Neostigmine methylsulfate 1 mg/ml injection (wrapper) at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$33.77
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.
$75.04
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.
$1.16 with COSC Psych vs $63.79 with Multiplan — 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 |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $1.16 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $1.16 | ↓ -97% |
| Blue Shield CA | Commercial|ACO Trio | $1.22 | ↓ -96% |
| Blue Shield CA | Commercial|Exchange | $1.22 | ↓ -96% |
| Blue Shield CA | Commercial|All Other Plans | $1.22 | ↓ -96% |
| Health Net | Commercial|Community Care | $1.61 | ↓ -95% |
| Health Net | Medicaid|< 21 | $1.76 | ↓ -95% |
| Health Net | Medicaid|> 21 | $1.76 | ↓ -95% |
| Health Net | Commercial|Care Product | $1.96 | ↓ -94% |
| Health Net | Commercial|Blue Gold | $1.99 | ↓ -94% |
| Health Net | Commercial|All Other Plans | $2.19 | ↓ -94% |
| Cigna | Commercial|LocalPlus | $2.34 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $2.49 | ↓ -93% |
| United | Commercial|All Other Plans | $2.74 | ↓ -92% |
| United | Commercial|HMO | $2.74 | ↓ -92% |
| United | Commercial|Options PPO | $3.15 | ↓ -91% |
| United | Commercial|Non-Options PPO | $3.51 | ↓ -90% |
| Aetna | Commercial|HMO | $4.94 | ↓ -85% |
| Aetna | Commercial|PPO | $4.98 | ↓ -85% |
| BCBS - Anthem | Commercial|All Other Plans | $20.41 | ↓ -40% |
| BCBS - Anthem | Commercial|MCS | $28.51 | ↓ -16% |
| Kaiser | Commercial|All Plans | $48.78 | ↑ +44% |
| Western Growers | Commercial|All Plans | $51.03 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $60.04 | ↑ +78% |
| First Health | Commercial|All Plans | $63.79 | ↑ +89% |
| Multiplan | Commercial|All Plans | $63.79 | ↑ +89% |
Visitor-reported prices
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Neostigmine methylsulfate 1 mg/ml injection (wrapper) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $29.35 | $0.90 – $52.26 |
| Petaluma Valley Hospital | Petaluma | $84.15 | $3.57 – $13.89 |
| Arroyo Grande Hospital | Santa Maria | $77.04 | $1.22 – $71.54 |
| Mark Twain Medical Center | San Andreas | $170.58 | $66.26 – $251.00 |
| French Hospital | San Luis Obispo | $46.26 | $0.96 – $71.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $77.54 | $0.40 – $1.16 |
| Bakersfield Memorial Hospital | Bakersfield | $8.81 | $0.40 – $1.00 |
| Queen of The Valley Medical Center | Napa | $489.66 | $3.57 – $15.03 |