Ndl round specialty proguide at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$21.15
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.
$47.00
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.
$10.34 with Central California Alliance for Health vs $47.00 with Aetna — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $10.34 | ↓ -51% |
| United | Commercial|Non-Options PPO | $22.09 | ↑ +4% |
| United | Commercial|All Other Plans | $23.03 | ↑ +9% |
| United | Commercial|HMO | $23.50 | ↑ +11% |
| Health Net | Commercial|Community Care | $26.32 | ↑ +24% |
| United | Commercial|Options PPO | $29.61 | ↑ +40% |
| Kaiser | Commercial|All Plans | $30.55 | ↑ +44% |
| Health Net | Commercial|Care Product | $31.96 | ↑ +51% |
| Health Net | Commercial|Blue Gold | $32.43 | ↑ +53% |
| Western Growers | Commercial|All Plans | $32.90 | ↑ +56% |
| Health Net | Commercial|All Other Plans | $35.72 | ↑ +69% |
| Cigna | Commercial|LocalPlus | $36.66 | ↑ +73% |
| Healthsmart | Commercial|All Plans | $37.60 | ↑ +78% |
| Blue Shield CA | Commercial|Exchange | $38.07 | ↑ +80% |
| Cigna | Commercial|All Other Plans | $39.01 | ↑ +84% |
| First Health | Commercial|All Plans | $39.95 | ↑ +89% |
| Multiplan | Commercial|All Plans | $39.95 | ↑ +89% |
| Blue Shield CA | Commercial|ACO Trio | $41.36 | ↑ +96% |
| Blue Shield CA | Commercial|All Other Plans | $42.30 | ↑ +100% |
| BCBS - Anthem | Commercial|All Other Plans | $43.24 | ↑ +104% |
| BCBS - Anthem | Commercial|MCS | $43.24 | ↑ +104% |
| Aetna | Commercial|HMO | $47.00 | ↑ +122% |
| Aetna | Commercial|PPO | $47.00 | ↑ +122% |
Visitor-reported prices
Comments
Ndl round specialty proguide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $29.79 | $18.36 – $53.04 |
| Banner Lassen Medical Center | Susanville | $274.01 | $68.06 – $161.02 |
| Petaluma Valley Hospital | Petaluma | $3,057.20 | not published |
| Queen of The Valley Medical Center | Napa | $2,902.16 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $2,563.01 | not published |
| Healdsburg Hospital | Healdsburg | $1,986.45 | not published |
| Redwood Memorial Hospital | Fortuna | $2,563.01 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,057.20 | not published |