Lacosamide 200 mg/20 ml intravenous solution at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$399.62
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.
$888.03
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.
$0.31 with Blue Shield CA vs $888.03 with United — 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|ACO Trio | $0.31 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $0.31 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $0.31 | ↓ -100% |
| COSC Psych | Medicaid|All Plans | $0.32 | ↓ -100% |
| Central California Alliance for Health | Medicaid|All Plans | $0.32 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $0.34 | ↓ -100% |
| Health Net | Medicaid|< 21 | $0.48 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $0.48 | ↓ -100% |
| Health Net | Medicaid|> 21 | $0.48 | ↓ -100% |
| Health Net | Commercial|Care Product | $0.49 | ↓ -100% |
| Health Net | Commercial|Blue Gold | $0.50 | ↓ -100% |
| Health Net | Commercial|All Other Plans | $0.55 | ↓ -100% |
| Cigna | Commercial|LocalPlus | $0.57 | ↓ -100% |
| Cigna | Commercial|All Other Plans | $0.61 | ↓ -100% |
| Kaiser | Commercial|All Plans | $577.22 | ↑ +44% |
| Western Growers | Commercial|All Plans | $603.87 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $710.43 | ↑ +78% |
| First Health | Commercial|All Plans | $754.83 | ↑ +89% |
| Multiplan | Commercial|All Plans | $754.83 | ↑ +89% |
| United | Commercial|All Other Plans | $799.23 | ↑ +100% |
| United | Commercial|Options PPO | $852.51 | ↑ +113% |
| United | Commercial|HMO | $852.51 | ↑ +113% |
| United | Commercial|Non-Options PPO | $888.03 | ↑ +122% |
Visitor-reported prices
Comments
Lacosamide 200 mg/20 ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $146.30 | $0.24 – $148.80 |
| Petaluma Valley Hospital | Petaluma | $132.74 | $0.23 – $0.23 |
| Arroyo Grande Hospital | Santa Maria | $475.51 | $0.31 – $607.60 |
| French Hospital | San Luis Obispo | $435.52 | $0.24 – $1,088.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $531.65 | $0.15 – $20.80 |
| Bakersfield Memorial Hospital | Bakersfield | $525.92 | $0.31 – $8.91 |
| Queen of The Valley Medical Center | Napa | $132.74 | $0.25 – $0.25 |
| Providence St Joseph Hospital Eureka | Eureka | $132.74 | $0.30 – $0.30 |