Tobramycin peak therapeutic drug level at Dominican Hospital

1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$431.10

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$958.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$16.13 with Blue Shield CA vs $814.30 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 →

Payer
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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
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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
Blue Shield CA Medicare|All Plans $16.13 ↓ -96%
United Medicare|All Plans $16.13 ↓ -96%
Health Net Medicare|All Plans $16.13 ↓ -96%
Kaiser Medicare|All Plans $16.13 ↓ -96%
Blue Shield CA Commercial|DHMF $18.39 ↓ -96%
United Commercial|HMO $19.36 ↓ -96%
United Commercial|All Other Plans $19.36 ↓ -96%
United Commercial|Options PPO $19.36 ↓ -96%
United Commercial|Non-Options PPO $19.36 ↓ -96%
BCBS - Anthem Medicaid|All Plans $20.55 ↓ -95%
COSC Psych Medicaid|All Plans $20.55 ↓ -95%
Central California Alliance for Health Medicaid|All Plans $20.55 ↓ -95%
Health Net Medicaid|< 21 $31.09 ↓ -93%
Health Net Medicaid|> 21 $31.09 ↓ -93%
Sutter Health Commercial|All Plans $50.49 ↓ -88%
Cigna Commercial|LocalPlus $144.37 ↓ -67%
Cigna Commercial|All Other Plans $153.58 ↓ -64%
Aetna Commercial|PPO $170.08 ↓ -61%
Aetna Commercial|HMO $170.08 ↓ -61%
BCBS - Anthem Commercial|All Other Plans $253.05 ↓ -41%
BCBS - Anthem Commercial|MCS $353.59 ↓ -18%
Blue Shield CA Commercial|Exchange $440.68 ↑ +2%
Blue Shield CA Commercial|ACO Trio $440.68 ↑ +2%
Blue Shield CA Commercial|All Other Plans $536.48 ↑ +24%
Kaiser Commercial|All Plans $622.70 ↑ +44%
Western Growers Commercial|All Plans $670.60 ↑ +56%
Healthsmart Commercial|All Plans $766.40 ↑ +78%
Multiplan Commercial|All Plans $814.30 ↑ +89%
First Health Commercial|All Plans $814.30 ↑ +89%

Visitor-reported prices

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Tobramycin peak therapeutic drug level at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $83.22 $16.13 – $148.20
Banner Lassen Medical Center Susanville $10.64 $3.23 – $23.64
Petaluma Valley Hospital Petaluma $207.06 $15.81 – $131.57
Arroyo Grande Hospital Santa Maria $231.98 $16.13 – $49.00
Mark Twain Medical Center San Andreas $121.22 $16.13 – $39.53
French Hospital San Luis Obispo $212.47 $13.50 – $49.00
Mercy Hospitals – Bakersfield Bakersfield $126.89 $16.13 – $51.20
Bakersfield Memorial Hospital Bakersfield $101.66 $16.13 – $50.56

All California hospitals for this procedure →