Repair blood vessel dir lower extr at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,957.50
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.
$4,350.00
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.
$610.50 with BCBS - Anthem vs $27,018.00 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 | $610.50 | ↓ -69% |
| Health Net | Medicaid|< 21 | $750.91 | ↓ -62% |
| Health Net | Medicaid|> 21 | $750.91 | ↓ -62% |
| Central California Alliance for Health | Medicaid|All Plans | $962.37 | ↓ -51% |
| COSC Psych | Medicaid|All Plans | $962.37 | ↓ -51% |
| Kaiser | Medicare|All Plans | $966.63 | ↓ -51% |
| United | Medicare|All Plans | $966.63 | ↓ -51% |
| Blue Shield CA | Medicare|All Plans | $966.63 | ↓ -51% |
| Health Net | Medicare|All Plans | $966.63 | ↓ -51% |
| Blue Shield CA | Commercial|DHMF | $1,101.96 | ↓ -44% |
| Kaiser | Commercial|All Plans | $2,827.50 | ↑ +44% |
| Western Growers | Commercial|All Plans | $2,958.00 | ↑ +51% |
| Sutter Health | Commercial|All Plans | $3,025.55 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $3,480.00 | ↑ +78% |
| First Health | Commercial|All Plans | $3,697.50 | ↑ +89% |
| Multiplan | Commercial|All Plans | $3,697.50 | ↑ +89% |
| United | Commercial|All Other Plans | $3,915.00 | ↑ +100% |
| United | Commercial|HMO | $4,176.00 | ↑ +113% |
| United | Commercial|Options PPO | $4,176.00 | ↑ +113% |
| United | Commercial|Non-Options PPO | $4,350.00 | ↑ +122% |
| Health Net | Commercial|Community Care | $5,842.00 | ↑ +198% |
| Health Net | Commercial|Care Product | $7,113.00 | ↑ +263% |
| Health Net | Commercial|Blue Gold | $7,196.00 | ↑ +268% |
| Health Net | Commercial|All Other Plans | $7,903.00 | ↑ +304% |
| BCBS - Anthem | Commercial|All Other Plans | $11,529.00 | ↑ +489% |
| Blue Shield CA | Commercial|Exchange | $11,908.00 | ↑ +508% |
| Blue Shield CA | Commercial|ACO Trio | $12,446.00 | ↑ +536% |
| Blue Shield CA | Commercial|All Other Plans | $15,214.00 | ↑ +677% |
| BCBS - Anthem | Commercial|MCS | $16,016.00 | ↑ +718% |
| Aetna | Commercial|HMO | $26,811.00 | ↑ +1270% |
| Aetna | Commercial|PPO | $27,018.00 | ↑ +1280% |
Visitor-reported prices
Comments
Repair blood vessel dir lower extr at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,313.76 | $954.29 – $3,632.00 |
| Bakersfield Memorial Hospital | Bakersfield | $843.37 | $610.50 – $2,298.00 |
| Queen of The Valley Medical Center | Napa | $1,259.70 | $1,005.45 – $10,575.00 |
| Providence St Joseph Hospital Eureka | Eureka | $990.42 | $910.78 – $11,036.00 |
| Healdsburg Hospital | Healdsburg | $661.98 | $954.10 – $6,323.17 |
| Redwood Memorial Hospital | Fortuna | $993.48 | $3,331.00 – $46,797.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,259.70 | $985.34 – $5,318.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $907.20 | $774.16 – $9,779.00 |