Surgical pathology level 6 gross & microscopic examination at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$496.35
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.
$1,103.00
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.
$266.04 with COSC Psych vs $3,452.39 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 | $266.04 | ↓ -46% |
| BCBS - Anthem | Medicaid|All Plans | $266.04 | ↓ -46% |
| Central California Alliance for Health | Medicaid|All Plans | $266.04 | ↓ -46% |
| Health Net | Medicaid|< 21 | $402.49 | ↓ -19% |
| Health Net | Medicaid|> 21 | $402.49 | ↓ -19% |
| BCBS - Anthem | Commercial|All Other Plans | $429.56 | ↓ -13% |
| BCBS - Anthem | Commercial|MCS | $600.25 | ↑ +21% |
| Kaiser | Commercial|All Plans | $716.95 | ↑ +44% |
| Western Growers | Commercial|All Plans | $772.10 | ↑ +56% |
| United | Commercial|Options PPO | $787.38 | ↑ +59% |
| United | Commercial|All Other Plans | $787.38 | ↑ +59% |
| United | Commercial|HMO | $787.38 | ↑ +59% |
| United | Commercial|Non-Options PPO | $787.38 | ↑ +59% |
| Healthsmart | Commercial|All Plans | $882.40 | ↑ +78% |
| First Health | Commercial|All Plans | $937.55 | ↑ +89% |
| Multiplan | Commercial|All Plans | $937.55 | ↑ +89% |
| Kaiser | Medicare|All Plans | $1,103.00 | ↑ +122% |
| United | Medicare|All Plans | $1,103.00 | ↑ +122% |
| Aetna | Commercial|PPO | $1,103.00 | ↑ +122% |
| Aetna | Commercial|HMO | $1,103.00 | ↑ +122% |
| Health Net | Medicare|All Plans | $1,103.00 | ↑ +122% |
| Blue Shield CA | Medicare|All Plans | $1,122.31 | ↑ +126% |
| Blue Shield CA | Commercial|DHMF | $1,257.42 | ↑ +153% |
| Cigna | Commercial|LocalPlus | $2,658.77 | ↑ +436% |
| Cigna | Commercial|All Other Plans | $2,828.42 | ↑ +470% |
| Sutter Health | Commercial|All Plans | $3,452.39 | ↑ +596% |
Visitor-reported prices
Comments
Surgical pathology level 6 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $391.58 | $241.38 – $1,788.00 |
| Petaluma Valley Hospital | Petaluma | $1,276.02 | $223.35 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $132.85 | $155.20 – $765.05 |
| Mark Twain Medical Center | San Andreas | $606.73 | $79.03 – $299.38 |
| French Hospital | San Luis Obispo | $121.68 | $83.81 – $899.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.08 | $204.27 – $853.25 |
| Bakersfield Memorial Hospital | Bakersfield | $302.78 | $204.27 – $853.25 |
| Queen of The Valley Medical Center | Napa | $1,407.60 | $282.25 – $1,256.40 |