Leucovorin calcium 100 mg solution for injection (1 mg rounding) at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$172.80
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.
$384.00
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.
$3.40 with Blue Shield CA vs $77.35 with First Health — 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|DHMF | $3.40 | ↓ -98% |
| United | Commercial|All Other Plans | $6.86 | ↓ -96% |
| United | Commercial|HMO | $6.86 | ↓ -96% |
| United | Commercial|Non-Options PPO | $7.33 | ↓ -96% |
| United | Commercial|Options PPO | $7.38 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $7.97 | ↓ -95% |
| COSC Psych | Medicaid|All Plans | $7.97 | ↓ -95% |
| Cigna | Commercial|LocalPlus | $10.00 | ↓ -94% |
| Cigna | Commercial|All Other Plans | $10.64 | ↓ -94% |
| Health Net | Medicaid|> 21 | $12.05 | ↓ -93% |
| Health Net | Medicaid|< 21 | $12.05 | ↓ -93% |
| Blue Shield CA | Commercial|Exchange | $12.37 | ↓ -93% |
| Blue Shield CA | Commercial|ACO Trio | $12.37 | ↓ -93% |
| Blue Shield CA | Commercial|All Other Plans | $12.37 | ↓ -93% |
| Health Net | Commercial|Community Care | $16.98 | ↓ -90% |
| Aetna | Commercial|HMO | $18.08 | ↓ -90% |
| Aetna | Commercial|PPO | $18.21 | ↓ -89% |
| Health Net | Commercial|Care Product | $19.79 | ↓ -89% |
| Health Net | Commercial|Blue Gold | $20.08 | ↓ -88% |
| Health Net | Commercial|All Other Plans | $22.11 | ↓ -87% |
| BCBS - Anthem | Commercial|All Other Plans | $39.30 | ↓ -77% |
| BCBS - Anthem | Commercial|MCS | $54.90 | ↓ -68% |
| Kaiser | Commercial|All Plans | $59.15 | ↓ -66% |
| Western Growers | Commercial|All Plans | $61.88 | ↓ -64% |
| Healthsmart | Commercial|All Plans | $72.80 | ↓ -58% |
| Multiplan | Commercial|All Plans | $77.35 | ↓ -55% |
| First Health | Commercial|All Plans | $77.35 | ↓ -55% |
Visitor-reported prices
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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $59.76 | $6.86 – $25.50 |
| Arroyo Grande Hospital | Santa Maria | $834.60 | $6.86 – $111.72 |
| French Hospital | San Luis Obispo | $81.93 | $6.86 – $117.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $124.29 | $5.36 – $43.20 |
| Bakersfield Memorial Hospital | Bakersfield | $122.95 | $5.79 – $42.66 |
| Queen of The Valley Medical Center | Napa | $363.70 | $7.03 – $28.94 |
| Providence St Joseph Hospital Eureka | Eureka | $363.70 | $7.55 – $34.52 |
| Redwood Memorial Hospital | Fortuna | $171.16 | $7.89 – $34.61 |