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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 1) CPT 99211 | $653.40 | $1,452.00 | $21.37 – $430.76 | 12 |
| Established Patient Office Visit (level 2) CPT 99212 | $871.65 | $1,937.00 | $32.25 – $221.00 | 12 |
| Established Patient Office Visit (level 3) CPT 99213 | $1,089.45 | $2,421.00 | $42.76 – $221.00 | 12 |
| Established Patient Office Visit (level 4) CPT 99214 | $1,290.15 | $2,867.00 | $66.81 – $221.00 | 12 |
| Established Patient Office Visit (level 5) CPT 99215 | $2,083.05 | $4,629.00 | $101.90 – $224.28 | 12 |
| Estradiol total CPT 82670 | $12.60 | $28.00 | $4.14 – $250.17 | 14 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $20.76 | $46.12 | $11.76 – $39.21 | 13 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,293.84 | $2,875.20 | $110.04 – $2,563.16 | 13 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $628.88 – $13,945.78 | 8 |
| Ethylene glycol -sendout CPT 82693 | $39.60 | $88.00 | $14.90 – $133.49 | 14 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $736.20 | $1,636.00 | $0.73 – $76.50 | 13 |
| Etoposide 50 mg cap HCPCS J8560 | $255.15 | $567.00 | $72.13 – $481.95 | 12 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $436.09 – $13,672.56 | 8 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $163.35 | $363.00 | $98.11 – $878.50 | 12 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $444.15 – $26,875.00 | 5 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $188.38 – $26,875.00 | 5 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $6,189.75 | $13,755.00 | $1,044.30 – $12,379.50 | 10 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $5,950.80 | $13,224.00 | $1,030.15 – $11,901.60 | 10 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,864.35 | $4,143.00 | $1,538.34 – $3,728.70 | 10 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $5,950.80 | $13,224.00 | $1,919.21 – $11,901.60 | 10 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $5,950.80 | $13,224.00 | $371.93 – $11,901.60 | 10 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $5,950.80 | $13,224.00 | $1,154.87 – $11,901.60 | 10 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $3,969.00 | $8,820.00 | $1,921.07 – $7,938.00 | 10 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $5,950.80 | $13,224.00 | $959.79 – $11,901.60 | 10 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,864.35 | $4,143.00 | $1,542.44 – $3,728.70 | 10 |
| Event monitor CPT 93270 | $511.65 | $1,137.00 | $42.77 – $966.45 | 12 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $322.20 | $716.00 | $25.68 – $637.24 | 10 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $109.04 – $1,308.06 | 8 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $107.57 – $13,672.56 | 8 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $387.06 – $12,307.35 | 8 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $572.23 – $12,307.35 | 8 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $415.69 – $12,307.35 | 8 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $579.43 – $12,307.35 | 8 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $543.19 – $12,307.35 | 8 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $384.07 – $12,307.35 | 8 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $387.06 – $6,967.32 | 8 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $876.23 – $25,438.42 | 8 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,356.85 – $25,438.42 | 8 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $425.94 – $6,967.32 | 8 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $609.08 – $12,307.35 | 8 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $348.87 – $13,672.56 | 8 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $140.98 – $6,967.32 | 8 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $319.56 – $12,307.35 | 8 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $116.21 – $6,967.32 | 8 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $66.65 – $3,025.55 | 8 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $73.91 – $3,025.55 | 8 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $91.85 – $3,025.55 | 8 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $113.64 – $6,967.32 | 8 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $76.90 – $3,025.55 | 8 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $99.55 – $6,967.32 | 8 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $275.55 – $12,307.35 | 8 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $75.19 – $1,718.06 | 8 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $93.13 – $3,025.55 | 8 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $391.76 – $16,466.59 | 8 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $822.40 – $26,875.00 | 5 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $1,053.88 – $21,227.63 | 8 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $956.49 – $26,875.00 | 5 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $1,053.88 – $26,875.00 | 9 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $1,021.96 – $12,307.35 | 8 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $659.20 – $15,742.84 | 8 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $290.51 – $12,307.35 | 8 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $4,457.64 – $13,952.41 | 5 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $387.06 – $13,952.41 | 8 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $604.95 – $30,719.32 | 8 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $604.95 – $30,719.32 | 8 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $484.05 – $13,952.41 | 8 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $484.05 – $30,719.32 | 8 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $272.15 – $30,719.32 | 8 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $459.69 – $13,952.41 | 8 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| Exc excessive skin hip CPT 15834 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| Exc excessive skin leg CPT 15833 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $145.25 – $12,307.35 | 8 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $475.50 – $6,967.32 | 8 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $496.43 – $12,307.35 | 8 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $193.53 – $3,025.55 | 8 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $264.88 – $6,967.32 | 8 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $371.56 – $12,307.35 | 8 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $346.48 – $6,967.32 | 8 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $402.87 – $6,967.32 | 8 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $197.10 – $6,967.32 | 8 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $439.31 – $12,307.35 | 8 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $204.21 – $6,967.32 | 8 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $451.97 – $6,967.32 | 8 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $329.38 – $6,967.32 | 8 |
| Exchange biliary drg cath CPT 47536 | $3,980.70 | $8,846.00 | $752.05 – $15,175.59 | 12 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $149.96 – $1,879.94 | 8 |
| Exchange drainage catheter CPT 49423 | $2,728.80 | $6,064.00 | $78.61 – $8,157.41 | 12 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $580.60 – $9,807.54 | 8 |
| Exchange nephrostomy cath CPT 50435 | $2,623.50 | $5,830.00 | $434.47 – $8,808.98 | 12 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $129.88 – $12,307.35 | 8 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $199.94 – $12,307.35 | 8 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $155.51 – $12,307.35 | 8 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $503.27 – $12,307.35 | 8 |
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.