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 |
|---|---|---|---|---|
| Ghs opcc repair cvp without subq port CPT 36575 | $1,409.85 | $3,133.00 | $52.37 – $2,663.05 | 12 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,614.15 | $3,587.00 | $131.83 – $6,680.08 | 12 |
| Ghs pacing - transcutaneous CPT 92953 | $353.70 | $786.00 | $23.41 – $2,460.18 | 12 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $92.71 – $114.03 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $85.02 – $104.57 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $83.73 – $998.60 | 8 |
| Ghs picc line insert < 5 CPT 36568 | $2,501.10 | $5,558.00 | $78.67 – $6,680.08 | 12 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $155.51 – $1,031.52 | 8 |
| Ghs ppd (tb intradermal) CPT 86580 | $36.90 | $82.00 | $4.82 – $96.02 | 14 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $5.29 | $11.75 | $5.41 – $86.51 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $181.80 | $404.00 | $262.60 – $343.40 | 6 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $64.51 – $26,875.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $170.46 – $1,715.96 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $342.63 – $6,882.06 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $373.39 – $13,952.41 | 8 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $291.60 | $648.00 | $4.19 – $550.80 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $369.00 | $820.00 | $6.07 – $66.95 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $117.06 – $1,718.06 | 8 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $179.00 – $1,718.06 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $158.07 – $1,718.06 | 8 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $373.82 – $1,718.06 | 8 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $106.38 – $854.46 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $96.55 – $854.46 | 8 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $129.45 – $854.46 | 8 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $272.99 – $854.46 | 8 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $272.99 – $854.46 | 8 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $69.63 – $1,269.37 | 8 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $41.01 – $554.29 | 8 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $305.55 | $679.00 | $15.53 – $1,923.00 | 13 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $488.70 | $1,086.00 | $158.83 – $1,923.00 | 13 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $196.52 – $2,632.27 | 8 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $144.40 – $1,718.06 | 8 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,379.15 | $5,287.00 | $122.19 – $6,369.77 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $146.96 – $26,875.00 | 9 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $171.86 – $1,031.52 | 8 |
| Ghs urine, porphyrins quant CPT 84120 | $10.80 | $24.00 | $11.04 – $131.70 | 14 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $780.72 – $13,672.56 | 8 |
| Ghs windowing of cast CPT 29730 | not published | not published | $32.46 – $678.52 | 8 |
| Gi inhouse confirmation CPT 87045 | $409.50 | $910.00 | $9.44 – $773.50 | 14 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $197.37 – $26,875.00 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,347.65 | $5,217.00 | $922.94 – $4,434.45 | 12 |
| Glaucoma surgery CPT 66150 | not published | not published | $580.60 – $17,299.04 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $580.60 – $17,299.04 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $580.60 – $9,807.54 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $774.13 – $9,807.54 | 8 |
| Glove finger flexion right lg xl HCPCS L3912 | $298.35 | $663.00 | $89.98 – $663.00 | 13 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $741.60 | $1,648.00 | $78.60 – $1,400.80 | 14 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $559.62 | $1,243.58 | $360.64 – $1,131.66 | 8 |
| Glucagon plasma - sendout CPT 82943 | $9.00 | $19.98 | $9.20 – $127.98 | 14 |
| Glucose 1 hr post dose CPT 82950 | $42.75 | $95.00 | $4.75 – $80.75 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $47.25 | $105.00 | $2.87 – $29.34 | 14 |
| Glucose blood quantitative CPT 82947 | $247.50 | $550.00 | $3.93 – $93.50 | 14 |
| Glucose body fluid CPT 82945 | $236.25 | $525.00 | $2.98 – $35.13 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $526.50 | $1,170.00 | $12.87 – $994.50 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $72.45 | $161.00 | $3.92 – $136.85 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $58.50 | $130.00 | $37.70 – $118.30 | 8 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $1,367.10 | $3,038.00 | $10.77 – $2,582.30 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $4.50 | $10.00 | $4.60 – $166.41 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $3.71 | $8.24 | $3.80 – $165.86 | 14 |
| Goniotomy CPT 65820 | not published | not published | $484.05 – $17,299.04 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $3,600.00 | $8,000.00 | $509.02 – $5,184.15 | 14 |
| Graft axiofill 1000mg HCPCS J3590 | $3,249.45 | $7,221.00 | $2,094.09 – $6,571.11 | 9 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $645.54 – $13,952.41 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $38,059.65 | $84,577.00 | $25.78 – $4,184.00 | 13 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $42,027.75 | $93,395.00 | $38.50 – $175.00 | 12 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $81,895.50 | $181,990.00 | $111.76 – $508.00 | 12 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $965.52 – $26,875.00 | 5 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $5,380.65 | $11,957.00 | $131.79 – $4,184.00 | 13 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $6,996.60 | $15,548.00 | $41.96 – $5,439.00 | 13 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $15,373.35 | $34,163.00 | $383.46 – $1,743.00 | 12 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $55,937.70 | $124,306.00 | $38.50 – $175.00 | 12 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $3,182.40 | $7,072.00 | $85.58 – $389.00 | 12 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,827.35 – $4,456.90 | 4 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $75.62 – $1,031.52 | 8 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $518.61 – $7,866.03 | 8 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $513.77 – $15,742.84 | 8 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $159.72 – $241.65 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $424.05 – $15,742.84 | 8 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,094.11 – $26,875.00 | 5 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $907.42 – $26,875.00 | 5 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,197.51 – $26,875.00 | 5 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,167.60 – $26,875.00 | 5 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,162.58 – $26,875.00 | 5 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $555.39 – $26,875.00 | 9 |
| G-tube reposition CPT 43761 | $1,273.05 | $2,829.00 | $91.00 – $2,404.65 | 12 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,123.10 | $4,718.00 | $119.07 – $29,252.78 | 14 |
| Guided cath fluid drainage 10030 CPT 10030 | $380.25 | $845.00 | $152.94 – $2,644.85 | 12 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,882.80 | $4,184.00 | $5.50 – $25.00 | 12 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $657.00 | $1,460.00 | $49.50 – $225.00 | 12 |
| Gum graft CPT 41870 | not published | not published | $2,035.07 – $6,369.77 | 5 |
| Gw stiffened micro access kit HCPCS C1894 | $9,096.30 | $20,214.00 | $5.50 – $25.00 | 12 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $457.56 – $16,466.59 | 8 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $840.98 – $26,875.00 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $548.90 – $1,718.06 | 5 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $548.90 – $1,718.06 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $171.08 | $380.16 | $0.94 – $48.90 | 13 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $580.60 – $13,952.41 | 8 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $354.60 – $30,719.32 | 8 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $387.06 – $13,952.41 | 8 |
| Haptoglobin quantitative CPT 83010 | $3.60 | $8.00 | $3.68 – $112.69 | 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.