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 |
|---|---|---|---|---|
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $223.43 – $26,875.00 | 5 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $442.17 – $543.87 | 4 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $1,380.86 – $13,534.81 | 8 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $246.83 – $373.43 | 4 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $437.82 – $538.52 | 4 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $1,968.72 – $23,245.51 | 8 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $123.98 – $187.57 | 4 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $4,272.75 | $9,495.00 | $36.64 – $6,800.00 | 14 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $357.66 | $794.80 | $0.77 – $202.68 | 13 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $230.27 – $26,875.00 | 5 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $801.90 – $26,875.00 | 5 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $691.67 – $26,875.00 | 5 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $602.38 – $26,875.00 | 5 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $777.55 – $26,875.00 | 5 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $411.41 – $648.54 | 4 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $716.45 – $7,866.03 | 8 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $154.23 – $189.70 | 4 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $764.73 – $7,866.03 | 8 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $119.19 – $146.60 | 4 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $152.94 – $241.09 | 4 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $326.40 – $3,828.40 | 8 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $219.16 – $3,828.40 | 8 |
| Epiglottidectomy CPT 31420 | not published | not published | $774.13 – $25,438.42 | 8 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $59.36 | $131.90 | $38.26 – $120.03 | 8 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $1,248.86 | $2,775.24 | $25.06 – $78.63 | 8 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $412.69 – $13,952.41 | 8 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $394.76 – $13,952.41 | 8 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $28.35 | $63.00 | $1.32 – $53.55 | 13 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,006.70 | $11,126.00 | $32.58 – $13,672.56 | 12 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $115.46 | $256.56 | $1.07 – $218.08 | 13 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,905.99 | $4,235.52 | $10.39 – $90.01 | 14 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $144.00 | $320.00 | $16.14 – $272.00 | 12 |
| Epstein barr early antigen antibody CPT 86663 | $3.04 | $6.75 | $3.11 – $117.51 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $3.04 | $6.75 | $3.11 – $136.93 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $3.60 | $8.00 | $2.30 – $162.42 | 14 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $432.00 | $960.00 | $3.48 – $248.98 | 12 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,600.00 | $8,000.00 | $19.32 – $6,800.00 | 14 |
| Ercp biliary & pancreas CPT 74330 | $1,589.85 | $3,533.00 | $165.14 – $3,179.70 | 11 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $414.74 – $25,598.17 | 8 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $344.01 – $16,360.17 | 8 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $391.29 – $16,360.17 | 8 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $8,178.33 – $25,598.17 | 5 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $440.46 – $16,360.17 | 8 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $342.14 – $8,157.41 | 8 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $306.32 – $8,157.41 | 8 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $431.50 – $25,598.17 | 8 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $354.60 – $16,360.17 | 8 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,600.00 | $8,000.00 | $114.34 – $6,800.00 | 14 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $424.23 | $942.72 | $13.64 – $652.80 | 13 |
| ER Visit (level 1, minor) CPT 99281 | $540.00 | $1,200.00 | $21.77 – $1,020.00 | 14 |
| ER Visit (level 2) CPT 99282 | $945.00 | $2,100.00 | $34.97 – $1,785.00 | 14 |
| ER Visit (level 3) CPT 99283 | $1,441.80 | $3,204.00 | $63.97 – $2,723.40 | 14 |
| ER Visit (level 4) CPT 99284 | $2,791.80 | $6,204.00 | $98.04 – $5,273.40 | 14 |
| ER Visit (level 5, high severity) CPT 99285 | $4,498.20 | $9,996.00 | $155.03 – $8,496.60 | 14 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $51.97 | $115.47 | $6.34 – $187.99 | 13 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $2,020.50 | $4,490.00 | $20.30 – $63.70 | 8 |
| Esophageal dilat s&i CPT 74360 | $2,133.90 | $4,742.00 | $156.32 – $4,267.80 | 11 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $112.06 – $26,875.00 | 5 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $919.38 – $26,875.00 | 5 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $919.38 – $26,875.00 | 5 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $169.77 – $8,157.41 | 8 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $82.28 – $4,031.69 | 8 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $211.09 – $8,157.41 | 8 |
| Esophagoscop stent placement CPT 43212 | $7,106.40 | $15,792.00 | $165.30 – $25,598.17 | 12 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $228.14 – $8,157.41 | 8 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $205.06 – $8,157.41 | 8 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $197.80 – $8,157.41 | 8 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $208.06 – $8,157.41 | 8 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $193.53 – $4,031.69 | 8 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $69.25 – $4,031.69 | 8 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $256.33 – $8,157.41 | 8 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $179.08 – $16,360.17 | 8 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $227.28 – $8,157.41 | 8 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $234.18 – $8,157.41 | 8 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $156.74 – $16,360.17 | 8 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $110.57 – $8,157.41 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $485.85 – $25,438.42 | 8 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $163.20 – $8,157.41 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $265.31 – $8,157.41 | 8 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $170.89 – $8,157.41 | 8 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $156.37 – $8,157.41 | 8 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $131.42 – $8,157.41 | 8 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $140.36 – $8,157.41 | 8 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $203.35 – $8,157.41 | 8 |
| Esophagus motility study CPT 91010 | $1,506.60 | $3,348.00 | $79.31 – $2,845.80 | 12 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $255.91 – $8,157.41 | 8 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $205.06 – $8,157.41 | 8 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $682.05 – $26,875.00 | 5 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $988.46 – $26,875.00 | 5 |
| Esoph imped function test CPT 91037 | $398.70 | $886.00 | $134.22 – $1,339.08 | 13 |
| Esoph imped funct test > 1hr CPT 91038 | $712.80 | $1,584.00 | $113.84 – $2,281.68 | 13 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,606.20 – $8,157.41 | 5 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $320.42 – $8,157.41 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $240.31 – $8,157.41 | 8 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,042.06 – $26,875.00 | 5 |
| Essure 58565 CPT 58565 | not published | not published | $737.76 – $21,227.63 | 8 |
| Establish access to aorta CPT 36160 | not published | not published | $128.17 – $202.04 | 4 |
| Establish access to artery CPT 36100 | not published | not published | $213.61 – $336.73 | 4 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,110.78 – $26,875.00 | 5 |
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.