Pralatrexate injection at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$15,876.00
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.
$35,280.00
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.
$271.61 with Blue Shield CA vs $14,996.55 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|DHMF | $271.61 | ↓ -98% |
| BCBS - Anthem | Commercial|All Other Plans | $305.64 | ↓ -98% |
| COSC Psych | Medicaid|All Plans | $373.77 | ↓ -98% |
| Central California Alliance for Health | Medicaid|All Plans | $373.77 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $426.99 | ↓ -97% |
| United | Commercial|Options PPO | $477.08 | ↓ -97% |
| Health Net | Commercial|Community Care | $502.19 | ↓ -97% |
| United | Commercial|Non-Options PPO | $527.55 | ↓ -97% |
| Health Net | Medicare|All Plans | $534.19 | ↓ -97% |
| Blue Shield CA | Medicare|All Plans | $534.19 | ↓ -97% |
| United | Medicare|All Plans | $534.19 | ↓ -97% |
| Kaiser | Medicare|All Plans | $534.19 | ↓ -97% |
| Blue Shield CA | Commercial|All Other Plans | $561.24 | ↓ -96% |
| Blue Shield CA | Commercial|ACO Trio | $561.24 | ↓ -96% |
| Blue Shield CA | Commercial|Exchange | $561.24 | ↓ -96% |
| Health Net | Medicaid|> 21 | $565.48 | ↓ -96% |
| Health Net | Medicaid|< 21 | $565.48 | ↓ -96% |
| United | Commercial|All Other Plans | $616.72 | ↓ -96% |
| United | Commercial|HMO | $616.72 | ↓ -96% |
| Health Net | Commercial|Care Product | $897.99 | ↓ -94% |
| Health Net | Commercial|Blue Gold | $911.19 | ↓ -94% |
| Health Net | Commercial|All Other Plans | $1,003.63 | ↓ -94% |
| Cigna | Commercial|LocalPlus | $1,065.24 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $1,133.08 | ↓ -93% |
| Sutter Health | Commercial|All Plans | $1,672.01 | ↓ -89% |
| Aetna | Commercial|HMO | $1,924.92 | ↓ -88% |
| Aetna | Commercial|PPO | $1,938.74 | ↓ -88% |
| Kaiser | Commercial|All Plans | $11,467.95 | ↓ -28% |
| Western Growers | Commercial|All Plans | $11,997.24 | ↓ -24% |
| Healthsmart | Commercial|All Plans | $14,114.40 | ↓ -11% |
| First Health | Commercial|All Plans | $14,996.55 | ↓ -6% |
| Multiplan | Commercial|All Plans | $14,996.55 | ↓ -6% |
Visitor-reported prices
Comments
Pralatrexate injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $11,059.14 | $158.43 – $20,796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $10,939.91 | $332.04 – $20,536.05 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $18,313.88 | $275.25 – $803.61 |
| Northridge Hospital Medical Center | Northridge | $9,055.79 | $185.33 – $16,232.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $15,511.25 | $375.01 – $24,322.62 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $20,786.08 | $377.90 – $803.61 |
| Providence Saint Joseph Medical Center | Burbank | $11,818.77 | $377.90 – $803.61 |
| St Jude Medical Center | Fullerton | $8,104.30 | $278.69 – $803.61 |