Vein bypass grft fem-popliteal 35583 at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
not published by hospital
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.
not published by hospital
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.
$1,287.22 with BCBS - Anthem vs $27,232.00 with Aetna — 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 | $1,287.22 | — |
| Health Net | Medicaid|< 21 | $1,583.28 | — |
| Health Net | Medicaid|> 21 | $1,583.28 | — |
| COSC Psych | Medicaid|All Plans | $2,029.10 | — |
| Central California Alliance for Health | Medicaid|All Plans | $2,029.10 | — |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $11,746.00 | — |
| BCBS - Anthem | Commercial|MCS | $16,409.00 | — |
| Aetna | Commercial|HMO | $26,875.00 | — |
| Aetna | Commercial|PPO | $27,232.00 | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Other Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
| United | Commercial|HMO | not published by hospital | — |
| United | Commercial|Options PPO | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Western Growers | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Vein bypass grft fem-popliteal 35583 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| REEDLEY COMMUNITY HOSPITAL | Reedley | $867.54 | $42.00 – $2,649.27 |
| HANFORD COMMUNITY HOSPITAL | Selma | $867.54 | $731.00 – $2,649.27 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $684.90 | $731.00 – $2,702.19 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $3,013.56 | $80.00 – $2,147.78 |
| WILLITS HOSPITAL INC | Willits | $1,369.80 | $731.00 – $2,911.68 |
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi | $319.62 | $224.50 – $2,649.27 |
| SONORA COMMUNITY HOSPITAL | Sonora | $776.22 | $224.50 – $2,911.68 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi | $1,232.82 | $731.00 – $2,702.19 |