Lung function test (mbc/mvv) at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$98.10
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.
$218.00
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.
$18.82 with BCBS - Anthem vs $255.44 with Sutter 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $18.82 | ↓ -81% |
| Health Net | Medicaid|< 21 | $23.15 | ↓ -76% |
| Health Net | Medicaid|> 21 | $23.15 | ↓ -76% |
| Central California Alliance for Health | Medicaid|All Plans | $29.84 | ↓ -70% |
| COSC Psych | Medicaid|All Plans | $29.84 | ↓ -70% |
| Kaiser | Medicare|All Plans | $81.61 | ↓ -17% |
| United | Medicare|All Plans | $81.61 | ↓ -17% |
| Blue Shield CA | Medicare|All Plans | $81.61 | ↓ -17% |
| Health Net | Medicare|All Plans | $81.61 | ↓ -17% |
| Blue Shield CA | Commercial|DHMF | $93.04 | ↓ -5% |
| BCBS - Anthem | Commercial|All Other Plans | $139.84 | ↑ +43% |
| Kaiser | Commercial|All Plans | $141.70 | ↑ +44% |
| Western Growers | Commercial|All Plans | $152.60 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $174.40 | ↑ +78% |
| First Health | Commercial|All Plans | $185.30 | ↑ +89% |
| Multiplan | Commercial|All Plans | $185.30 | ↑ +89% |
| BCBS - Anthem | Commercial|MCS | $195.41 | ↑ +99% |
| United | Commercial|All Other Plans | $196.20 | ↑ +100% |
| United | Commercial|Options PPO | $209.28 | ↑ +113% |
| United | Commercial|HMO | $209.28 | ↑ +113% |
| United | Commercial|Non-Options PPO | $218.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $255.44 | ↑ +160% |
Visitor-reported prices
Comments
Lung function test (mbc/mvv) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $253.17 | $23.15 – $450.84 |
| Queen of The Valley Medical Center | Napa | $242.76 | $83.76 – $91.88 |
| Providence St Joseph Hospital Eureka | Eureka | $97.41 | $75.87 – $104.20 |
| Redwood Memorial Hospital | Fortuna | $262.65 | $104.44 – $104.44 |
| Santa Rosa Memorial Hospital | Santa Rosa | $87.72 | $78.17 – $83.76 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $98.88 | $64.49 – $140.37 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $858.14 | $31.99 – $1,080.94 |
| Northridge Hospital Medical Center | Northridge | $58.59 | $18.82 – $210.00 |