Perq nl/pl lithotrp cplx>2cm at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$7,845.75
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.
$17,435.00
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.
$725.85 with BCBS - Anthem vs $39,764.43 with Sutter Health — 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 | $725.85 | ↓ -91% |
| Health Net | Medicaid|< 21 | $892.80 | ↓ -89% |
| Health Net | Medicaid|> 21 | $892.80 | ↓ -89% |
| COSC Psych | Medicaid|All Plans | $1,144.19 | ↓ -85% |
| Central California Alliance for Health | Medicaid|All Plans | $1,144.19 | ↓ -85% |
| Kaiser | Commercial|All Plans | $11,332.75 | ↑ +44% |
| BCBS - Anthem | Commercial|All Other Plans | $11,529.00 | ↑ +47% |
| Western Growers | Commercial|All Plans | $11,855.80 | ↑ +51% |
| Blue Shield CA | Medicare|All Plans | $12,704.29 | ↑ +62% |
| United | Medicare|All Plans | $12,704.29 | ↑ +62% |
| Health Net | Medicare|All Plans | $12,704.29 | ↑ +62% |
| Kaiser | Medicare|All Plans | $12,704.29 | ↑ +62% |
| Healthsmart | Commercial|All Plans | $13,948.00 | ↑ +78% |
| Blue Shield CA | Commercial|DHMF | $14,482.89 | ↑ +85% |
| First Health | Commercial|All Plans | $14,819.75 | ↑ +89% |
| Multiplan | Commercial|All Plans | $14,819.75 | ↑ +89% |
| Health Net | Commercial|Community Care | $15,061.00 | ↑ +92% |
| United | Commercial|All Other Plans | $15,691.50 | ↑ +100% |
| BCBS - Anthem | Commercial|MCS | $16,016.00 | ↑ +104% |
| United | Commercial|HMO | $16,737.60 | ↑ +113% |
| United | Commercial|Options PPO | $16,737.60 | ↑ +113% |
| United | Commercial|Non-Options PPO | $17,435.00 | ↑ +122% |
| Health Net | Commercial|Care Product | $18,336.00 | ↑ +134% |
| Health Net | Commercial|Blue Gold | $18,550.00 | ↑ +136% |
| Blue Shield CA | Commercial|Exchange | $18,797.00 | ↑ +140% |
| Blue Shield CA | Commercial|ACO Trio | $19,646.00 | ↑ +150% |
| Health Net | Commercial|All Other Plans | $20,374.00 | ↑ +160% |
| Blue Shield CA | Commercial|All Other Plans | $24,015.00 | ↑ +206% |
| Aetna | Commercial|HMO | $26,811.00 | ↑ +242% |
| Aetna | Commercial|PPO | $27,018.00 | ↑ +244% |
| Sutter Health | Commercial|All Plans | $39,764.43 | ↑ +407% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,698.43 | $892.80 – $21,454.00 |
| Arroyo Grande Hospital | Santa Maria | $8,562.14 | $725.85 – $19,604.90 |
| Mark Twain Medical Center | San Andreas | $2,317.02 | $725.85 – $3,409.42 |
| French Hospital | San Luis Obispo | $10,729.83 | $725.85 – $25,547.62 |
| California Hospital Medical Center | Los Angeles | $6,432.56 | $725.85 – $13,088.87 |
| Mercy San Juan Medical Center | Carmichael | $8,589.08 | $725.85 – $26,018.01 |
| Mercy General Hospital | Sacramento | $6,833.65 | $725.85 – $25,077.60 |
| Mercy Hospital of Folsom | Folsom | $12,193.99 | $725.85 – $25,704.54 |