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 |
|---|---|---|---|---|
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,125.00 – $3,349.74 | 4 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $701.50 – $1,105.81 | 4 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,121.58 – $3,344.36 | 4 |
| Free omental flap microvasc CPT 49906 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,287.22 – $26,875.00 | 5 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,135.68 – $3,366.58 | 4 |
| Frenectomy 41115 CPT 41115 | not published | not published | $2,035.07 – $6,369.77 | 5 |
| Frenotomy 40806 CPT 40806 | not published | not published | $699.64 – $2,189.87 | 5 |
| Frenulotomy of penis CPT 54164 | not published | not published | $155.25 – $8,808.98 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $219.15 | $487.00 | $77.93 – $413.95 | 12 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $219.15 | $487.00 | $67.03 – $413.95 | 12 |
| Fresh frozen plasma thawing ea un CPT 86927 | $265.05 | $589.00 | $141.29 – $736.86 | 12 |
| Frozen blood thaw CPT 86931 | $149.85 | $333.00 | $216.45 – $793.22 | 12 |
| Fructosamine glycated protein CPT 82985 | $4.24 | $9.42 | $4.34 – $150.02 | 14 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $213.61 – $336.73 | 4 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $88.00 – $138.74 | 4 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $484.05 – $7,866.03 | 8 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $338.36 – $7,866.03 | 8 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $128.17 – $202.04 | 4 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $387.06 – $7,866.03 | 8 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $50.40 | $112.00 | $7.54 – $23.66 | 8 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,463.24 – $26,875.00 | 5 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,025.33 – $26,875.00 | 5 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,161.19 – $26,875.00 | 5 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,015.51 – $26,875.00 | 5 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $774.13 – $26,875.00 | 5 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,083.01 – $26,875.00 | 5 |
| Fuse/graft added joint CPT 26863 | not published | not published | $145.25 – $228.97 | 4 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,151.79 – $26,875.00 | 3 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,330.79 – $26,875.00 | 5 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,300.44 – $26,875.00 | 5 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $919.38 – $26,875.00 | 5 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $788.22 – $26,875.00 | 5 |
| Fuse upper gi structures CPT 47721 | not published | not published | $885.63 – $26,875.00 | 5 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $405.01 – $13,952.41 | 8 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $484.05 – $30,719.32 | 8 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $822.40 – $55,329.67 | 8 |
| Fusion of big toe joint CPT 28750 | not published | not published | $343.49 – $30,719.32 | 8 |
| Fusion of big toe joint CPT 28755 | not published | not published | $235.83 – $30,719.32 | 8 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,110.78 – $26,875.00 | 5 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $106.81 – $168.37 | 4 |
| Fusion of finger joint CPT 26860 | not published | not published | $304.61 – $13,952.41 | 8 |
| Fusion of finger tendons CPT 26471 | not published | not published | $338.78 – $13,952.41 | 8 |
| Fusion of finger tendons CPT 26474 | not published | not published | $328.96 – $6,882.06 | 8 |
| Fusion of foot bones CPT 28730 | not published | not published | $532.32 – $55,329.67 | 8 |
| Fusion of foot bones CPT 28735 | not published | not published | $677.58 – $55,329.67 | 8 |
| Fusion of foot bones CPT 28740 | not published | not published | $435.33 – $30,719.32 | 8 |
| Fusion of hand joint CPT 26843 | not published | not published | $413.55 – $30,719.32 | 8 |
| Fusion of knee CPT 27580 | not published | not published | $967.66 – $1,525.37 | 4 |
| Fusion of knuckle CPT 26850 | not published | not published | $377.66 – $30,719.32 | 8 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $381.50 – $13,952.41 | 8 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $507.96 – $13,952.41 | 8 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $604.95 – $30,719.32 | 8 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $433.20 – $30,719.32 | 8 |
| Fusion of skull arteries CPT 61711 | not published | not published | $1,848.59 – $26,875.00 | 5 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,814.37 – $8,808.98 | 5 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $4,738.40 – $14,831.19 | 5 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $387.06 – $13,952.41 | 8 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $387.06 – $13,952.41 | 8 |
| Fusion of thumb CPT 26841 | not published | not published | $388.34 – $30,719.32 | 8 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $713.03 – $55,329.67 | 8 |
| Fusion of toes CPT 28280 | not published | not published | $236.25 – $13,952.41 | 8 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,281.67 – $26,875.00 | 5 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,024.48 – $26,875.00 | 5 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,064.63 – $26,875.00 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $454.32 | $1,009.60 | $1.58 – $474.58 | 12 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $534.88 – $25,088.80 | 8 |
| Gamma globulin 1 cc inj HCPCS J1460 | $803.88 | $1,786.40 | $19.65 – $1,518.44 | 14 |
| Gammaglobulin iga CPT 82784 | $8.87 | $19.71 | $2.76 – $83.34 | 14 |
| Gammaglobulin ige CPT 82785 | $2.70 | $6.00 | $2.76 – $147.40 | 14 |
| Gamma glutamyltransferase CPT 82977 | $313.20 | $696.00 | $7.20 – $64.47 | 14 |
| Gamunex-c/gammaked HCPCS J1561 | $3,600.00 | $8,000.00 | $39.49 – $3,943.73 | 14 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $365.66 | $812.56 | $47.42 – $690.68 | 12 |
| Gastric emptying imag study CPT 78265 | $486.90 | $1,082.00 | $349.80 – $6,158.70 | 14 |
| Gastric emptying imag study CPT 78266 | $646.20 | $1,436.00 | $392.54 – $7,994.90 | 14 |
| Gastroduodenostomy CPT 43810 | not published | not published | $631.86 – $26,875.00 | 5 |
| Gastroesophageal reflux study CPT 78262 | $1,557.00 | $3,460.00 | $155.12 – $6,158.70 | 14 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,855.43 – $26,875.00 | 5 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,149.78 – $26,875.00 | 5 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $663.47 – $26,875.00 | 5 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $813.86 – $26,875.00 | 5 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $387.06 – $26,875.00 | 9 |
| Gated heart multiple CPT 78473 | $2,461.05 | $5,469.00 | $359.78 – $6,158.70 | 14 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $556.20 | $1,236.00 | $2.98 – $87.36 | 13 |
| Generator barostim neo2 2014 HCPCS C1767 | $90,084.15 | $200,187.00 | $9,771.74 – $44,417.00 | 12 |
| Generator emblem MRI sicd subq HCPCS C1722 | $50,853.15 | $113,007.00 | $7,515.86 – $34,163.00 | 12 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $61,531.20 | $136,736.00 | $30,081.92 – $136,736.00 | 12 |
| Genioplasty augmentation CPT 21120 | not published | not published | $854.44 – $25,438.42 | 8 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $854.44 – $13,945.78 | 8 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $769.00 – $13,945.78 | 8 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $854.44 – $25,438.42 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $87.84 | $195.20 | $1.49 – $22.10 | 13 |
| Gentamicin peak therapeutic drug level CPT 80170 | $465.30 | $1,034.00 | $16.38 – $878.90 | 14 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,772.10 | $3,938.00 | $102.43 – $3,347.30 | 13 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $155.25 – $234.88 | 4 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $91.42 – $3,920.51 | 8 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,981.25 | $6,625.00 | $135.01 – $12,307.35 | 12 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $5.97 | $13.25 | $6.10 – $87.89 | 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.