Pr cystourethroscopy with insertion indwelling ureteral stent at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$3,813.75
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.
$8,475.00
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.
$631.86 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 | $631.86 | ↓ -83% |
| Health Net | Medicaid|> 21 | $777.19 | ↓ -80% |
| Health Net | Medicaid|< 21 | $777.19 | ↓ -80% |
| Central California Alliance for Health | Medicaid|All Plans | $996.03 | ↓ -74% |
| COSC Psych | Medicaid|All Plans | $996.03 | ↓ -74% |
| Kaiser | Medicare|All Plans | $4,738.40 | ↑ +24% |
| Health Net | Medicare|All Plans | $4,738.40 | ↑ +24% |
| Blue Shield CA | Medicare|All Plans | $4,738.40 | ↑ +24% |
| United | Medicare|All Plans | $4,738.40 | ↑ +24% |
| Blue Shield CA | Commercial|DHMF | $5,401.78 | ↑ +42% |
| Kaiser | Commercial|All Plans | $5,508.75 | ↑ +44% |
| Western Growers | Commercial|All Plans | $5,763.00 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $6,780.00 | ↑ +78% |
| Multiplan | Commercial|All Plans | $7,203.75 | ↑ +89% |
| First Health | Commercial|All Plans | $7,203.75 | ↑ +89% |
| United | Commercial|All Other Plans | $7,627.50 | ↑ +100% |
| United | Commercial|Options PPO | $8,136.00 | ↑ +113% |
| United | Commercial|HMO | $8,136.00 | ↑ +113% |
| Blue Shield CA | Commercial|Exchange | $8,426.00 | ↑ +121% |
| United | Commercial|Non-Options PPO | $8,475.00 | ↑ +122% |
| Blue Shield CA | Commercial|ACO Trio | $8,807.00 | ↑ +131% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +143% |
| Health Net | Commercial|Community Care | $9,380.00 | ↑ +146% |
| Blue Shield CA | Commercial|All Other Plans | $10,766.00 | ↑ +182% |
| Health Net | Commercial|Care Product | $11,420.00 | ↑ +199% |
| Health Net | Commercial|Blue Gold | $11,553.00 | ↑ +203% |
| Health Net | Commercial|All Other Plans | $12,689.00 | ↑ +233% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +240% |
| Sutter Health | Commercial|All Plans | $14,831.19 | ↑ +289% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +508% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +512% |
Visitor-reported prices
Comments
Pr cystourethroscopy with insertion indwelling ureteral stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $283.05 | $109.95 – $631.86 |
| Healdsburg Hospital | Healdsburg | $824.16 | $3,125.00 – $5,198.77 |
| St. Joseph's Medical Center Stockton | Stockton | $692.37 | $0.80 – $2,355.00 |
| Mercy Medical Center Merced | Merced | $4,655.09 | $631.86 – $3,893.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,476.20 | $1,528.00 – $7,332.00 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $3,015.25 | $1,528.00 – $7,332.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $3,015.25 | $1,528.00 – $7,332.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $777.19 – $8,044.86 |