5 ml ampule at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,054.40 | $2,160.00 – $4,704.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $505.70 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,241.65 | not published |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,222.04 | $9.30 – $17.21 |
| Sequoia Hospital | Redwood City | $1,397.76 | $844.80 – $3,340.80 |
| Providence Saint Joseph Medical Center | Burbank | $1,448.59 | $9.30 – $17.21 |
| St Jude Medical Center | Fullerton | $488.98 | not published |
| Community Hospital San Bernardino | San Bernardino | $1,657.45 | $890.19 – $4,239.00 |