Pegloticase 8 mg/ml intravenous solution at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$21,369.60
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.
$47,488.00
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.
$562.35 with BCBS - Anthem vs $40,364.80 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|All Other Plans | $562.35 | ↓ -97% |
| BCBS - Anthem | Commercial|MCS | $785.62 | ↓ -96% |
| Blue Shield CA | Commercial|DHMF | $2,334.59 | ↓ -89% |
| Central California Alliance for Health | Medicaid|All Plans | $3,565.32 | ↓ -83% |
| COSC Psych | Medicaid|All Plans | $3,565.32 | ↓ -83% |
| United | Commercial|Non-Options PPO | $4,898.21 | ↓ -77% |
| Kaiser | Medicare|All Plans | $4,999.29 | ↓ -77% |
| Blue Shield CA | Medicare|All Plans | $4,999.29 | ↓ -77% |
| United | Medicare|All Plans | $4,999.29 | ↓ -77% |
| Health Net | Medicare|All Plans | $4,999.29 | ↓ -77% |
| Health Net | Medicaid|> 21 | $5,393.97 | ↓ -75% |
| Health Net | Medicaid|< 21 | $5,393.97 | ↓ -75% |
| United | Commercial|Options PPO | $5,562.28 | ↓ -74% |
| Blue Shield CA | Commercial|All Other Plans | $5,741.80 | ↓ -73% |
| Blue Shield CA | Commercial|ACO Trio | $5,741.80 | ↓ -73% |
| Blue Shield CA | Commercial|Exchange | $5,741.80 | ↓ -73% |
| United | Commercial|All Other Plans | $5,857.58 | ↓ -73% |
| United | Commercial|HMO | $5,857.58 | ↓ -73% |
| Health Net | Commercial|Community Care | $7,388.34 | ↓ -65% |
| Health Net | Commercial|Care Product | $9,186.87 | ↓ -57% |
| Health Net | Commercial|Blue Gold | $9,321.98 | ↓ -56% |
| Cigna | Commercial|LocalPlus | $10,161.16 | ↓ -52% |
| Health Net | Commercial|All Other Plans | $10,267.68 | ↓ -52% |
| Cigna | Commercial|All Other Plans | $10,808.27 | ↓ -49% |
| Sutter Health | Commercial|All Plans | $15,647.78 | ↓ -27% |
| Aetna | Commercial|HMO | $18,361.40 | ↓ -14% |
| Aetna | Commercial|PPO | $18,493.31 | ↓ -13% |
| Kaiser | Commercial|All Plans | $30,867.20 | ↑ +44% |
| Western Growers | Commercial|All Plans | $32,291.84 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $37,990.40 | ↑ +78% |
| First Health | Commercial|All Plans | $40,364.80 | ↑ +89% |
| Multiplan | Commercial|All Plans | $40,364.80 | ↑ +89% |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $45,643.43 | $610.92 – $52,822.56 |
| St Jude Medical Center | Fullerton | $58,731.42 | $512.76 – $7,665.44 |
| Mercy San Juan Medical Center | Carmichael | $34,248.36 | $490.25 – $55,776.00 |
| Woodland Memorial Hospital | Woodland | $34,248.36 | $441.78 – $67,200.00 |
| Providence Holy Cross Medical Center | Mission Hills | $72,846.22 | $1,230.19 – $7,665.44 |
| Petaluma Valley Hospital | Petaluma | not published | $382.62 – $7,665.44 |
| Queen of The Valley Medical Center | Napa | not published | $414.17 – $7,665.44 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $494.04 – $7,665.44 |