Transcath mv repair init prosthesis at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$22,815.00
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.
$50,700.00
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.
$1,594.56 with BCBS - Anthem vs $50,700.00 with United — 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 | $1,594.56 | ↓ -93% |
| COSC Psych | Medicaid|All Plans | $1,594.56 | ↓ -93% |
| Central California Alliance for Health | Medicaid|All Plans | $1,594.56 | ↓ -93% |
| Blue Shield CA | Commercial|Exchange | $1,944.00 | ↓ -91% |
| Blue Shield CA | Commercial|ACO Trio | $2,032.00 | ↓ -91% |
| Health Net | Medicaid|> 21 | $2,412.41 | ↓ -89% |
| Health Net | Medicaid|< 21 | $2,412.41 | ↓ -89% |
| Blue Shield CA | Commercial|All Other Plans | $2,484.00 | ↓ -89% |
| Aetna | Commercial|HMO | $26,875.00 | ↑ +18% |
| Aetna | Commercial|PPO | $27,232.00 | ↑ +19% |
| BCBS - Anthem | Commercial|All Other Plans | $30,401.00 | ↑ +33% |
| Kaiser | Commercial|All Plans | $32,955.00 | ↑ +44% |
| Western Growers | Commercial|All Plans | $35,490.00 | ↑ +56% |
| Healthsmart | Commercial|All Plans | $40,560.00 | ↑ +78% |
| BCBS - Anthem | Commercial|MCS | $42,470.00 | ↑ +86% |
| Multiplan | Commercial|All Plans | $43,095.00 | ↑ +89% |
| First Health | Commercial|All Plans | $43,095.00 | ↑ +89% |
| United | Commercial|All Other Plans | $45,630.00 | ↑ +100% |
| United | Commercial|HMO | $48,672.00 | ↑ +113% |
| United | Commercial|Options PPO | $48,672.00 | ↑ +113% |
| United | Commercial|Non-Options PPO | $50,700.00 | ↑ +122% |
Visitor-reported prices
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Transcath mv repair init prosthesis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $48,155.48 | $2,412.41 – $85,756.32 |
| Arroyo Grande Hospital | Santa Maria | $49,408.75 | $1,594.56 – $113,132.18 |
| French Hospital | San Luis Obispo | $45,252.88 | $1,594.56 – $113,132.18 |
| Bakersfield Memorial Hospital | Bakersfield | $5,757.50 | $1,594.56 – $15,531.12 |
| St. Joseph's Medical Center Stockton | Stockton | $4,460.28 | $1,594.56 – $12,743.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $17,730.15 | $691.00 – $12,568.00 |
| Mercy Medical Center Merced | Merced | $8,125.67 | $1,594.56 – $15,620.22 |
| St Jude Medical Center | Fullerton | $13,385.28 | $1,293.00 – $18,454.00 |