Revsc opn/prq tib/pero stent at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$5,478.75
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.
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What you pay up front if you don't use insurance.
$12,175.00
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.
$235.67 with BCBS - Anthem vs $15,214.00 with Blue Shield CA — 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 | $235.67 | ↓ -96% |
| COSC Psych | Medicaid|All Plans | $235.67 | ↓ -96% |
| Central California Alliance for Health | Medicaid|All Plans | $235.67 | ↓ -96% |
| Health Net | Medicaid|> 21 | $356.54 | ↓ -93% |
| Health Net | Medicaid|< 21 | $356.54 | ↓ -93% |
| Kaiser | Commercial|All Plans | $7,913.75 | ↑ +44% |
| Western Growers | Commercial|All Plans | $8,522.50 | ↑ +56% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +67% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +68% |
| BCBS - Anthem | Commercial|All Other Plans | $9,272.00 | ↑ +69% |
| Healthsmart | Commercial|All Plans | $9,740.00 | ↑ +78% |
| Multiplan | Commercial|All Plans | $10,348.75 | ↑ +89% |
| First Health | Commercial|All Plans | $10,348.75 | ↑ +89% |
| United | Commercial|All Other Plans | $10,957.50 | ↑ +100% |
| United | Commercial|Options PPO | $11,688.00 | ↑ +113% |
| United | Commercial|HMO | $11,688.00 | ↑ +113% |
| Blue Shield CA | Commercial|Exchange | $11,908.00 | ↑ +117% |
| United | Commercial|Non-Options PPO | $12,175.00 | ↑ +122% |
| Blue Shield CA | Commercial|ACO Trio | $12,446.00 | ↑ +127% |
| BCBS - Anthem | Commercial|MCS | $12,953.00 | ↑ +136% |
| Blue Shield CA | Commercial|All Other Plans | $15,214.00 | ↑ +178% |
Visitor-reported prices
Comments
Revsc opn/prq tib/pero stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $18,546.24 | $356.54 – $33,027.54 |
| Arroyo Grande Hospital | Santa Maria | $7,009.79 | $235.67 – $16,050.44 |
| French Hospital | San Luis Obispo | $6,420.18 | $235.67 – $15,569.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6,535.17 | $235.67 – $14,806.04 |
| Bakersfield Memorial Hospital | Bakersfield | $6,105.42 | $235.67 – $16,469.64 |
| St. Joseph's Medical Center Stockton | Stockton | $5,243.79 | $0.80 – $3,984.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $12,830.07 | $4,042.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,844.80 | $3,429.00 – $10,791.00 |