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 |
|---|---|---|---|---|
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $24,626.70 | $54,726.00 | $30.59 – $7,072.00 | 13 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $3,182.40 | $7,072.00 | $151.60 – $7,072.00 | 13 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $5,380.65 | $11,957.00 | $87.49 – $11,957.00 | 13 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $3,182.40 | $7,072.00 | $223.73 – $7,072.00 | 13 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $16.65 | $37.00 | $4.46 – $31.45 | 14 |
| Alpha-fetoprotein tumor marker CPT 82105 | $3.60 | $8.00 | $3.68 – $150.16 | 14 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $9,512.83 | $21,139.62 | $61.23 – $593.92 | 14 |
| Alt/sgpt CPT 84460 | $288.45 | $641.00 | $5.30 – $47.53 | 14 |
| Aluminum - quest CPT 82108 | $5.43 | $12.06 | $5.55 – $228.13 | 14 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $220.01 – $13,945.78 | 8 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $34.56 | $76.80 | $0.89 – $65.28 | 13 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $31.05 | $69.00 | $20.01 – $62.79 | 8 |
| Aminolevulinic acid delta CPT 82135 | $19.85 | $44.11 | $16.45 – $147.27 | 14 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $12.24 | $27.20 | $3.71 – $31.49 | 12 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $187.20 | $416.00 | $91.35 – $286.65 | 8 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $40.50 | $90.00 | $0.64 – $23.66 | 12 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $4,032.00 | $8,960.00 | $2,598.40 – $8,153.60 | 8 |
| Ammonia CPT 82140 | $437.85 | $973.00 | $14.57 – $215.05 | 14 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $65.71 – $3,744.33 | 8 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $111.88 – $1,308.06 | 8 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $356.73 – $13,952.41 | 8 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $164.16 | $364.80 | $15.74 – $310.08 | 13 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $706.50 | $1,570.00 | $23.31 – $1,334.50 | 14 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $216.00 | $480.00 | $0.99 – $22.10 | 13 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $62.00 | $137.76 | $2.71 – $62.90 | 12 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $290.51 – $13,952.41 | 8 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $810.87 – $26,875.00 | 5 |
| Amputate hand at wrist CPT 25922 | not published | not published | $314.43 – $6,882.06 | 8 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $390.05 – $13,952.41 | 8 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $701.50 – $26,875.00 | 5 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $299.90 – $13,952.41 | 8 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $421.24 – $13,952.41 | 8 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $442.17 – $30,719.32 | 8 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $306.32 – $7,866.03 | 8 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $484.05 – $26,875.00 | 9 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $302.90 – $13,952.41 | 8 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $669.89 – $13,952.41 | 8 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $580.60 – $26,875.00 | 5 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $712.61 – $26,875.00 | 5 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $580.60 – $30,719.32 | 8 |
| Amputation of lower leg CPT 27882 | not published | not published | $507.96 – $26,875.00 | 5 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $484.05 – $763.01 | 4 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $484.05 – $13,952.41 | 8 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $232.41 – $13,952.41 | 8 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $261.89 – $13,952.41 | 8 |
| Amylase CPT 82150 | $364.50 | $810.00 | $4.34 – $58.00 | 14 |
| Anal pressure record CPT 91122 | $580.95 | $1,291.00 | $69.28 – $1,339.08 | 13 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $83.31 – $672.79 | 8 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $72.63 – $1,045.86 | 8 |
| Analysis gene f2 20210g>a variant CPT 81240 | $18.00 | $40.00 | $26.00 – $588.24 | 12 |
| Analysis gene f5 leiden variant CPT 81241 | $15.75 | $35.00 | $22.75 – $656.98 | 12 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $967.66 – $26,875.00 | 5 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $1,064.63 – $26,875.00 | 5 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,110.78 – $26,875.00 | 5 |
| Anca screen with reflex to titer -quest CPT 86021 | $28.29 | $62.86 | $15.05 – $134.73 | 14 |
| An cholangiogram percutaneous compl CPT 47531 | $4,426.65 | $9,837.00 | $341.03 – $15,175.59 | 12 |
| An fluoro guide for cvp CPT 77001 | $1,525.95 | $3,391.00 | $63.56 – $3,051.90 | 11 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $1,080.90 | $2,402.00 | $665.67 – $2,161.80 | 10 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $4,123.80 | $9,164.00 | $389.43 – $24,517.57 | 12 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $5,470.65 | $12,157.00 | $353.31 – $24,517.57 | 12 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $5,478.75 | $12,175.00 | $171.63 – $10,258.20 | 10 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $5,128.65 | $11,397.00 | $2.32 – $7.28 | 9 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $5,129.10 | $11,398.00 | $475.43 – $35,675.74 | 12 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,803.40 | $8,452.00 | $789.65 – $3,718.80 | 10 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $8,452.35 | $18,783.00 | $1,960.53 – $24,517.57 | 12 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,479.30 | $9,954.00 | $577.07 – $8,958.60 | 10 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $8,959.50 | $19,910.00 | $1,351.82 – $24,517.57 | 12 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $622.89 – $13,952.41 | 8 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $650.23 – $30,719.32 | 8 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $484.05 – $13,952.41 | 8 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $409.71 – $13,952.41 | 8 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $430.64 – $13,952.41 | 8 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $477.21 – $13,952.41 | 8 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $738.27 – $30,719.32 | 8 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $45.26 – $1,289.65 | 8 |
| Anora (draw only) CPT 99001 | $153.45 | $341.00 | $7.96 – $15.30 | 7 |
| Anorectal myomectomy CPT 45108 | not published | not published | $393.90 – $11,792.78 | 8 |
| Anoscopy CPT 46611 | not published | not published | $87.58 – $3,920.51 | 8 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $156.36 – $11,792.78 | 8 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $33.32 – $5,070.26 | 8 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $45.28 – $5,070.26 | 8 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $137.14 – $5,070.26 | 8 |
| Anoscopy remove fb 46608 CPT 46608 | not published | not published | $123.90 – $3,920.51 | 8 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $104.24 – $11,792.78 | 8 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $175.16 – $11,792.78 | 8 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $617.80 – $21,227.63 | 8 |
| Antibody elution rbc reference CPT 86860 | $45.15 | $100.33 | $28.44 – $314.04 | 14 |
| Antibody htlv/hiv confirm test CPT 86689 | $31.46 | $69.90 | $19.35 – $173.30 | 14 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $65.00 | $144.43 | $13.80 – $164.49 | 14 |
| Antibody id rbc panel CPT 86870 | $453.15 | $1,007.00 | $23.70 – $455.51 | 14 |
| Antibody screen rbc CPT 86850 | $228.15 | $507.00 | $3.73 – $229.77 | 14 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $24.30 | $54.00 | $1.12 – $12.75 | 13 |
| Anti-inhibitor HCPCS J7198 | $5,962.50 | $13,250.00 | $2.08 – $12.36 | 13 |
| Anti mog serum - sendout CPT 86362 | $65.25 | $145.00 | $66.70 – $130.50 | 7 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $7.58 | $16.84 | $4.83 – $9.45 | 7 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $410.56 – $647.19 | 4 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $542.15 – $854.62 | 4 |
| Antinuclear antibodies CPT 86038 | $1.80 | $4.00 | $1.84 – $108.28 | 14 |
| Antinuclear antibodies titer CPT 86039 | $8.47 | $18.82 | $4.60 – $99.88 | 14 |
| Antistreptolysin o titer CPT 86060 | $4.05 | $9.00 | $4.14 – $65.44 | 14 |
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.