Puncture arterial withdrawal blood for diagnosis at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$254.25
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.
$565.00
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.
$14.53 with BCBS - Anthem vs $9,244.00 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 | $14.53 | ↓ -94% |
| Health Net | Medicaid|> 21 | $17.87 | ↓ -93% |
| Health Net | Medicaid|< 21 | $17.87 | ↓ -93% |
| COSC Psych | Medicaid|All Plans | $22.89 | ↓ -91% |
| Central California Alliance for Health | Medicaid|All Plans | $22.89 | ↓ -91% |
| Blue Shield CA | Medicare|All Plans | $177.09 | ↓ -30% |
| United | Medicare|All Plans | $177.09 | ↓ -30% |
| Health Net | Medicare|All Plans | $177.09 | ↓ -30% |
| Kaiser | Medicare|All Plans | $177.09 | ↓ -30% |
| Blue Shield CA | Commercial|DHMF | $201.88 | ↓ -21% |
| Aetna | Commercial|HMO | $242.95 | ↓ -4% |
| Aetna | Commercial|PPO | $242.95 | ↓ -4% |
| Blue Shield CA | Commercial|ACO Trio | $333.35 | ↑ +31% |
| Kaiser | Commercial|All Plans | $339.00 | ↑ +33% |
| Cigna | Commercial|LocalPlus | $339.00 | ↑ +33% |
| Blue Shield CA | Commercial|Exchange | $344.65 | ↑ +36% |
| Cigna | Commercial|All Other Plans | $361.60 | ↑ +42% |
| Western Growers | Commercial|All Plans | $384.20 | ↑ +51% |
| Blue Shield CA | Commercial|All Other Plans | $406.80 | ↑ +60% |
| Healthsmart | Commercial|All Plans | $443.20 | ↑ +74% |
| First Health | Commercial|All Plans | $470.90 | ↑ +85% |
| Multiplan | Commercial|All Plans | $470.90 | ↑ +85% |
| United | Commercial|Non-Options PPO | $487.52 | ↑ +92% |
| United | Commercial|All Other Plans | $508.50 | ↑ +100% |
| United | Commercial|HMO | $542.40 | ↑ +113% |
| United | Commercial|Options PPO | $542.40 | ↑ +113% |
| Sutter Health | Commercial|All Plans | $554.29 | ↑ +118% |
| Health Net | Commercial|Community Care | $4,988.00 | ↑ +1862% |
| Health Net | Commercial|Care Product | $6,074.00 | ↑ +2289% |
| Health Net | Commercial|Blue Gold | $6,144.00 | ↑ +2317% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +2503% |
| Health Net | Commercial|All Other Plans | $6,748.00 | ↑ +2554% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +3536% |
Visitor-reported prices
Comments
Puncture arterial withdrawal blood for diagnosis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $212.43 | $17.87 – $365.72 |
| Banner Lassen Medical Center | Susanville | $48.44 | $20.89 – $67.90 |
| Petaluma Valley Hospital | Petaluma | $456.96 | $179.30 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $219.14 | $14.53 – $699.00 |
| Mark Twain Medical Center | San Andreas | $161.84 | $14.53 – $154.84 |
| French Hospital | San Luis Obispo | $200.71 | $14.53 – $501.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $119.47 | $14.53 – $264.04 |
| Bakersfield Memorial Hospital | Bakersfield | $118.18 | $14.53 – $264.04 |