Plcmnt biliary drainage cath w/img ext at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$5,899.95
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.
$13,111.00
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.
$1,225.61 with BCBS - Anthem vs $23,352.00 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 | $1,225.61 | ↓ -79% |
| COSC Psych | Medicaid|All Plans | $1,225.61 | ↓ -79% |
| Central California Alliance for Health | Medicaid|All Plans | $1,225.61 | ↓ -79% |
| Health Net | Medicaid|> 21 | $1,854.22 | ↓ -69% |
| Health Net | Medicaid|< 21 | $1,854.22 | ↓ -69% |
| Health Net | Medicare|All Plans | $4,848.43 | ↓ -18% |
| United | Medicare|All Plans | $4,848.43 | ↓ -18% |
| Kaiser | Medicare|All Plans | $4,848.43 | ↓ -18% |
| Blue Shield CA | Medicare|All Plans | $4,848.43 | ↓ -18% |
| Blue Shield CA | Commercial|DHMF | $5,527.21 | ↓ -6% |
| Kaiser | Commercial|All Plans | $8,522.15 | ↑ +44% |
| Western Growers | Commercial|All Plans | $8,915.48 | ↑ +51% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +57% |
| Blue Shield CA | Commercial|Exchange | $9,630.00 | ↑ +63% |
| Blue Shield CA | Commercial|ACO Trio | $10,065.00 | ↑ +71% |
| Healthsmart | Commercial|All Plans | $10,488.80 | ↑ +78% |
| First Health | Commercial|All Plans | $11,144.35 | ↑ +89% |
| Multiplan | Commercial|All Plans | $11,144.35 | ↑ +89% |
| Health Net | Commercial|Care Product | $11,420.00 | ↑ +94% |
| United | Commercial|All Other Plans | $11,799.90 | ↑ +100% |
| Blue Shield CA | Commercial|All Other Plans | $12,303.00 | ↑ +109% |
| United | Commercial|Options PPO | $12,586.56 | ↑ +113% |
| United | Commercial|HMO | $12,586.56 | ↑ +113% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +120% |
| United | Commercial|Non-Options PPO | $13,111.00 | ↑ +122% |
| Sutter Health | Commercial|All Plans | $15,175.59 | ↑ +157% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +293% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +296% |
Visitor-reported prices
Comments
Plcmnt biliary drainage cath w/img ext at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,075.64 | $1,854.22 – $8,890.24 |
| Arroyo Grande Hospital | Santa Maria | $5,416.34 | $1,225.61 – $6,716.92 |
| French Hospital | San Luis Obispo | $5,012.51 | $1,225.61 – $6,459.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,811.29 | $1,225.61 – $8,218.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,770.20 | $1,225.61 – $8,115.67 |
| Queen of The Valley Medical Center | Napa | $6,896.73 | $5,083.67 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,330.52 | $4,604.99 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $8,879.98 | $1,225.61 – $7,623.00 |