Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $25.21 – $554.29 | 8 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $67.93 – $834.83 | 8 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $88.44 – $834.83 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $278.55 | $619.00 | $402.35 – $761.37 | 10 |
| Dialysis one evaluation CPT 90945 | $1,326.15 | $2,947.00 | $82.81 – $1,831.11 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $47.81 | $106.24 | $6.47 – $90.31 | 13 |
| Dicyclomine injection HCPCS J0500 | $363.14 | $806.96 | $17.32 – $685.92 | 13 |
| Diffusing capacity CPT 94729 | $796.95 | $1,771.00 | $55.31 – $1,593.90 | 10 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $567.65 | $1,261.44 | $3.42 – $25.13 | 13 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $5,364.90 | $11,922.00 | $1,235.88 – $21,365.79 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $485.55 | $1,079.00 | $13.28 – $201.45 | 14 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $1,006.65 | $2,237.00 | $54.26 – $636.48 | 13 |
| Dilate biliary duct/ampulla CPT 47542 | $3,503.25 | $7,785.00 | $469.47 – $7,006.50 | 10 |
| Dilate esophagus CPT 43453 | not published | not published | $115.35 – $8,157.41 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $53.41 – $4,031.69 | 8 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $156.79 – $26,875.00 | 9 |
| Dilate urethra stricture CPT 53600 | not published | not published | $99.97 – $1,045.86 | 8 |
| Dilate urethra stricture CPT 53601 | not published | not published | $94.42 – $554.29 | 8 |
| Dilate urethra stricture CPT 53605 | not published | not published | $33.75 – $14,831.19 | 8 |
| Dilate urethra stricture CPT 53621 | not published | not published | $140.12 – $1,045.86 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $85.87 – $672.79 | 8 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $173.02 – $5,070.26 | 8 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.54 – $13,672.56 | 8 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $121.33 – $5,070.26 | 8 |
| Dilation of salivary duct CPT 42660 | not published | not published | $44.86 – $2,189.87 | 8 |
| Dilation of urethra CPT 53661 | not published | not published | $87.15 – $26,875.00 | 9 |
| Dilation of urethra CPT 53665 | not published | not published | $20.08 – $8,808.98 | 8 |
| Dilation of vagina CPT 57400 | not published | not published | $86.49 – $13,672.56 | 8 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $34.61 – $6,369.77 | 8 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $145.68 – $2,870.24 | 8 |
| Dilator fascial 10fx20cm HCPCS C2627 | $504.45 | $1,121.00 | $49.50 – $225.00 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,600.90 | $8,002.00 | $131.42 – $14,831.19 | 12 |
| Dilat xst trc new access rcs CPT 50437 | $3,971.25 | $8,825.00 | $218.91 – $14,831.19 | 12 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $65.70 | $146.00 | $9.05 – $28.40 | 8 |
| Dimecaprol injection HCPCS J0470 | $355.94 | $790.96 | $47.79 – $672.32 | 13 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $11.88 | $26.40 | $0.60 – $22.10 | 13 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $310.91 | $690.90 | $24.72 – $587.27 | 12 |
| Disability dlco CPT 94727 | $526.50 | $1,170.00 | $37.62 – $994.50 | 12 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $387.06 – $7,866.03 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,379.50 – $26,875.00 | 5 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $223.87 – $26,875.00 | 5 |
| Discography cerv/thor spine CPT 72285 | $2,360.70 | $5,246.00 | $144.11 – $28,687.56 | 14 |
| Dissolve clot heart vessel CPT 92975 | $3,461.40 | $7,692.00 | $386.47 – $6,922.80 | 11 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $786.88 – $23,245.51 | 8 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $677.58 – $25,438.42 | 8 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $634.03 – $959.23 | 4 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,864.35 | $4,143.00 | $247.21 – $3,728.70 | 10 |
| Dna antibody native/double stranded CPT 86225 | $4.50 | $10.00 | $4.60 – $123.02 | 14 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $112.95 | $251.00 | $5.51 – $62.19 | 13 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $3,475.35 | $7,723.00 | $0.61 – $569.50 | 13 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $45.00 | $100.00 | $0.56 – $22.10 | 13 |
| Doppler echo complete CPT 93320 | $1,027.80 | $2,284.00 | $87.87 – $2,032.76 | 10 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $937.35 | $2,083.00 | $278.63 – $1,874.70 | 10 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $981.00 | $2,180.00 | $111.72 – $2,281.03 | 13 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $637.65 | $1,417.00 | $59.79 – $1,842.26 | 13 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $144.00 | $320.00 | $2.93 – $80.99 | 13 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $4,215.60 | $9,368.00 | $141.04 – $6,800.00 | 14 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $104.37 | $231.92 | $48.70 – $152.79 | 8 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $56.83 – $26,875.00 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $67.50 – $3,025.55 | 8 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $131.74 – $6,967.32 | 8 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $64.94 – $3,025.55 | 8 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $107.66 – $12,307.35 | 8 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $306.89 – $12,307.35 | 8 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $66.65 – $998.60 | 8 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $130.73 – $6,967.32 | 8 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $387.06 – $12,307.35 | 8 |
| Drainage of eye CPT 65800 | not published | not published | $90.15 – $9,807.54 | 8 |
| Drainage of eye CPT 65810 | not published | not published | $387.06 – $9,807.54 | 8 |
| Drainage of eye CPT 65815 | not published | not published | $261.46 – $9,807.54 | 8 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $470.37 – $6,882.06 | 8 |
| Drainage of kidney lesion CPT 50390 | $1,439.55 | $3,199.00 | $81.18 – $3,025.55 | 12 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $61.94 – $998.60 | 8 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $254.20 – $6,369.77 | 8 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $240.96 – $6,369.77 | 8 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $251.20 – $13,945.78 | 8 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $263.17 – $2,189.87 | 8 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $153.80 – $2,189.87 | 8 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $281.97 – $25,438.42 | 8 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $290.51 – $13,945.78 | 8 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $352.04 – $6,369.77 | 8 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $71.34 – $998.60 | 8 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $75.62 – $2,189.87 | 8 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $343.91 – $6,882.06 | 8 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $774.98 – $13,952.41 | 8 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $387.06 – $14,831.19 | 8 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $387.06 – $14,831.19 | 8 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $598.11 – $14,831.19 | 8 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $145.25 – $5,070.26 | 8 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $232.41 – $11,792.78 | 8 |
| Drainage of salivary gland CPT 42305 | not published | not published | $470.37 – $13,945.78 | 8 |
| Drainage of salivary gland CPT 42320 | not published | not published | $101.68 – $2,189.87 | 8 |
| Drainage of throat abscess CPT 42725 | not published | not published | $702.78 – $25,438.42 | 8 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $310.59 – $14,831.19 | 8 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $170.04 – $8,808.98 | 8 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $289.66 – $2,870.24 | 8 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $815.99 – $26,875.00 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.