Pr egd flexible transoral w/placement percutaneous gastrostomy tube at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,925.55
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.
$4,279.00
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.
$277.70 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 | $277.70 | ↓ -86% |
| Health Net | Medicaid|< 21 | $341.57 | ↓ -82% |
| Health Net | Medicaid|> 21 | $341.57 | ↓ -82% |
| Central California Alliance for Health | Medicaid|All Plans | $437.75 | ↓ -77% |
| COSC Psych | Medicaid|All Plans | $437.75 | ↓ -77% |
| Health Net | Medicare|All Plans | $2,606.20 | ↑ +35% |
| United | Medicare|All Plans | $2,606.20 | ↑ +35% |
| Blue Shield CA | Medicare|All Plans | $2,606.20 | ↑ +35% |
| Kaiser | Medicare|All Plans | $2,606.20 | ↑ +35% |
| Kaiser | Commercial|All Plans | $2,781.35 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,909.72 | ↑ +51% |
| Blue Shield CA | Commercial|DHMF | $2,971.07 | ↑ +54% |
| Healthsmart | Commercial|All Plans | $3,423.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $3,637.15 | ↑ +89% |
| First Health | Commercial|All Plans | $3,637.15 | ↑ +89% |
| United | Commercial|All Other Plans | $3,851.10 | ↑ +100% |
| United | Commercial|Options PPO | $4,107.84 | ↑ +113% |
| United | Commercial|HMO | $4,107.84 | ↑ +113% |
| United | Commercial|Non-Options PPO | $4,279.00 | ↑ +122% |
| Health Net | Commercial|Community Care | $8,010.00 | ↑ +316% |
| Sutter Health | Commercial|All Plans | $8,157.41 | ↑ +324% |
| Blue Shield CA | Commercial|Exchange | $8,426.00 | ↑ +338% |
| Blue Shield CA | Commercial|ACO Trio | $8,807.00 | ↑ +357% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +382% |
| Health Net | Commercial|Care Product | $9,752.00 | ↑ +406% |
| Health Net | Commercial|Blue Gold | $9,866.00 | ↑ +412% |
| Blue Shield CA | Commercial|All Other Plans | $10,766.00 | ↑ +459% |
| Health Net | Commercial|All Other Plans | $10,835.00 | ↑ +463% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +573% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +1104% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +1113% |
Visitor-reported prices
Comments
Pr egd flexible transoral w/placement percutaneous gastrostomy tube at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,205.35 | $2,570.00 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $495.51 | $192.48 – $729.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,735.54 | $277.70 – $3,742.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,716.83 | $277.70 – $3,695.62 |
| Queen of The Valley Medical Center | Napa | $3,379.77 | $2,724.58 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,657.10 | $2,468.04 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,776.33 | $2,585.43 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,664.75 | $8,005.00 – $25,998.00 |