Ortho ewh rgd without jnt cstm w/fit&adj at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$854.10
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.
$1,898.00
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.
$733.55 with BCBS - Anthem vs $1,898.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $733.55 | ↓ -14% |
| COSC Psych | Medicaid|All Plans | $733.55 | ↓ -14% |
| Central California Alliance for Health | Medicaid|All Plans | $733.55 | ↓ -14% |
| United | Commercial|Non-Options PPO | $892.06 | ↑ +4% |
| United | Commercial|All Other Plans | $930.02 | ↑ +9% |
| United | Commercial|HMO | $949.00 | ↑ +11% |
| Health Net | Commercial|Community Care | $1,062.88 | ↑ +24% |
| Health Net | Medicaid|< 21 | $1,109.79 | ↑ +30% |
| Health Net | Medicaid|> 21 | $1,109.79 | ↑ +30% |
| United | Commercial|Options PPO | $1,195.74 | ↑ +40% |
| Kaiser | Commercial|All Plans | $1,233.70 | ↑ +44% |
| Health Net | Commercial|Care Product | $1,290.64 | ↑ +51% |
| Health Net | Commercial|Blue Gold | $1,309.62 | ↑ +53% |
| Western Growers | Commercial|All Plans | $1,328.60 | ↑ +56% |
| Health Net | Commercial|All Other Plans | $1,442.48 | ↑ +69% |
| Cigna | Commercial|LocalPlus | $1,480.44 | ↑ +73% |
| Healthsmart | Commercial|All Plans | $1,518.40 | ↑ +78% |
| Blue Shield CA | Commercial|Exchange | $1,537.38 | ↑ +80% |
| Cigna | Commercial|All Other Plans | $1,575.34 | ↑ +84% |
| Multiplan | Commercial|All Plans | $1,613.30 | ↑ +89% |
| First Health | Commercial|All Plans | $1,613.30 | ↑ +89% |
| Blue Shield CA | Commercial|ACO Trio | $1,670.24 | ↑ +96% |
| Blue Shield CA | Commercial|All Other Plans | $1,708.20 | ↑ +100% |
| BCBS - Anthem | Commercial|MCS | $1,746.16 | ↑ +104% |
| BCBS - Anthem | Commercial|All Other Plans | $1,746.16 | ↑ +104% |
| Aetna | Commercial|HMO | $1,898.00 | ↑ +122% |
| Aetna | Commercial|PPO | $1,898.00 | ↑ +122% |
Visitor-reported prices
Comments
Ortho ewh rgd without jnt cstm w/fit&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $196.46 | $133.00 – $266.00 |
| French Hospital | San Luis Obispo | $179.93 | $50.54 – $266.00 |
| Mercy San Juan Medical Center | Carmichael | $655.14 | $263.01 – $2,032.35 |
| Mercy General Hospital | Sacramento | $521.24 | $549.93 – $2,127.99 |
| Mercy Hospital of Folsom | Folsom | $930.10 | $263.01 – $2,295.36 |
| Woodland Memorial Hospital | Woodland | $655.14 | $263.01 – $2,391.00 |
| Methodist Hospital of Sacramento | Sacramento | $688.61 | $549.93 – $2,151.90 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $920.62 – $1,703.15 |