Tc-99m pyroph diag per dose up to 25 mci at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$167.85
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.
$373.00
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.
$44.73 with BCBS - Anthem vs $317.05 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|All Other Plans | $44.73 | ↓ -73% |
| BCBS - Anthem | Commercial|MCS | $62.49 | ↓ -63% |
| United | Commercial|HMO | $63.51 | ↓ -62% |
| United | Commercial|All Other Plans | $63.51 | ↓ -62% |
| BCBS - Anthem | Medicaid|All Plans | $64.05 | ↓ -62% |
| COSC Psych | Medicaid|All Plans | $64.05 | ↓ -62% |
| Central California Alliance for Health | Medicaid|All Plans | $64.05 | ↓ -62% |
| United | Commercial|Non-Options PPO | $71.38 | ↓ -57% |
| United | Commercial|Options PPO | $72.93 | ↓ -57% |
| Health Net | Medicaid|< 21 | $96.90 | ↓ -42% |
| Health Net | Medicaid|> 21 | $96.90 | ↓ -42% |
| Cigna | Commercial|LocalPlus | $186.19 | ↑ +11% |
| Cigna | Commercial|All Other Plans | $198.05 | ↑ +18% |
| Kaiser | Commercial|All Plans | $242.45 | ↑ +44% |
| Western Growers | Commercial|All Plans | $261.10 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $298.40 | ↑ +78% |
| Multiplan | Commercial|All Plans | $317.05 | ↑ +89% |
| First Health | Commercial|All Plans | $317.05 | ↑ +89% |
Visitor-reported prices
Comments
Tc-99m pyroph diag per dose up to 25 mci at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $393.33 | $32.52 – $700.44 |
| Arroyo Grande Hospital | Santa Maria | $384.35 | $19.76 – $880.04 |
| Mark Twain Medical Center | San Andreas | $286.38 | $64.05 – $359.66 |
| French Hospital | San Luis Obispo | $281.85 | $19.76 – $704.62 |
| Mercy Hospitals – Bakersfield | Bakersfield | $208.51 | $63.51 – $449.60 |
| Bakersfield Memorial Hospital | Bakersfield | $206.26 | $48.59 – $443.98 |
| St. Joseph's Medical Center Stockton | Stockton | $165.23 | $63.51 – $460.84 |
| Mercy Medical Center Merced | Merced | $289.43 | $34.95 – $528.28 |