Pr incision & drainage abscess simple/single at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$73.35
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.
$163.00
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.
$48.70 with BCBS - Anthem vs $12,953.00 with BCBS - Anthem — 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 | $48.70 | ↓ -34% |
| Health Net | Medicaid|> 21 | $59.90 | ↓ -18% |
| Health Net | Medicaid|< 21 | $59.90 | ↓ -18% |
| COSC Psych | Medicaid|All Plans | $76.77 | ↑ +5% |
| Central California Alliance for Health | Medicaid|All Plans | $76.77 | ↑ +5% |
| Kaiser | Commercial|All Plans | $105.95 | ↑ +44% |
| Western Growers | Commercial|All Plans | $114.10 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $130.40 | ↑ +78% |
| First Health | Commercial|All Plans | $138.55 | ↑ +89% |
| Multiplan | Commercial|All Plans | $138.55 | ↑ +89% |
| United | Commercial|All Other Plans | $146.70 | ↑ +100% |
| United | Commercial|HMO | $156.48 | ↑ +113% |
| United | Commercial|Options PPO | $156.48 | ↑ +113% |
| Kaiser | Medicare|All Plans | $163.00 | ↑ +122% |
| United | Medicare|All Plans | $163.00 | ↑ +122% |
| United | Commercial|Non-Options PPO | $163.00 | ↑ +122% |
| Health Net | Medicare|All Plans | $163.00 | ↑ +122% |
| Blue Shield CA | Commercial|DHMF | $185.82 | ↑ +153% |
| Blue Shield CA | Medicare|All Plans | $272.99 | ↑ +272% |
| Sutter Health | Commercial|All Plans | $510.19 | ↑ +596% |
| Blue Shield CA | Commercial|Exchange | $1,944.00 | ↑ +2550% |
| Blue Shield CA | Commercial|ACO Trio | $2,032.00 | ↑ +2670% |
| Blue Shield CA | Commercial|All Other Plans | $2,484.00 | ↑ +3287% |
| Health Net | Commercial|Community Care | $4,988.00 | ↑ +6700% |
| Health Net | Commercial|Care Product | $6,074.00 | ↑ +8181% |
| Health Net | Commercial|Blue Gold | $6,144.00 | ↑ +8276% |
| Health Net | Commercial|All Other Plans | $6,748.00 | ↑ +9100% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +12369% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +12467% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +12541% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +17559% |
Visitor-reported prices
Comments
Pr incision & drainage abscess simple/single at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $183.43 | $59.90 – $453.26 |
| Petaluma Valley Hospital | Petaluma | $851.19 | $270.38 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $323.57 | $48.70 – $740.88 |
| Mark Twain Medical Center | San Andreas | $179.16 | $48.70 – $251.86 |
| French Hospital | San Luis Obispo | $305.37 | $48.70 – $763.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $247.83 | $48.70 – $534.40 |
| Bakersfield Memorial Hospital | Bakersfield | $245.16 | $48.70 – $464.52 |
| Queen of The Valley Medical Center | Napa | $1,554.48 | $284.87 – $6,200.00 |