Plmt ureteral stent prq at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$5,337.00
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.
$11,860.00
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.
$1,068.87 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 | $1,068.87 | ↓ -80% |
| Central California Alliance for Health | Medicaid|All Plans | $1,068.87 | ↓ -80% |
| COSC Psych | Medicaid|All Plans | $1,068.87 | ↓ -80% |
| Health Net | Medicaid|< 21 | $1,617.09 | ↓ -70% |
| Health Net | Medicaid|> 21 | $1,617.09 | ↓ -70% |
| Health Net | Medicare|All Plans | $4,738.40 | ↓ -11% |
| Blue Shield CA | Medicare|All Plans | $4,738.40 | ↓ -11% |
| United | Medicare|All Plans | $4,738.40 | ↓ -11% |
| Kaiser | Medicare|All Plans | $4,738.40 | ↓ -11% |
| Blue Shield CA | Commercial|DHMF | $5,401.78 | ↑ +1% |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | ↑ +18% |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | ↑ +23% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +24% |
| Kaiser | Commercial|All Plans | $7,709.00 | ↑ +44% |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | ↑ +51% |
| Western Growers | Commercial|All Plans | $8,064.80 | ↑ +51% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +73% |
| Health Net | Commercial|Community Care | $9,380.00 | ↑ +76% |
| Healthsmart | Commercial|All Plans | $9,488.00 | ↑ +78% |
| First Health | Commercial|All Plans | $10,081.00 | ↑ +89% |
| Multiplan | Commercial|All Plans | $10,081.00 | ↑ +89% |
| United | Commercial|All Other Plans | $10,674.00 | ↑ +100% |
| United | Commercial|HMO | $11,385.60 | ↑ +113% |
| United | Commercial|Options PPO | $11,385.60 | ↑ +113% |
| Health Net | Commercial|Care Product | $11,420.00 | ↑ +114% |
| Health Net | Commercial|Blue Gold | $11,553.00 | ↑ +116% |
| United | Commercial|Non-Options PPO | $11,860.00 | ↑ +122% |
| Health Net | Commercial|All Other Plans | $12,689.00 | ↑ +138% |
| Sutter Health | Commercial|All Plans | $14,831.19 | ↑ +178% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +334% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +338% |
Visitor-reported prices
Comments
Plmt ureteral stent prq at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,169.37 | $1,617.09 – $8,044.86 |
| Arroyo Grande Hospital | Santa Maria | $4,717.85 | $1,068.87 – $7,201.04 |
| French Hospital | San Luis Obispo | $4,321.02 | $1,068.87 – $7,201.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,180.43 | $1,068.87 – $6,008.80 |
| Bakersfield Memorial Hospital | Bakersfield | $4,135.36 | $1,068.87 – $5,933.69 |
| Queen of The Valley Medical Center | Napa | $6,056.76 | $5,004.98 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,151.51 | $4,533.71 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3,534.18 | $1,068.87 – $8,640.24 |