Polatuzumab vedotin-piiq 140 mg intravenous solution at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$20,250.00
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.
$45,000.00
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.
$132.73 with Central California Alliance for Health vs $8,196.55 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $132.73 | ↓ -99% |
| COSC Psych | Medicaid|All Plans | $132.73 | ↓ -99% |
| United | Medicare|All Plans | $187.16 | ↓ -99% |
| Health Net | Medicare|All Plans | $187.16 | ↓ -99% |
| Blue Shield CA | Medicare|All Plans | $187.16 | ↓ -99% |
| Kaiser | Medicare|All Plans | $187.16 | ↓ -99% |
| United | Commercial|Non-Options PPO | $187.39 | ↓ -99% |
| Health Net | Medicaid|> 21 | $200.81 | ↓ -99% |
| Health Net | Medicaid|< 21 | $200.81 | ↓ -99% |
| Blue Shield CA | Commercial|All Other Plans | $203.40 | ↓ -99% |
| Blue Shield CA | Commercial|ACO Trio | $203.40 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $203.40 | ↓ -99% |
| United | Commercial|Options PPO | $205.08 | ↓ -99% |
| BCBS - Anthem | Commercial|All Other Plans | $209.55 | ↓ -99% |
| Blue Shield CA | Commercial|DHMF | $213.36 | ↓ -99% |
| United | Commercial|All Other Plans | $219.32 | ↓ -99% |
| United | Commercial|HMO | $219.32 | ↓ -99% |
| Health Net | Commercial|Community Care | $260.20 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $292.75 | ↓ -99% |
| Health Net | Commercial|Care Product | $325.44 | ↓ -98% |
| Health Net | Commercial|Blue Gold | $330.23 | ↓ -98% |
| Health Net | Commercial|All Other Plans | $363.72 | ↓ -98% |
| Cigna | Commercial|LocalPlus | $378.28 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $402.37 | ↓ -98% |
| Sutter Health | Commercial|All Plans | $585.81 | ↓ -97% |
| Aetna | Commercial|HMO | $683.56 | ↓ -97% |
| Aetna | Commercial|PPO | $688.47 | ↓ -97% |
| Kaiser | Commercial|All Plans | $6,267.95 | ↓ -69% |
| Western Growers | Commercial|All Plans | $6,557.24 | ↓ -68% |
| Healthsmart | Commercial|All Plans | $7,714.40 | ↓ -62% |
| First Health | Commercial|All Plans | $8,196.55 | ↓ -60% |
| Multiplan | Commercial|All Plans | $8,196.55 | ↓ -60% |
Visitor-reported prices
Comments
Polatuzumab vedotin-piiq 140 mg intravenous solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $26,291.88 | $173.09 – $12,128.08 |
| Queen of The Valley Medical Center | Napa | $42,576.11 | $137.23 – $285.37 |
| Providence St Joseph Hospital Eureka | Eureka | $42,576.11 | $137.23 – $285.37 |
| Mercy Medical Center Merced | Merced | $18,540.00 | $132.73 – $7,332.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $37,278.00 | $144.40 – $67,032.00 |
| Mercy San Juan Medical Center | Carmichael | $19,728.00 | $132.73 – $12,806.07 |
| Mercy Medical Center Redding | Redding | $13,689.00 | $132.73 – $5,670.28 |
| Mercy General Hospital | Sacramento | $15,696.00 | $111.51 – $12,343.20 |