Ins pm gen w/exist mlt leads at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,811.25
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.
$4,025.00
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.
$291.14 with COSC Psych vs $27,936.00 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 |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $291.14 | ↓ -84% |
| BCBS - Anthem | Medicaid|All Plans | $291.14 | ↓ -84% |
| Central California Alliance for Health | Medicaid|All Plans | $291.14 | ↓ -84% |
| Health Net | Medicaid|> 21 | $440.46 | ↓ -76% |
| Health Net | Medicaid|< 21 | $440.46 | ↓ -76% |
| Kaiser | Commercial|All Plans | $2,616.25 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,817.50 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $3,220.00 | ↑ +78% |
| First Health | Commercial|All Plans | $3,421.25 | ↑ +89% |
| Multiplan | Commercial|All Plans | $3,421.25 | ↑ +89% |
| United | Commercial|All Other Plans | $3,622.50 | ↑ +100% |
| United | Commercial|HMO | $3,864.00 | ↑ +113% |
| United | Commercial|Options PPO | $3,864.00 | ↑ +113% |
| United | Commercial|Non-Options PPO | $4,025.00 | ↑ +122% |
| United | Medicare|All Plans | $4,025.00 | ↑ +122% |
| Kaiser | Medicare|All Plans | $4,025.00 | ↑ +122% |
| Health Net | Medicare|All Plans | $4,025.00 | ↑ +122% |
| Blue Shield CA | Commercial|DHMF | $4,588.50 | ↑ +153% |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | ↑ +248% |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | ↑ +263% |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | ↑ +344% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +412% |
| Sutter Health | Commercial|All Plans | $12,598.25 | ↑ +596% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +615% |
| Health Net | Commercial|Community Care | $20,652.00 | ↑ +1040% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +1179% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +1189% |
| Health Net | Commercial|Care Product | $25,143.00 | ↑ +1288% |
| Health Net | Commercial|Blue Gold | $25,437.00 | ↑ +1304% |
| Blue Shield CA | Medicare|All Plans | $26,201.10 | ↑ +1347% |
| Health Net | Commercial|All Other Plans | $27,936.00 | ↑ +1442% |
Visitor-reported prices
Comments
Ins pm gen w/exist mlt leads at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,877.73 | $440.46 – $46,866.74 |
| Arroyo Grande Hospital | Santa Maria | $10,986.34 | $291.14 – $25,155.62 |
| French Hospital | San Luis Obispo | $12,172.39 | $291.14 – $30,430.96 |
| Bakersfield Memorial Hospital | Bakersfield | $10,768.89 | $291.14 – $24,231.82 |
| Queen of The Valley Medical Center | Napa | $23,962.86 | $5,592.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,284.92 | $291.14 – $27,058.16 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $19,013.28 | $5,171.00 – $45,831.45 |
| Mercy Medical Center Merced | Merced | $14,712.52 | $291.14 – $28,282.32 |