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 |
|---|---|---|---|---|
| Extraction of lens CPT 66930 | not published | not published | $854.44 – $17,299.04 | 8 |
| Extraction of lens CPT 66940 | not published | not published | $854.44 – $9,807.54 | 8 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $854.44 – $9,807.54 | 8 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $766.00 – $942.18 | 4 |
| F-18 fdg pet diag HCPCS A9552 | $1,039.05 | $2,309.00 | $360.00 – $1,962.65 | 10 |
| F-18 fluciclovine per mci HCPCS A9588 | $11,194.20 | $24,876.00 | $368.77 – $21,144.60 | 11 |
| Face bone graft CPT 21210 | not published | not published | $854.44 – $25,438.42 | 8 |
| Facial bones <3 CPT 70140 | $531.00 | $1,180.00 | $37.27 – $1,321.53 | 14 |
| Factor ix CPT 85250 | $14.81 | $32.91 | $15.14 – $170.55 | 14 |
| Factor ix recombinant nos HCPCS J7195 | $5.40 | $12.00 | $1.50 – $8.00 | 13 |
| Factor viii CPT 85240 | $11.16 | $24.79 | $9.20 – $160.35 | 14 |
| Factor viii recombinant nos HCPCS J7192 | $8.10 | $18.00 | $1.33 – $15.30 | 13 |
| Fallopian tube recnl CPT 58345 | not published | not published | $4,368.23 – $13,672.56 | 5 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $11.70 | $26.00 | $7.54 – $23.66 | 8 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $3,600.00 | $8,000.00 | $28.90 – $6,800.00 | 14 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $484.05 – $763.01 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $6.30 | $14.00 | $5.10 – $45.74 | 14 |
| #fecal-sodium CPT 84302 | $172.35 | $383.00 | $4.32 – $325.55 | 14 |
| Feeding tube reposition CPT 74355 | $1,470.15 | $3,267.00 | $147.83 – $2,940.30 | 11 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $7.67 | $17.03 | $7.84 – $166.97 | 14 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $259.75 – $26,875.00 | 5 |
| Fem/popl revasc w/stent CPT 37226 | $8,836.20 | $19,636.00 | $441.18 – $48,766.53 | 12 |
| Feno poc CPT 95012 | $147.60 | $328.00 | $18.75 – $278.80 | 12 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $120.15 | $267.00 | $0.68 – $22.10 | 13 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,577.50 | $7,950.00 | $1.06 – $6,757.50 | 14 |
| Ferritin CPT 82728 | $119.25 | $265.00 | $13.63 – $225.25 | 14 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,600.00 | $8,000.00 | $0.33 – $6,800.00 | 13 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $626.40 | $1,392.00 | $146.10 – $1,778.76 | 12 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $875.25 | $1,945.00 | $72.68 – $1,653.25 | 13 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $215.13 – $26,875.00 | 9 |
| Fetal fibronectin CPT 82731 | $559.80 | $1,244.00 | $56.19 – $1,057.40 | 14 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $314.15 – $1,308.06 | 8 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $741.15 | $1,647.00 | $7.73 – $1,399.95 | 14 |
| Fetal hemoglobin rosette CPT 85461 | $55.80 | $124.00 | $5.98 – $105.40 | 14 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $106.83 – $26,875.00 | 5 |
| Fetal monitor w/report CPT 59050 | not published | not published | $116.29 – $175.94 | 4 |
| Fetal non stress test CPT 59025 | $611.10 | $1,358.00 | $32.70 – $865.07 | 14 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $82.13 – $26,875.00 | 9 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $284.26 – $1,308.06 | 8 |
| Fibrin degradation d dimer quantitative CPT 85379 | $313.20 | $696.00 | $10.18 – $591.60 | 14 |
| Fibrinogen activity CPT 85384 | $477.90 | $1,062.00 | $9.72 – $902.70 | 14 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $8.20 | $18.22 | $6.53 – $58.41 | 14 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,661.17 – $4,194.93 | 4 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,773.14 | $3,940.29 | $0.39 – $1,787.04 | 14 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,185.23 | $2,633.84 | $0.50 – $2,238.77 | 14 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $577.18 – $7,866.03 | 8 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $9,096.30 | $20,214.00 | $920.48 – $4,184.00 | 12 |
| Filter vena cava fem denali HCPCS C1880 | $3,182.40 | $7,072.00 | $707.96 – $3,218.00 | 12 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $811.80 | $1,804.00 | $259.49 – $3,025.55 | 12 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $594.45 | $1,321.00 | $145.57 – $1,188.90 | 10 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $272.70 | $606.00 | $45.05 – $545.40 | 10 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $594.45 | $1,321.00 | $51.75 – $1,188.90 | 10 |
| Fine needle asp without image guide 10021 CPT 10021 | $309.60 | $688.00 | $73.34 – $1,718.06 | 12 |
| Finger tendon transfer CPT 26497 | not published | not published | $484.05 – $13,952.41 | 8 |
| Finger tendon transfer CPT 26498 | not published | not published | $725.85 – $13,952.41 | 8 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,453.62 – $26,875.00 | 5 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $924.50 – $26,875.00 | 5 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $43.61 – $865.07 | 8 |
| Fixation of ankle joint CPT 27860 | not published | not published | $107.66 – $13,952.41 | 8 |
| Fixation of knee joint CPT 27570 | not published | not published | $89.29 – $6,882.06 | 8 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,033.02 – $30,719.32 | 8 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $679.82 – $4,031.69 | 8 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $520.10 – $13,952.41 | 8 |
| Flebogamma injection HCPCS J1572 | $6,148.80 | $13,664.00 | $35.07 – $3,423.80 | 14 |
| Flecainide (tambocor)-sendout CPT 80181 | $11.35 | $25.21 | $11.60 – $166.97 | 14 |
| Fl exam g/colon tube w contrast CPT 49465 | $323.10 | $718.00 | $141.10 – $1,039.44 | 12 |
| Flexible keel foot HCPCS L5972 | $854.10 | $1,898.00 | $299.98 – $1,460.00 | 13 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $62.80 – $3,920.51 | 8 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $387.06 – $30,719.32 | 8 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $387.06 – $30,719.32 | 8 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $111.50 – $6,967.32 | 8 |
| Flow cytometry marker each additional CPT 88185 | $48.60 | $108.00 | $6.50 – $198.37 | 12 |
| Flow cytometry one marker technical component CPT 88184 | $80.10 | $178.00 | $42.18 – $619.78 | 14 |
| Floxuridine injection HCPCS J9200 | $535.50 | $1,190.00 | $92.00 – $11,366.74 | 14 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $550.80 | $1,224.00 | $3.94 – $91.00 | 12 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $408.60 | $908.00 | $59.53 – $771.80 | 14 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $966.63 – $3,025.55 | 5 |
| Fluorescent antibody titer dna CPT 86256 | $112.50 | $250.00 | $5.52 – $107.87 | 14 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,346.40 | $2,992.00 | $56.88 – $2,692.80 | 11 |
| Fluoroguide needle placement CPT 77002 | $1,968.30 | $4,374.00 | $66.51 – $3,936.60 | 11 |
| Fluoroscopy up to 1 hour CPT 76000 | $983.25 | $2,185.00 | $40.11 – $3,759.33 | 14 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $111.15 | $247.00 | $1.79 – $53.55 | 13 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $582.12 | $1,293.60 | $13.29 – $1,099.56 | 13 |
| Fna bx w/ct gdn 1st les CPT 10009 | $811.80 | $1,804.00 | $428.52 – $3,025.55 | 12 |
| Fna bx w/ct gdn ea addl CPT 10010 | $594.45 | $1,321.00 | $256.89 – $1,188.90 | 10 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $966.63 – $3,025.55 | 5 |
| Folic acid CPT 82746 | $119.25 | $265.00 | $14.70 – $225.25 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $276.30 | $614.00 | $7.54 – $23.66 | 8 |
| Follow-up angiography CPT 75898 | $2,659.50 | $5,910.00 | $149.03 – $46,769.24 | 14 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $511.38 – $10,032.15 | 8 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $3,600.00 | $8,000.00 | $2.16 – $6,800.00 | 14 |
| Fondaparinux sodium HCPCS J1652 | $488.88 | $1,086.40 | $1.11 – $453.82 | 12 |
| Fo nontorsion joint cf HCPCS L3935 | $298.35 | $663.00 | $126.38 – $663.00 | 13 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $2,447.55 | $5,439.00 | $803.64 – $5,439.00 | 13 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,882.80 | $4,184.00 | $737.17 – $4,184.00 | 13 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $896.50 – $15,742.84 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $334.14 – $1,045.86 | 5 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,445.62 | $3,212.48 | $0.12 – $2,730.61 | 13 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $293.62 | $652.48 | $4.18 – $39.17 | 12 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $769.00 – $14,831.19 | 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.