Stent/tib/peroneal/unilat/initial 37230 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$11,656.80
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.
$25,904.00
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.
$594.56 with COSC Psych vs $77,217.16 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 |
|---|---|---|---|
| COSC Psych | Medicaid|All Plans | $594.56 | ↓ -95% |
| BCBS - Anthem | Medicaid|All Plans | $594.56 | ↓ -95% |
| Central California Alliance for Health | Medicaid|All Plans | $594.56 | ↓ -95% |
| Health Net | Medicaid|> 21 | $899.51 | ↓ -92% |
| Health Net | Medicaid|< 21 | $899.51 | ↓ -92% |
| Blue Shield CA | Commercial|Exchange | $11,908.00 | ↑ +2% |
| Blue Shield CA | Commercial|ACO Trio | $12,446.00 | ↑ +7% |
| Blue Shield CA | Commercial|All Other Plans | $15,214.00 | ↑ +31% |
| Kaiser | Commercial|All Plans | $16,837.60 | ↑ +44% |
| BCBS - Anthem | Commercial|All Other Plans | $17,193.00 | ↑ +47% |
| Western Growers | Commercial|All Plans | $18,132.80 | ↑ +56% |
| Health Net | Commercial|Community Care | $20,652.00 | ↑ +77% |
| Healthsmart | Commercial|All Plans | $20,723.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $22,018.40 | ↑ +89% |
| First Health | Commercial|All Plans | $22,018.40 | ↑ +89% |
| United | Commercial|All Other Plans | $23,313.60 | ↑ +100% |
| BCBS - Anthem | Commercial|MCS | $24,019.00 | ↑ +106% |
| Blue Shield CA | Medicare|All Plans | $24,670.02 | ↑ +112% |
| United | Medicare|All Plans | $24,670.02 | ↑ +112% |
| Health Net | Medicare|All Plans | $24,670.02 | ↑ +112% |
| Kaiser | Medicare|All Plans | $24,670.02 | ↑ +112% |
| United | Commercial|Options PPO | $24,867.84 | ↑ +113% |
| United | Commercial|HMO | $24,867.84 | ↑ +113% |
| Health Net | Commercial|Care Product | $25,143.00 | ↑ +116% |
| Health Net | Commercial|Blue Gold | $25,437.00 | ↑ +118% |
| United | Commercial|Non-Options PPO | $25,904.00 | ↑ +122% |
| Aetna | Commercial|HMO | $26,811.00 | ↑ +130% |
| Aetna | Commercial|PPO | $27,018.00 | ↑ +132% |
| Health Net | Commercial|All Other Plans | $27,936.00 | ↑ +140% |
| Blue Shield CA | Commercial|DHMF | $28,123.82 | ↑ +141% |
| Sutter Health | Commercial|All Plans | $77,217.16 | ↑ +562% |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $11,858.85 | $899.51 – $43,115.78 |
| Arroyo Grande Hospital | Santa Maria | $14,930.78 | $594.56 – $34,187.30 |
| French Hospital | San Luis Obispo | $13,674.92 | $594.56 – $34,025.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,273.98 | $594.56 – $33,402.40 |
| Bakersfield Memorial Hospital | Bakersfield | $15,323.36 | $594.56 – $32,984.87 |
| Providence St Joseph Hospital Eureka | Eureka | $18,127.95 | $11,036.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,206.78 | $0.80 – $12,709.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $17,905.08 | $4,233.00 – $89,248.00 |