Ins lv lead exist pm/icd at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$2,330.55
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.
$5,179.00
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.
$279.60 with BCBS - Anthem vs $24,019.00 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 | $279.60 | ↓ -88% |
| COSC Psych | Medicaid|All Plans | $279.60 | ↓ -88% |
| Central California Alliance for Health | Medicaid|All Plans | $279.60 | ↓ -88% |
| Health Net | Medicaid|> 21 | $423.01 | ↓ -82% |
| Health Net | Medicaid|< 21 | $423.01 | ↓ -82% |
| Kaiser | Commercial|All Plans | $3,366.35 | ↑ +44% |
| Western Growers | Commercial|All Plans | $3,625.30 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $4,143.20 | ↑ +78% |
| First Health | Commercial|All Plans | $4,402.15 | ↑ +89% |
| Multiplan | Commercial|All Plans | $4,402.15 | ↑ +89% |
| United | Commercial|All Other Plans | $4,661.10 | ↑ +100% |
| United | Commercial|HMO | $4,971.84 | ↑ +113% |
| United | Commercial|Options PPO | $4,971.84 | ↑ +113% |
| Kaiser | Medicare|All Plans | $5,179.00 | ↑ +122% |
| United | Medicare|All Plans | $5,179.00 | ↑ +122% |
| United | Commercial|Non-Options PPO | $5,179.00 | ↑ +122% |
| Health Net | Medicare|All Plans | $5,179.00 | ↑ +122% |
| Blue Shield CA | Commercial|DHMF | $5,904.06 | ↑ +153% |
| Blue Shield CA | Commercial|Exchange | $8,426.00 | ↑ +262% |
| Blue Shield CA | Commercial|ACO Trio | $8,807.00 | ↑ +278% |
| Blue Shield CA | Commercial|All Other Plans | $10,766.00 | ↑ +362% |
| Blue Shield CA | Medicare|All Plans | $14,377.90 | ↑ +517% |
| Sutter Health | Commercial|All Plans | $16,210.27 | ↑ +596% |
| BCBS - Anthem | Commercial|All Other Plans | $17,193.00 | ↑ +638% |
| Health Net | Commercial|Community Care | $17,637.00 | ↑ +657% |
| Health Net | Commercial|Care Product | $21,472.00 | ↑ +821% |
| Health Net | Commercial|Blue Gold | $21,723.00 | ↑ +832% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +894% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +902% |
| Health Net | Commercial|All Other Plans | $23,858.00 | ↑ +924% |
| BCBS - Anthem | Commercial|MCS | $24,019.00 | ↑ +931% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15,211.74 | $423.01 – $27,089.40 |
| Arroyo Grande Hospital | Santa Maria | $22,068.97 | $279.60 – $50,531.74 |
| French Hospital | San Luis Obispo | $20,566.68 | $279.60 – $51,416.68 |
| Bakersfield Memorial Hospital | Bakersfield | $22,624.45 | $279.60 – $48,701.13 |
| Queen of The Valley Medical Center | Napa | $33,111.75 | $7,483.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,084.60 | $279.60 – $25,956.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $15,113.85 | $2,995.00 – $20,488.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,028.00 | $6,920.00 – $24,869.57 |