Perq plmt bile duct stent at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$9,211.95
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.
$20,471.00
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.
$4,189.49 with COSC Psych vs $25,088.80 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 |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $4,189.49 | ↓ -55% |
| Central California Alliance for Health | Medicaid|All Plans | $4,189.49 | ↓ -55% |
| BCBS - Anthem | Medicaid|All Plans | $4,189.49 | ↓ -55% |
| Health Net | Medicaid|> 21 | $6,338.28 | ↓ -31% |
| Health Net | Medicaid|< 21 | $6,338.28 | ↓ -31% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↓ -28% |
| United | Medicare|All Plans | $8,015.59 | ↓ -13% |
| Kaiser | Medicare|All Plans | $8,015.59 | ↓ -13% |
| Blue Shield CA | Medicare|All Plans | $8,015.59 | ↓ -13% |
| Health Net | Medicare|All Plans | $8,015.59 | ↓ -13% |
| Blue Shield CA | Commercial|DHMF | $9,137.77 | ↓ -1% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +0% |
| Blue Shield CA | Commercial|Exchange | $9,630.00 | ↑ +5% |
| Blue Shield CA | Commercial|ACO Trio | $10,065.00 | ↑ +9% |
| Health Net | Commercial|Community Care | $10,984.00 | ↑ +19% |
| Blue Shield CA | Commercial|All Other Plans | $12,303.00 | ↑ +34% |
| Kaiser | Commercial|All Plans | $13,306.15 | ↑ +44% |
| Health Net | Commercial|Care Product | $13,372.00 | ↑ +45% |
| Health Net | Commercial|Blue Gold | $13,528.00 | ↑ +47% |
| Western Growers | Commercial|All Plans | $13,920.28 | ↑ +51% |
| Health Net | Commercial|All Other Plans | $14,857.00 | ↑ +61% |
| Healthsmart | Commercial|All Plans | $16,376.80 | ↑ +78% |
| First Health | Commercial|All Plans | $17,400.35 | ↑ +89% |
| Multiplan | Commercial|All Plans | $17,400.35 | ↑ +89% |
| United | Commercial|All Other Plans | $18,423.90 | ↑ +100% |
| United | Commercial|Options PPO | $19,652.16 | ↑ +113% |
| United | Commercial|HMO | $19,652.16 | ↑ +113% |
| United | Commercial|Non-Options PPO | $20,471.00 | ↑ +122% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +152% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +153% |
| Sutter Health | Commercial|All Plans | $25,088.80 | ↑ +172% |
Visitor-reported prices
Comments
Perq plmt bile duct stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,759.70 | $3,550.50 – $13,082.50 |
| Arroyo Grande Hospital | Santa Maria | $8,329.31 | $4,189.49 – $19,071.78 |
| French Hospital | San Luis Obispo | $7,628.72 | $4,189.49 – $19,071.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6,243.19 | $4,189.49 – $13,462.40 |
| Bakersfield Memorial Hospital | Bakersfield | $6,175.88 | $4,189.49 – $13,294.12 |
| St. Joseph's Medical Center Stockton | Stockton | $4,516.43 | $3,226.02 – $12,904.08 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,111.44 | $3,423.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,294.88 | $5,357.00 – $14,384.78 |