Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$180.45
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.
$401.00
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.
$53.85 with BCBS - Anthem vs $401.00 with United — 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 | $53.85 | ↓ -70% |
| COSC Psych | Medicaid|All Plans | $53.85 | ↓ -70% |
| Central California Alliance for Health | Medicaid|All Plans | $53.85 | ↓ -70% |
| Health Net | Medicaid|< 21 | $81.48 | ↓ -55% |
| Health Net | Medicaid|> 21 | $81.48 | ↓ -55% |
| Kaiser | Commercial|All Plans | $260.65 | ↑ +44% |
| Western Growers | Commercial|All Plans | $280.70 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $320.80 | ↑ +78% |
| Multiplan | Commercial|All Plans | $340.85 | ↑ +89% |
| First Health | Commercial|All Plans | $340.85 | ↑ +89% |
| United | Commercial|All Other Plans | $360.90 | ↑ +100% |
| United | Commercial|HMO | $384.96 | ↑ +113% |
| United | Commercial|Options PPO | $384.96 | ↑ +113% |
| United | Commercial|Non-Options PPO | $401.00 | ↑ +122% |
Visitor-reported prices
Comments
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $188.32 | $53.85 – $431.20 |
| French Hospital | San Luis Obispo | $172.48 | $53.85 – $431.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $613.64 | $53.85 – $1,323.20 |
| Bakersfield Memorial Hospital | Bakersfield | $607.02 | $53.85 – $1,637.46 |
| St. Joseph's Medical Center Stockton | Stockton | $399.84 | $53.85 – $1,142.40 |
| Mercy Medical Center Merced | Merced | $850.78 | $53.85 – $1,635.48 |
| Northridge Hospital Medical Center | Northridge | $136.16 | $53.85 – $488.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $598.41 | $53.85 – $1,076.04 |