Sigmoidoscopy w/plcmt stent at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$6,529.50
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.
$14,510.00
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.
$1,932.00 with Central California Alliance for Health vs $25,598.17 with Sutter Health — 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 |
|---|---|---|---|
| Central California Alliance for Health | Medicaid|All Plans | $1,932.00 | ↓ -70% |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | ↓ -4% |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | ↑ +1% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +1% |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | ↑ +23% |
| United | Medicare|All Plans | $8,178.33 | ↑ +25% |
| Kaiser | Medicare|All Plans | $8,178.33 | ↑ +25% |
| Blue Shield CA | Medicare|All Plans | $8,178.33 | ↑ +25% |
| Health Net | Medicare|All Plans | $8,178.33 | ↑ +25% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +40% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +41% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +42% |
| Blue Shield CA | Commercial|DHMF | $9,323.30 | ↑ +43% |
| Kaiser | Commercial|All Plans | $9,431.50 | ↑ +44% |
| Western Growers | Commercial|All Plans | $9,866.80 | ↑ +51% |
| Health Net | Commercial|Community Care | $10,984.00 | ↑ +68% |
| Healthsmart | Commercial|All Plans | $11,608.00 | ↑ +78% |
| First Health | Commercial|All Plans | $12,333.50 | ↑ +89% |
| Multiplan | Commercial|All Plans | $12,333.50 | ↑ +89% |
| United | Commercial|All Other Plans | $13,059.00 | ↑ +100% |
| Health Net | Commercial|Care Product | $13,372.00 | ↑ +105% |
| Health Net | Commercial|Blue Gold | $13,528.00 | ↑ +107% |
| United | Commercial|Options PPO | $13,929.60 | ↑ +113% |
| United | Commercial|HMO | $13,929.60 | ↑ +113% |
| United | Commercial|Non-Options PPO | $14,510.00 | ↑ +122% |
| Health Net | Commercial|All Other Plans | $14,857.00 | ↑ +128% |
| Sutter Health | Commercial|All Plans | $25,598.17 | ↑ +292% |
Visitor-reported prices
Comments
Sigmoidoscopy w/plcmt stent at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | not published | $7,563.64 – $13,154.20 |
| Petaluma Valley Hospital | Petaluma | not published | $1,921.00 – $8,348.17 |
| Arroyo Grande Hospital | Santa Maria | not published | $7,563.64 – $7,563.64 |
| French Hospital | San Luis Obispo | not published | $7,563.64 – $7,563.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $7,563.64 – $7,563.64 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $161.58 – $7,563.64 |
| Queen of The Valley Medical Center | Napa | not published | $5,592.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $5,835.00 – $27,307.00 |