Transcath mv repair addl prosthesis at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$11,407.50
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.
$25,350.00
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.
$372.67 with BCBS - Anthem vs $42,470.00 with BCBS - Anthem — 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 | Medicaid|All Plans | $372.67 | ↓ -97% |
| COSC Psych | Medicaid|All Plans | $372.67 | ↓ -97% |
| Central California Alliance for Health | Medicaid|All Plans | $372.67 | ↓ -97% |
| Health Net | Medicaid|> 21 | $563.81 | ↓ -95% |
| Health Net | Medicaid|< 21 | $563.81 | ↓ -95% |
| Blue Shield CA | Commercial|Exchange | $1,944.00 | ↓ -83% |
| Blue Shield CA | Commercial|ACO Trio | $2,032.00 | ↓ -82% |
| Blue Shield CA | Commercial|All Other Plans | $2,484.00 | ↓ -78% |
| Aetna | Commercial|PPO | $16,477.50 | ↑ +44% |
| Kaiser | Commercial|All Plans | $16,477.50 | ↑ +44% |
| Aetna | Commercial|HMO | $16,731.00 | ↑ +47% |
| Western Growers | Commercial|All Plans | $17,238.00 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $20,280.00 | ↑ +78% |
| Multiplan | Commercial|All Plans | $21,547.50 | ↑ +89% |
| First Health | Commercial|All Plans | $21,547.50 | ↑ +89% |
| United | Commercial|All Other Plans | $22,815.00 | ↑ +100% |
| United | Commercial|Options PPO | $24,336.00 | ↑ +113% |
| United | Commercial|HMO | $24,336.00 | ↑ +113% |
| United | Commercial|Non-Options PPO | $25,350.00 | ↑ +122% |
| BCBS - Anthem | Commercial|All Other Plans | $30,401.00 | ↑ +167% |
| BCBS - Anthem | Commercial|MCS | $42,470.00 | ↑ +272% |
Visitor-reported prices
Comments
Transcath mv repair addl prosthesis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $2,951.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $2,951.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,388.40 | not published |
| Riverside Medical Center | RIVERSIDE | $1,388.40 | not published |
| Sacramento Medical Center | SACRAMENTO | $2,951.20 | not published |
| Oakland Medical Center | Oakland | $2,951.20 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $2,951.20 | not published |
| Arroyo Grande Hospital | Santa Maria | $24,789.76 | $372.67 – $56,761.60 |