Mnt subs tx for change dx at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$66.60
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.
$148.00
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.
$34.54 with Health Net vs $20,963.00 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 |
|---|---|---|---|
| Health Net | Medicare|All Plans | $34.54 | ↓ -48% |
| United | Medicare|All Plans | $34.54 | ↓ -48% |
| Blue Shield CA | Medicare|All Plans | $34.54 | ↓ -48% |
| Kaiser | Medicare|All Plans | $34.54 | ↓ -48% |
| Blue Shield CA | Commercial|DHMF | $39.38 | ↓ -41% |
| Kaiser | Commercial|All Plans | $96.20 | ↑ +44% |
| Western Growers | Commercial|All Plans | $103.60 | ↑ +56% |
| Sutter Health | Commercial|All Plans | $108.11 | ↑ +62% |
| Healthsmart | Commercial|All Plans | $118.40 | ↑ +78% |
| Multiplan | Commercial|All Plans | $125.80 | ↑ +89% |
| First Health | Commercial|All Plans | $125.80 | ↑ +89% |
| United | Commercial|Non-Options PPO | $130.24 | ↑ +96% |
| United | Commercial|HMO | $16,583.00 | ↑ +24799% |
| United | Commercial|All Other Plans | $17,458.00 | ↑ +26113% |
| United | Commercial|Options PPO | $20,963.00 | ↑ +31376% |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $123.88 | $19.41 – $73.50 |
| St. Mary Medical Center | Long Beach | $30.53 | $17.75 – $71.00 |
| Glendale Memorial Hospital Health Center | Glendale | $40.75 | $31.25 – $100.00 |
| Providence Saint John's Health Center | Santa Monica | $63.35 | $23.65 – $76.65 |
| Petaluma Valley Hospital | Petaluma | not published | $22.33 – $22.79 |
| Queen of The Valley Medical Center | Napa | not published | $22.79 – $22.79 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $22.79 – $22.79 |
| Healdsburg Hospital | Healdsburg | not published | $22.79 – $22.79 |