Surgical pathology level 4 gross & microscopic examination at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$175.95
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.
$391.00
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.
$24.05 with Kaiser vs $329.59 with Cigna — 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 |
|---|---|---|---|
| Kaiser | Commercial|All Plans | $24.05 | ↓ -86% |
| Western Growers | Commercial|All Plans | $25.90 | ↓ -85% |
| Healthsmart | Commercial|All Plans | $29.60 | ↓ -83% |
| BCBS - Anthem | Commercial|All Other Plans | $30.71 | ↓ -83% |
| First Health | Commercial|All Plans | $31.45 | ↓ -82% |
| Multiplan | Commercial|All Plans | $31.45 | ↓ -82% |
| United | Commercial|Options PPO | $37.00 | ↓ -79% |
| United | Commercial|Non-Options PPO | $37.00 | ↓ -79% |
| Health Net | Medicare|All Plans | $37.00 | ↓ -79% |
| COSC Psych | Medicaid|All Plans | $37.00 | ↓ -79% |
| Kaiser | Medicare|All Plans | $37.00 | ↓ -79% |
| Central California Alliance for Health | Medicaid|All Plans | $37.00 | ↓ -79% |
| Aetna | Commercial|PPO | $37.00 | ↓ -79% |
| Aetna | Commercial|HMO | $37.00 | ↓ -79% |
| United | Commercial|All Other Plans | $37.00 | ↓ -79% |
| United | Medicare|All Plans | $37.00 | ↓ -79% |
| United | Commercial|HMO | $37.00 | ↓ -79% |
| BCBS - Anthem | Medicaid|All Plans | $37.00 | ↓ -79% |
| BCBS - Anthem | Commercial|MCS | $37.00 | ↓ -79% |
| Blue Shield CA | Commercial|DHMF | $42.18 | ↓ -76% |
| Health Net | Medicaid|< 21 | $45.51 | ↓ -74% |
| Health Net | Medicaid|> 21 | $45.51 | ↓ -74% |
| Blue Shield CA | Medicare|All Plans | $73.41 | ↓ -58% |
| Sutter Health | Commercial|All Plans | $115.81 | ↓ -34% |
| Cigna | Commercial|LocalPlus | $309.82 | ↑ +76% |
| Cigna | Commercial|All Other Plans | $329.59 | ↑ +87% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $190.10 | $59.71 – $338.52 |
| Petaluma Valley Hospital | Petaluma | $504.39 | $70.23 – $110.13 |
| Arroyo Grande Hospital | Santa Maria | $170.18 | $16.70 – $89.15 |
| Mark Twain Medical Center | San Andreas | $115.22 | $9.75 – $37.66 |
| French Hospital | San Luis Obispo | $155.86 | $9.02 – $104.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $135.79 | $18.93 – $99.43 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $18.93 – $99.43 |
| Queen of The Valley Medical Center | Napa | $379.44 | $73.99 – $139.18 |