Passy muir valve metal trach at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$228.60
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.
$508.00
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.
$85.58 with Central California Alliance for Health vs $389.00 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 | $85.58 | ↓ -63% |
| United | Commercial|Non-Options PPO | $182.83 | ↓ -20% |
| United | Commercial|All Other Plans | $190.61 | ↓ -17% |
| United | Commercial|HMO | $194.50 | ↓ -15% |
| Health Net | Commercial|Community Care | $217.84 | ↓ -5% |
| United | Commercial|Options PPO | $245.07 | ↑ +7% |
| Kaiser | Commercial|All Plans | $252.85 | ↑ +11% |
| Health Net | Commercial|Care Product | $264.52 | ↑ +16% |
| Health Net | Commercial|Blue Gold | $268.41 | ↑ +17% |
| Western Growers | Commercial|All Plans | $272.30 | ↑ +19% |
| Health Net | Commercial|All Other Plans | $295.64 | ↑ +29% |
| Cigna | Commercial|LocalPlus | $303.42 | ↑ +33% |
| Healthsmart | Commercial|All Plans | $311.20 | ↑ +36% |
| Blue Shield CA | Commercial|Exchange | $315.09 | ↑ +38% |
| Cigna | Commercial|All Other Plans | $322.87 | ↑ +41% |
| First Health | Commercial|All Plans | $330.65 | ↑ +45% |
| Multiplan | Commercial|All Plans | $330.65 | ↑ +45% |
| Blue Shield CA | Commercial|ACO Trio | $342.32 | ↑ +50% |
| Blue Shield CA | Commercial|All Other Plans | $350.10 | ↑ +53% |
| BCBS - Anthem | Commercial|All Other Plans | $357.88 | ↑ +57% |
| BCBS - Anthem | Commercial|MCS | $357.88 | ↑ +57% |
| Aetna | Commercial|HMO | $389.00 | ↑ +70% |
| Aetna | Commercial|PPO | $389.00 | ↑ +70% |
Visitor-reported prices
Comments
Passy muir valve metal trach at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $200.17 | $63.84 – $207.48 |
| Petaluma Valley Hospital | Petaluma | $466.79 | not published |
| Arroyo Grande Hospital | Santa Maria | $256.38 | $61.18 – $260.68 |
| French Hospital | San Luis Obispo | $234.81 | $50.54 – $260.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $246.72 | $73.75 – $265.50 |
| Bakersfield Memorial Hospital | Bakersfield | $244.06 | $73.75 – $286.15 |
| Queen of The Valley Medical Center | Napa | $466.79 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $442.08 | not published |