Repair pm/icd lead sgl at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$4,524.75
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.
?
What you pay up front if you don't use insurance.
$10,055.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$241.81 with BCBS - Anthem vs $32,320.00 with Blue Shield CA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $241.81 | ↓ -95% |
| Health Net | Medicaid|< 21 | $297.43 | ↓ -93% |
| Health Net | Medicaid|> 21 | $297.43 | ↓ -93% |
| COSC Psych | Medicaid|All Plans | $381.18 | ↓ -92% |
| Central California Alliance for Health | Medicaid|All Plans | $381.18 | ↓ -92% |
| Blue Shield CA | Medicare|All Plans | $4,999.89 | ↑ +11% |
| United | Medicare|All Plans | $4,999.89 | ↑ +11% |
| Health Net | Medicare|All Plans | $4,999.89 | ↑ +11% |
| Kaiser | Medicare|All Plans | $4,999.89 | ↑ +11% |
| Blue Shield CA | Commercial|DHMF | $5,699.87 | ↑ +26% |
| Kaiser | Commercial|All Plans | $6,535.75 | ↑ +44% |
| Western Growers | Commercial|All Plans | $7,038.50 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $8,044.00 | ↑ +78% |
| Multiplan | Commercial|All Plans | $8,546.75 | ↑ +89% |
| First Health | Commercial|All Plans | $8,546.75 | ↑ +89% |
| United | Commercial|All Other Plans | $9,049.50 | ↑ +100% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +105% |
| United | Commercial|Options PPO | $9,652.80 | ↑ +113% |
| United | Commercial|HMO | $9,652.80 | ↑ +113% |
| United | Commercial|Non-Options PPO | $10,055.00 | ↑ +122% |
| Health Net | Commercial|Community Care | $10,984.00 | ↑ +143% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +186% |
| Health Net | Commercial|Care Product | $13,372.00 | ↑ +196% |
| Health Net | Commercial|Blue Gold | $13,528.00 | ↑ +199% |
| Health Net | Commercial|All Other Plans | $14,857.00 | ↑ +228% |
| Sutter Health | Commercial|All Plans | $15,649.66 | ↑ +246% |
| Blue Shield CA | Commercial|Exchange | $25,297.00 | ↑ +459% |
| Blue Shield CA | Commercial|ACO Trio | $26,440.00 | ↑ +484% |
| Aetna | Commercial|HMO | $26,811.00 | ↑ +493% |
| Aetna | Commercial|PPO | $27,018.00 | ↑ +497% |
| Blue Shield CA | Commercial|All Other Plans | $32,320.00 | ↑ +614% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,096.27 | $297.43 – $8,410.84 |
| Arroyo Grande Hospital | Santa Maria | $7,445.92 | $241.81 – $17,049.06 |
| French Hospital | San Luis Obispo | $6,415.87 | $241.81 – $16,039.66 |
| Bakersfield Memorial Hospital | Bakersfield | $2,430.28 | $241.81 – $5,231.38 |
| Queen of The Valley Medical Center | Napa | $7,975.38 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,647.34 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,869.84 | $241.81 – $5,342.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,202.00 | $4,042.00 – $11,377.00 |