Injection of sinus tract at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,821.60
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.
?
What you pay up front if you don't use insurance.
$4,048.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$121.76 with BCBS - Anthem vs $9,253.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $121.76 | ↓ -93% |
| Health Net | Medicaid|> 21 | $149.76 | ↓ -92% |
| Health Net | Medicaid|< 21 | $149.76 | ↓ -92% |
| Central California Alliance for Health | Medicaid|All Plans | $191.94 | ↓ -89% |
| COSC Psych | Medicaid|All Plans | $191.94 | ↓ -89% |
| Blue Shield CA | Commercial|Exchange | $1,944.00 | ↑ +7% |
| Blue Shield CA | Commercial|ACO Trio | $2,032.00 | ↑ +12% |
| Blue Shield CA | Medicare|All Plans | $2,035.07 | ↑ +12% |
| United | Medicare|All Plans | $2,035.07 | ↑ +12% |
| Health Net | Medicare|All Plans | $2,035.07 | ↑ +12% |
| Kaiser | Medicare|All Plans | $2,035.07 | ↑ +12% |
| Blue Shield CA | Commercial|DHMF | $2,319.98 | ↑ +27% |
| Blue Shield CA | Commercial|All Other Plans | $2,484.00 | ↑ +36% |
| Kaiser | Commercial|All Plans | $2,631.20 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,752.64 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $3,238.40 | ↑ +78% |
| Multiplan | Commercial|All Plans | $3,440.80 | ↑ +89% |
| First Health | Commercial|All Plans | $3,440.80 | ↑ +89% |
| United | Commercial|All Other Plans | $3,643.20 | ↑ +100% |
| United | Commercial|HMO | $3,886.08 | ↑ +113% |
| United | Commercial|Options PPO | $3,886.08 | ↑ +113% |
| United | Commercial|Non-Options PPO | $4,048.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $6,369.77 | ↑ +250% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +263% |
| Health Net | Commercial|Community Care | $6,840.00 | ↑ +275% |
| Health Net | Commercial|Care Product | $8,328.00 | ↑ +357% |
| Health Net | Commercial|Blue Gold | $8,425.00 | ↑ +363% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +402% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +406% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +407% |
| Health Net | Commercial|All Other Plans | $9,253.00 | ↑ +408% |
Visitor-reported prices
Comments
Injection of sinus tract at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $764.31 | $149.76 – $3,484.24 |
| Arroyo Grande Hospital | Santa Maria | $2,446.45 | $121.76 – $5,601.68 |
| Mark Twain Medical Center | San Andreas | $1,995.34 | $121.76 – $1,286.74 |
| French Hospital | San Luis Obispo | $2,240.68 | $121.76 – $5,601.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,350.07 | $121.76 – $2,911.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,335.52 | $121.76 – $2,874.81 |
| St. Joseph's Medical Center Stockton | Stockton | $1,294.19 | $121.76 – $2,101.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,178.72 | $691.00 – $4,737.00 |