New Patient Office Visit (level 4) at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,290.15
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.
$2,867.00
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.
$122.74 with BCBS - Anthem 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $122.74 | ↓ -90% |
| COSC Psych | Medicaid|All Plans | $122.74 | ↓ -90% |
| Central California Alliance for Health | Medicaid|All Plans | $122.74 | ↓ -90% |
| Blue Shield CA | Commercial|Exchange | $127.00 | ↓ -90% |
| Blue Shield CA | Commercial|ACO Trio | $139.00 | ↓ -89% |
| Kaiser | Commercial|All Plans | $163.80 | ↓ -87% |
| Blue Shield CA | Commercial|All Other Plans | $169.00 | ↓ -87% |
| Western Growers | Commercial|All Plans | $176.40 | ↓ -86% |
| Health Net | Medicaid|< 21 | $185.69 | ↓ -86% |
| Health Net | Medicaid|> 21 | $185.69 | ↓ -86% |
| Healthsmart | Commercial|All Plans | $201.60 | ↓ -84% |
| BCBS - Anthem | Commercial|All Other Plans | $206.64 | ↓ -84% |
| Multiplan | Commercial|All Plans | $214.20 | ↓ -83% |
| First Health | Commercial|All Plans | $214.20 | ↓ -83% |
| Cigna | Commercial|LocalPlus | $221.00 | ↓ -83% |
| United | Commercial|Non-Options PPO | $224.28 | ↓ -83% |
| United | Commercial|All Other Plans | $226.80 | ↓ -82% |
| Cigna | Commercial|All Other Plans | $235.00 | ↓ -82% |
| United | Commercial|HMO | $241.92 | ↓ -81% |
| BCBS - Anthem | Commercial|MCS | $252.00 | ↓ -80% |
| United | Commercial|Options PPO | $20,963.00 | ↑ +1525% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,667.98 | $231.65 – $548.05 |
| Arroyo Grande Hospital | Santa Maria | $1,043.90 | $98.83 – $454.00 |
| Mark Twain Medical Center | San Andreas | $291.05 | $58.73 – $222.46 |
| French Hospital | San Luis Obispo | $725.20 | $98.01 – $355.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $178.08 | $111.00 – $384.00 |
| Bakersfield Memorial Hospital | Bakersfield | $208.83 | $104.00 – $314.82 |
| Healdsburg Hospital | Healdsburg | $633.42 | not published |