Sodium chloride 0.9 % IV bolus at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$24.30
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.
$54.00
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.
$1.24 with COSC Psych vs $45.90 with First 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 |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $1.24 | ↓ -95% |
| Central California Alliance for Health | Medicaid|All Plans | $1.24 | ↓ -95% |
| Blue Shield CA | Commercial|DHMF | $1.32 | ↓ -95% |
| Health Net | Medicaid|> 21 | $1.88 | ↓ -92% |
| Health Net | Medicaid|< 21 | $1.88 | ↓ -92% |
| United | Commercial|HMO | $2.06 | ↓ -92% |
| United | Commercial|All Other Plans | $2.06 | ↓ -92% |
| United | Commercial|Options PPO | $2.23 | ↓ -91% |
| United | Commercial|Non-Options PPO | $2.26 | ↓ -91% |
| Cigna | Commercial|LocalPlus | $3.53 | ↓ -85% |
| Cigna | Commercial|All Other Plans | $3.76 | ↓ -85% |
| Aetna | Commercial|HMO | $6.39 | ↓ -74% |
| Aetna | Commercial|PPO | $6.43 | ↓ -74% |
| Blue Shield CA | Commercial|Exchange | $6.45 | ↓ -73% |
| Blue Shield CA | Commercial|ACO Trio | $6.45 | ↓ -73% |
| Blue Shield CA | Commercial|All Other Plans | $6.45 | ↓ -73% |
| Health Net | Commercial|Community Care | $8.47 | ↓ -65% |
| Health Net | Commercial|Care Product | $10.32 | ↓ -58% |
| Health Net | Commercial|Blue Gold | $10.48 | ↓ -57% |
| Health Net | Commercial|All Other Plans | $11.54 | ↓ -53% |
| BCBS - Anthem | Commercial|All Other Plans | $20.79 | ↓ -14% |
| BCBS - Anthem | Commercial|MCS | $29.04 | ↑ +20% |
| Kaiser | Commercial|All Plans | $35.10 | ↑ +44% |
| Western Growers | Commercial|All Plans | $36.72 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $43.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $45.90 | ↑ +89% |
| First Health | Commercial|All Plans | $45.90 | ↑ +89% |
Visitor-reported prices
Comments
Sodium chloride 0.9 % IV bolus at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $57.38 | $1.42 – $19.60 |
| Petaluma Valley Hospital | Petaluma | $65.33 | $2.47 – $14.15 |
| Arroyo Grande Hospital | Santa Maria | $23.12 | $1.88 – $52.92 |
| French Hospital | San Luis Obispo | $21.17 | $1.24 – $52.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $20.04 | $1.24 – $43.20 |
| Bakersfield Memorial Hospital | Bakersfield | $19.82 | $1.65 – $42.66 |
| Queen of The Valley Medical Center | Napa | $65.33 | $2.47 – $15.31 |
| Providence St Joseph Hospital Eureka | Eureka | $65.33 | $2.67 – $18.26 |