Valvuloplasty aortic at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$7,543.35
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.
$16,763.00
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.
$1,108.37 with BCBS - Anthem vs $32,320.00 with Blue Shield CA — 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 | $1,108.37 | ↓ -85% |
| Health Net | Medicaid|> 21 | $1,363.30 | ↓ -82% |
| Health Net | Medicaid|< 21 | $1,363.30 | ↓ -82% |
| COSC Psych | Medicaid|All Plans | $1,757.17 | ↓ -77% |
| Central California Alliance for Health | Medicaid|All Plans | $1,757.17 | ↓ -77% |
| Health Net | Medicare|All Plans | $7,833.09 | ↑ +4% |
| Kaiser | Medicare|All Plans | $7,833.09 | ↑ +4% |
| United | Medicare|All Plans | $7,833.09 | ↑ +4% |
| Blue Shield CA | Medicare|All Plans | $7,833.09 | ↑ +4% |
| Blue Shield CA | Commercial|DHMF | $8,929.72 | ↑ +18% |
| Kaiser | Commercial|All Plans | $10,895.95 | ↑ +44% |
| Health Net | Commercial|Community Care | $10,984.00 | ↑ +46% |
| Western Growers | Commercial|All Plans | $11,734.10 | ↑ +56% |
| Health Net | Commercial|Care Product | $13,372.00 | ↑ +77% |
| Healthsmart | Commercial|All Plans | $13,410.40 | ↑ +78% |
| Health Net | Commercial|Blue Gold | $13,528.00 | ↑ +79% |
| First Health | Commercial|All Plans | $14,248.55 | ↑ +89% |
| Multiplan | Commercial|All Plans | $14,248.55 | ↑ +89% |
| Health Net | Commercial|All Other Plans | $14,857.00 | ↑ +97% |
| United | Commercial|All Other Plans | $15,086.70 | ↑ +100% |
| United | Commercial|Options PPO | $16,092.48 | ↑ +113% |
| United | Commercial|HMO | $16,092.48 | ↑ +113% |
| United | Commercial|Non-Options PPO | $16,763.00 | ↑ +122% |
| BCBS - Anthem | Commercial|All Other Plans | $17,826.00 | ↑ +136% |
| Aetna | Commercial|HMO | $23,174.00 | ↑ +207% |
| Aetna | Commercial|PPO | $23,352.00 | ↑ +210% |
| Sutter Health | Commercial|All Plans | $24,517.57 | ↑ +225% |
| BCBS - Anthem | Commercial|MCS | $24,903.00 | ↑ +230% |
| Blue Shield CA | Commercial|Exchange | $25,297.00 | ↑ +235% |
| Blue Shield CA | Commercial|ACO Trio | $26,440.00 | ↑ +251% |
| Blue Shield CA | Commercial|All Other Plans | $32,320.00 | ↑ +328% |
Visitor-reported prices
Comments
Valvuloplasty aortic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $14,980.00 | not published |
| St. John's Camarillo Hospital | Camarillo | $5,149.13 | $1,363.30 – $13,090.66 |
| Antioch Medical Center | ANTIOCH | $14,980.00 | not published |
| Redwood City Medical Center | Redwood City | $14,980.00 | not published |
| Santa Clara Medical Center | SANTA CLARA | $14,980.00 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $9,375.60 | not published |
| Riverside Medical Center | RIVERSIDE | $9,375.60 | not published |
| Fremont Medical Center | FREMONT | $14,980.00 | not published |