Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$4,153.50
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.
?
What you pay up front if you don't use insurance.
$9,230.00
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.
$1,027.04 with BCBS - Anthem vs $44,048.12 with Blue Shield CA — 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 | $1,027.04 | ↓ -75% |
| Health Net | Medicaid|> 21 | $1,263.26 | ↓ -70% |
| Health Net | Medicaid|< 21 | $1,263.26 | ↓ -70% |
| COSC Psych | Medicaid|All Plans | $1,618.98 | ↓ -61% |
| Central California Alliance for Health | Medicaid|All Plans | $1,618.98 | ↓ -61% |
| Kaiser | Commercial|All Plans | $5,999.50 | ↑ +44% |
| Western Growers | Commercial|All Plans | $6,461.00 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $7,384.00 | ↑ +78% |
| First Health | Commercial|All Plans | $7,845.50 | ↑ +89% |
| Multiplan | Commercial|All Plans | $7,845.50 | ↑ +89% |
| United | Commercial|All Other Plans | $8,307.00 | ↑ +100% |
| United | Commercial|Options PPO | $8,860.80 | ↑ +113% |
| United | Commercial|HMO | $8,860.80 | ↑ +113% |
| Health Net | Medicare|All Plans | $9,230.00 | ↑ +122% |
| United | Medicare|All Plans | $9,230.00 | ↑ +122% |
| United | Commercial|Non-Options PPO | $9,230.00 | ↑ +122% |
| Kaiser | Medicare|All Plans | $9,230.00 | ↑ +122% |
| Blue Shield CA | Commercial|DHMF | $10,522.20 | ↑ +153% |
| BCBS - Anthem | Commercial|All Other Plans | $17,193.00 | ↑ +314% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +458% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +462% |
| BCBS - Anthem | Commercial|MCS | $24,019.00 | ↑ +478% |
| Blue Shield CA | Commercial|Exchange | $25,297.00 | ↑ +509% |
| Blue Shield CA | Commercial|ACO Trio | $26,440.00 | ↑ +537% |
| Health Net | Commercial|Community Care | $28,318.00 | ↑ +582% |
| Sutter Health | Commercial|All Plans | $28,889.90 | ↑ +596% |
| Blue Shield CA | Commercial|All Other Plans | $32,320.00 | ↑ +678% |
| Health Net | Commercial|Care Product | $34,476.00 | ↑ +730% |
| Health Net | Commercial|Blue Gold | $34,880.00 | ↑ +740% |
| Health Net | Commercial|All Other Plans | $38,307.00 | ↑ +822% |
| Blue Shield CA | Medicare|All Plans | $44,048.12 | ↑ +961% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $38,936.45 | $1,263.26 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $48,695.70 | $1,027.04 – $108,086.16 |
| French Hospital | San Luis Obispo | $45,510.03 | $1,027.04 – $108,086.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42,654.25 | $1,027.04 – $91,976.80 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $1,027.04 – $90,827.09 |
| Queen of The Valley Medical Center | Napa | $72,027.81 | $9,256.00 – $126,547.00 |
| Providence St Joseph Hospital Eureka | Eureka | $37,077.00 | $11,046.00 – $126,547.00 |
| Redwood Memorial Hospital | Fortuna | $59,601.66 | $11,059.00 – $126,547.00 |