Irrigation implantable venous access device for drug delivery systems at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$515.25
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.
$1,145.00
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.
$81.61 with Kaiser vs $1,145.00 with United — 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 |
|---|---|---|---|
| Kaiser | Medicare|All Plans | $81.61 | ↓ -84% |
| United | Medicare|All Plans | $81.61 | ↓ -84% |
| Blue Shield CA | Medicare|All Plans | $81.61 | ↓ -84% |
| Health Net | Medicare|All Plans | $81.61 | ↓ -84% |
| Blue Shield CA | Commercial|DHMF | $93.04 | ↓ -82% |
| Sutter Health | Commercial|All Plans | $255.44 | ↓ -50% |
| Aetna | Commercial|PPO | $336.47 | ↓ -35% |
| Aetna | Commercial|HMO | $336.47 | ↓ -35% |
| Kaiser | Commercial|All Plans | $744.25 | ↑ +44% |
| Western Growers | Commercial|All Plans | $801.50 | ↑ +56% |
| Blue Shield CA | Commercial|ACO Trio | $847.30 | ↑ +64% |
| Blue Shield CA | Commercial|Exchange | $858.75 | ↑ +67% |
| Healthsmart | Commercial|All Plans | $916.00 | ↑ +78% |
| Cigna | Commercial|LocalPlus | $950.35 | ↑ +84% |
| First Health | Commercial|All Plans | $973.25 | ↑ +89% |
| Multiplan | Commercial|All Plans | $973.25 | ↑ +89% |
| United | Commercial|Non-Options PPO | $1,007.60 | ↑ +96% |
| Cigna | Commercial|All Other Plans | $1,007.60 | ↑ +96% |
| Blue Shield CA | Commercial|All Other Plans | $1,030.50 | ↑ +100% |
| United | Commercial|Options PPO | $1,145.00 | ↑ +122% |
| United | Commercial|HMO | $1,145.00 | ↑ +122% |
| United | Commercial|All Other Plans | $1,145.00 | ↑ +122% |
Visitor-reported prices
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Irrigation implantable venous access device for drug delivery systems at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $132.28 | $41.35 – $250.66 |
| Banner Lassen Medical Center | Susanville | $202.86 | $11.88 – $305.55 |
| Petaluma Valley Hospital | Petaluma | $123.93 | $79.50 – $81.12 |
| Arroyo Grande Hospital | Santa Maria | $150.23 | $69.00 – $999.00 |
| Mark Twain Medical Center | San Andreas | $198.47 | $77.10 – $292.04 |
| French Hospital | San Luis Obispo | $137.60 | $73.98 – $322.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $155.82 | $64.53 – $195.98 |
| Bakersfield Memorial Hospital | Bakersfield | $154.14 | $14.11 – $438.00 |