Repos lv lead pm/icd at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$3,311.55
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.
$7,359.00
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.
$268.80 with BCBS - Anthem vs $23,352.00 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 | $268.80 | ↓ -92% |
| COSC Psych | Medicaid|All Plans | $268.80 | ↓ -92% |
| Central California Alliance for Health | Medicaid|All Plans | $268.80 | ↓ -92% |
| Health Net | Medicaid|< 21 | $406.66 | ↓ -88% |
| Health Net | Medicaid|> 21 | $406.66 | ↓ -88% |
| Kaiser | Medicare|All Plans | $4,324.22 | ↑ +31% |
| United | Medicare|All Plans | $4,324.22 | ↑ +31% |
| Blue Shield CA | Medicare|All Plans | $4,324.22 | ↑ +31% |
| Health Net | Medicare|All Plans | $4,324.22 | ↑ +31% |
| Kaiser | Commercial|All Plans | $4,783.35 | ↑ +44% |
| Blue Shield CA | Commercial|DHMF | $4,929.61 | ↑ +49% |
| Western Growers | Commercial|All Plans | $5,151.30 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $5,887.20 | ↑ +78% |
| First Health | Commercial|All Plans | $6,255.15 | ↑ +89% |
| Multiplan | Commercial|All Plans | $6,255.15 | ↑ +89% |
| United | Commercial|All Other Plans | $6,623.10 | ↑ +100% |
| United | Commercial|HMO | $7,064.64 | ↑ +113% |
| United | Commercial|Options PPO | $7,064.64 | ↑ +113% |
| United | Commercial|Non-Options PPO | $7,359.00 | ↑ +122% |
| Blue Shield CA | Commercial|Exchange | $9,630.00 | ↑ +191% |
| Blue Shield CA | Commercial|ACO Trio | $10,065.00 | ↑ +204% |
| Health Net | Commercial|Care Product | $11,420.00 | ↑ +245% |
| BCBS - Anthem | Commercial|All Other Plans | $11,746.00 | ↑ +255% |
| Blue Shield CA | Commercial|All Other Plans | $12,303.00 | ↑ +272% |
| Sutter Health | Commercial|All Plans | $13,534.81 | ↑ +309% |
| BCBS - Anthem | Commercial|MCS | $16,409.00 | ↑ +396% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +600% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +605% |
Visitor-reported prices
Comments
Repos lv lead pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,969.69 | $406.66 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $3,234.83 | $268.80 – $7,406.84 |
| French Hospital | San Luis Obispo | $3,014.48 | $268.80 – $7,536.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,374.49 | $268.80 – $5,111.30 |
| Providence St Joseph Hospital Eureka | Eureka | $3,231.36 | $4,061.05 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,827.21 | $268.80 – $5,220.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,198.43 | $3,423.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,898.88 | $3,451.89 – $7,908.00 |