Pr biopsy skin punch single lesion at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$264.60
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.
$588.00
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.
$89.65 with COSC Psych vs $10,766.00 with Blue Shield CA — 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 | $89.65 | ↓ -66% |
| BCBS - Anthem | Medicaid|All Plans | $89.65 | ↓ -66% |
| Central California Alliance for Health | Medicaid|All Plans | $89.65 | ↓ -66% |
| Health Net | Medicaid|< 21 | $135.63 | ↓ -49% |
| Health Net | Medicaid|> 21 | $135.63 | ↓ -49% |
| Kaiser | Commercial|All Plans | $382.20 | ↑ +44% |
| Western Growers | Commercial|All Plans | $399.84 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $470.40 | ↑ +78% |
| First Health | Commercial|All Plans | $499.80 | ↑ +89% |
| Multiplan | Commercial|All Plans | $499.80 | ↑ +89% |
| United | Commercial|All Other Plans | $529.20 | ↑ +100% |
| Kaiser | Medicare|All Plans | $548.90 | ↑ +107% |
| United | Medicare|All Plans | $548.90 | ↑ +107% |
| Health Net | Medicare|All Plans | $548.90 | ↑ +107% |
| Blue Shield CA | Medicare|All Plans | $548.90 | ↑ +107% |
| United | Commercial|HMO | $564.48 | ↑ +113% |
| United | Commercial|Options PPO | $564.48 | ↑ +113% |
| United | Commercial|Non-Options PPO | $588.00 | ↑ +122% |
| Blue Shield CA | Commercial|DHMF | $625.75 | ↑ +136% |
| Sutter Health | Commercial|All Plans | $1,718.06 | ↑ +549% |
| Health Net | Commercial|Community Care | $4,988.00 | ↑ +1785% |
| Health Net | Commercial|Care Product | $6,074.00 | ↑ +2196% |
| Health Net | Commercial|Blue Gold | $6,144.00 | ↑ +2222% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +2401% |
| Health Net | Commercial|All Other Plans | $6,748.00 | ↑ +2450% |
| Blue Shield CA | Commercial|Exchange | $8,426.00 | ↑ +3084% |
| Blue Shield CA | Commercial|ACO Trio | $8,807.00 | ↑ +3228% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +3357% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +3384% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +3394% |
| Blue Shield CA | Commercial|All Other Plans | $10,766.00 | ↑ +3969% |
Visitor-reported prices
Comments
Pr biopsy skin punch single lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $303.78 | $135.63 – $936.40 |
| Petaluma Valley Hospital | Petaluma | $755.82 | $547.82 – $2,570.00 |
| Arroyo Grande Hospital | Santa Maria | $1,110.24 | $89.65 – $2,542.12 |
| Mark Twain Medical Center | San Andreas | $93.24 | $34.67 – $131.32 |
| French Hospital | San Luis Obispo | $869.46 | $89.65 – $2,173.64 |
| Bakersfield Memorial Hospital | Bakersfield | $153.41 | $89.65 – $418.00 |
| Queen of The Valley Medical Center | Napa | $839.97 | $577.20 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $578.34 | $522.85 – $8,018.00 |