Nasopharyngoscopy w/endoscope at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$359.10
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.
$798.00
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.
$47.95 with BCBS - Anthem vs $9,244.00 with BCBS - Anthem — 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 | $47.95 | ↓ -87% |
| Health Net | Medicaid|< 21 | $58.98 | ↓ -84% |
| Health Net | Medicaid|> 21 | $58.98 | ↓ -84% |
| Central California Alliance for Health | Medicaid|All Plans | $76.02 | ↓ -79% |
| COSC Psych | Medicaid|All Plans | $76.02 | ↓ -79% |
| Blue Shield CA | Medicare|All Plans | $266.72 | ↓ -26% |
| Kaiser | Medicare|All Plans | $266.72 | ↓ -26% |
| United | Medicare|All Plans | $266.72 | ↓ -26% |
| Health Net | Medicare|All Plans | $266.72 | ↓ -26% |
| Blue Shield CA | Commercial|DHMF | $304.06 | ↓ -15% |
| Blue Shield CA | Commercial|ACO Trio | $470.82 | ↑ +31% |
| Kaiser | Commercial|All Plans | $478.80 | ↑ +33% |
| Cigna | Commercial|LocalPlus | $478.80 | ↑ +33% |
| Blue Shield CA | Commercial|Exchange | $486.78 | ↑ +36% |
| Cigna | Commercial|All Other Plans | $510.72 | ↑ +42% |
| Western Growers | Commercial|All Plans | $542.64 | ↑ +51% |
| Blue Shield CA | Commercial|All Other Plans | $574.56 | ↑ +60% |
| Healthsmart | Commercial|All Plans | $638.40 | ↑ +78% |
| First Health | Commercial|All Plans | $678.30 | ↑ +89% |
| Multiplan | Commercial|All Plans | $678.30 | ↑ +89% |
| Sutter Health | Commercial|All Plans | $834.83 | ↑ +132% |
| United | Commercial|HMO | $2,329.00 | ↑ +549% |
| United | Commercial|Non-Options PPO | $3,036.00 | ↑ +745% |
| United | Commercial|All Other Plans | $3,727.00 | ↑ +938% |
| United | Commercial|Options PPO | $4,476.00 | ↑ +1146% |
| Health Net | Commercial|Community Care | $4,988.00 | ↑ +1289% |
| Health Net | Commercial|Care Product | $6,074.00 | ↑ +1591% |
| Health Net | Commercial|Blue Gold | $6,144.00 | ↑ +1611% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +1743% |
| Health Net | Commercial|All Other Plans | $6,748.00 | ↑ +1779% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +2447% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +2467% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +2474% |
Visitor-reported prices
Comments
Nasopharyngoscopy w/endoscope at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $276.38 | $51.90 – $517.42 |
| Petaluma Valley Hospital | Petaluma | $415.14 | $268.99 – $274.48 |
| Arroyo Grande Hospital | Santa Maria | $373.65 | $47.95 – $855.54 |
| Mark Twain Medical Center | San Andreas | $203.80 | $47.95 – $299.88 |
| French Hospital | San Luis Obispo | $323.01 | $47.95 – $807.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $197.75 | $47.95 – $437.06 |
| Bakersfield Memorial Hospital | Bakersfield | $195.62 | $47.95 – $437.06 |
| Queen of The Valley Medical Center | Napa | $553.86 | $283.41 – $6,200.00 |