Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$505.80
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.
$1,123.98
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.
$33.34 with BCBS - Anthem vs $955.39 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 | $33.34 | ↓ -93% |
| BCBS - Anthem | Commercial|MCS | $46.58 | ↓ -91% |
| Blue Shield CA | Commercial|DHMF | $107.75 | ↓ -79% |
| Central California Alliance for Health | Medicaid|All Plans | $137.93 | ↓ -73% |
| COSC Psych | Medicaid|All Plans | $137.93 | ↓ -73% |
| Blue Shield CA | Commercial|All Other Plans | $179.14 | ↓ -65% |
| Blue Shield CA | Commercial|ACO Trio | $179.14 | ↓ -65% |
| Blue Shield CA | Commercial|Exchange | $179.14 | ↓ -65% |
| Health Net | Medicaid|< 21 | $208.67 | ↓ -59% |
| Health Net | Medicaid|> 21 | $208.67 | ↓ -59% |
| United | Commercial|HMO | $220.23 | ↓ -56% |
| United | Commercial|Options PPO | $220.23 | ↓ -56% |
| United | Commercial|Non-Options PPO | $220.23 | ↓ -56% |
| United | Commercial|All Other Plans | $220.23 | ↓ -56% |
| Health Net | Commercial|Community Care | $236.04 | ↓ -53% |
| Health Net | Commercial|Care Product | $286.62 | ↓ -43% |
| Health Net | Commercial|Blue Gold | $290.84 | ↓ -42% |
| Health Net | Medicare|All Plans | $292.24 | ↓ -42% |
| Kaiser | Medicare|All Plans | $292.24 | ↓ -42% |
| United | Medicare|All Plans | $292.24 | ↓ -42% |
| Blue Shield CA | Medicare|All Plans | $292.24 | ↓ -42% |
| Health Net | Commercial|All Other Plans | $320.34 | ↓ -37% |
| Cigna | Commercial|LocalPlus | $373.72 | ↓ -26% |
| Cigna | Commercial|All Other Plans | $397.52 | ↓ -21% |
| Kaiser | Commercial|All Plans | $730.59 | ↑ +44% |
| Western Growers | Commercial|All Plans | $764.31 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $899.19 | ↑ +78% |
| Sutter Health | Commercial|All Plans | $914.70 | ↑ +81% |
| Multiplan | Commercial|All Plans | $955.39 | ↑ +89% |
| First Health | Commercial|All Plans | $955.39 | ↑ +89% |
Visitor-reported prices
Comments
Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $196.32 | $24.72 – $405.12 |
| Petaluma Valley Hospital | Petaluma | $383.88 | $22.68 – $286.96 |
| Mark Twain Medical Center | San Andreas | $382.08 | $148.42 – $562.22 |
| French Hospital | San Luis Obispo | $550.76 | $130.38 – $1,376.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $207.76 | $59.11 – $205.60 |
| Bakersfield Memorial Hospital | Bakersfield | $205.52 | $36.95 – $203.03 |
| Queen of The Valley Medical Center | Napa | $383.88 | $24.56 – $286.96 |
| Providence St Joseph Hospital Eureka | Eureka | $383.88 | $29.29 – $286.96 |