Inj proc for lymphang at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,687.50
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.
$3,750.00
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.
$519.07 with BCBS - Anthem vs $9,244.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $519.07 | ↓ -69% |
| Health Net | Medicaid|< 21 | $638.46 | ↓ -62% |
| Health Net | Medicaid|> 21 | $638.46 | ↓ -62% |
| COSC Psych | Medicaid|All Plans | $818.24 | ↓ -52% |
| Central California Alliance for Health | Medicaid|All Plans | $818.24 | ↓ -52% |
| Kaiser | Commercial|All Plans | $2,437.50 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,550.00 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $3,000.00 | ↑ +78% |
| Multiplan | Commercial|All Plans | $3,187.50 | ↑ +89% |
| First Health | Commercial|All Plans | $3,187.50 | ↑ +89% |
| United | Commercial|All Other Plans | $3,375.00 | ↑ +100% |
| United | Commercial|Options PPO | $3,600.00 | ↑ +113% |
| United | Commercial|HMO | $3,600.00 | ↑ +113% |
| United | Commercial|Non-Options PPO | $3,750.00 | ↑ +122% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +292% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +442% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +446% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +448% |
Visitor-reported prices
Comments
Inj proc for lymphang at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $231.27 | $142.56 – $528.00 |
| Arroyo Grande Hospital | Santa Maria | $327.42 | $420.75 – $765.00 |
| French Hospital | San Luis Obispo | $299.88 | $206.55 – $765.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,153.07 | $519.07 – $2,766.12 |
| Bakersfield Memorial Hospital | Bakersfield | $1,140.64 | $519.07 – $3,076.92 |
| St. Joseph's Medical Center Stockton | Stockton | $869.36 | $301.35 – $1,435.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,363.74 | $557.81 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $354.72 | $1,200.00 – $5,357.00 |