Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,143.90
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.
$2,542.00
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.
$165.76 with BCBS - Anthem vs $9,253.00 with Health Net — 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 | $165.76 | ↓ -86% |
| Central California Alliance for Health | Medicaid|All Plans | $182.17 | ↓ -84% |
| COSC Psych | Medicaid|All Plans | $182.17 | ↓ -84% |
| Health Net | Medicaid|> 21 | $203.88 | ↓ -82% |
| Health Net | Medicaid|< 21 | $203.88 | ↓ -82% |
| Kaiser | Medicare|All Plans | $1,223.13 | ↑ +7% |
| United | Medicare|All Plans | $1,223.13 | ↑ +7% |
| Health Net | Medicare|All Plans | $1,223.13 | ↑ +7% |
| Blue Shield CA | Medicare|All Plans | $1,223.13 | ↑ +7% |
| Blue Shield CA | Commercial|DHMF | $1,394.37 | ↑ +22% |
| Kaiser | Commercial|All Plans | $1,652.30 | ↑ +44% |
| Western Growers | Commercial|All Plans | $1,728.56 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $2,033.60 | ↑ +78% |
| Multiplan | Commercial|All Plans | $2,160.70 | ↑ +89% |
| First Health | Commercial|All Plans | $2,160.70 | ↑ +89% |
| United | Commercial|All Other Plans | $2,287.80 | ↑ +100% |
| United | Commercial|Options PPO | $2,440.32 | ↑ +113% |
| United | Commercial|HMO | $2,440.32 | ↑ +113% |
| United | Commercial|Non-Options PPO | $2,542.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $3,828.40 | ↑ +235% |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | ↑ +450% |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | ↑ +475% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +478% |
| Health Net | Commercial|Community Care | $6,840.00 | ↑ +498% |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | ↑ +603% |
| Health Net | Commercial|Care Product | $8,328.00 | ↑ +628% |
| Health Net | Commercial|Blue Gold | $8,425.00 | ↑ +637% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +700% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +706% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +708% |
| Health Net | Commercial|All Other Plans | $9,253.00 | ↑ +709% |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $904.91 | $203.88 – $2,138.98 |
| Banner Lassen Medical Center | Susanville | $1,909.73 | $168.10 – $397.70 |
| Petaluma Valley Hospital | Petaluma | $3,615.90 | $1,191.92 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,146.19 | $165.76 – $2,302.02 |
| Mark Twain Medical Center | San Andreas | $1,984.02 | $71.41 – $270.48 |
| French Hospital | San Luis Obispo | $948.25 | $165.76 – $2,187.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,823.47 | $165.76 – $1,791.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,803.81 | $165.76 – $2,182.77 |