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 |
|---|---|---|---|---|
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,953.72 | $4,341.60 | $240.76 – $3,690.36 | 13 |
| Icatibant injection HCPCS J1744 | $15,049.09 | $33,442.42 | $107.00 – $28,426.06 | 13 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $61,531.20 | $136,736.00 | $7,515.86 – $34,163.00 | 12 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $61,531.20 | $136,736.00 | $9,771.74 – $44,417.00 | 12 |
| Icd crtp serena MRI HCPCS C2621 | $38,207.25 | $84,905.00 | $4,447.08 – $18,596.88 | 10 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $9,096.30 | $20,214.00 | $2,630.54 – $11,957.00 | 12 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $755.33 – $929.06 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $199.08 – $13,945.78 | 8 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $141.41 – $6,967.32 | 8 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $522.92 – $13,952.41 | 8 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $141.83 – $11,792.78 | 8 |
| I&d lacrimal gland CPT 68400 | not published | not published | $209.34 – $4,164.90 | 8 |
| I&d lacrimal sac CPT 68420 | not published | not published | $229.42 – $10,032.15 | 8 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $186.27 – $12,307.35 | 8 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $604.80 | $1,344.00 | $24.62 – $474.30 | 13 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $42.75 | $95.00 | $32.50 – $551.59 | 12 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $42.75 | $95.00 | $32.50 – $607.38 | 14 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $701.50 – $26,875.00 | 5 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,286.49 – $3,604.30 | 4 |
| Iliac/fem angio cath insert HCPCS G0278 | $217.80 | $484.00 | $147.66 – $435.60 | 8 |
| Iliac revasc add-on 37222 CPT 37222 | $4,376.70 | $9,726.00 | $160.46 – $8,661.60 | 10 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $991.16 – $26,875.00 | 5 |
| Immob elbow child sm HCPCS L3762 | $228.60 | $508.00 | $47.00 – $100.00 | 13 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $132.30 | $294.00 | $105.75 – $225.00 | 13 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $45.00 | $100.00 | $28.20 – $60.00 | 13 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $598.11 – $28,043.45 | 8 |
| Immune complex assay CPT 86332 | $58.22 | $129.36 | $24.37 – $218.21 | 14 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $3,600.00 | $8,000.00 | $43.14 – $882.85 | 14 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $3,600.00 | $8,000.00 | $37.95 – $6,800.00 | 14 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $4.95 | $11.00 | $5.06 – $186.39 | 14 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $3.15 | $7.00 | $3.22 – $186.39 | 14 |
| Immunofixation electrophoresis serum CPT 86334 | $6.75 | $15.00 | $3.91 – $200.03 | 14 |
| Immunoglobulin assay CPT 86023 | $11.40 | $25.33 | $11.66 – $111.59 | 14 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,611.91 – $26,875.00 | 5 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,078.31 – $26,875.00 | 5 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,332.50 – $26,875.00 | 5 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,137.69 – $26,875.00 | 5 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $55,937.70 | $124,306.00 | $1,196.58 – $5,439.00 | 12 |
| Implant cochlear device CPT 69930 | not published | not published | $1,293.62 – $136,779.40 | 8 |
| Implant eye drug system CPT 67027 | not published | not published | $675.01 – $66,071.58 | 8 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $88.44 – $1,715.96 | 8 |
| Implant nerve end CPT 64787 | not published | not published | $264.45 – $416.87 | 4 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $303.76 – $26,875.00 | 5 |
| Implant neuroelectrode CPT 61863 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $916.39 – $26,875.00 | 5 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $891.19 – $92,214.78 | 8 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $163.20 – $53,624.60 | 8 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $9,016.51 – $28,221.68 | 5 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $675.35 – $28,221.68 | 8 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $434.49 – $131,041.99 | 8 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,192.80 – $26,875.00 | 5 |
| Implant spinal canal cath CPT 62351 | not published | not published | $442.60 – $30,719.32 | 8 |
| Implant spine infusion pump CPT 62361 | not published | not published | $229.85 – $76,001.94 | 8 |
| Implant spine infusion pump CPT 62362 | not published | not published | $300.76 – $76,001.94 | 8 |
| Implant tcat pulm vlv perq CPT 33477 | $2,069.10 | $4,598.00 | $1,116.16 – $4,138.20 | 10 |
| Implant ureter in bowel CPT 50800 | not published | not published | $939.89 – $26,875.00 | 5 |
| Implant ureth bulk agent HCPCS L8606 | $2,447.55 | $5,439.00 | $146.09 – $1,898.00 | 13 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $500.71 – $28,221.68 | 8 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $173.49 – $262.47 | 4 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $299.48 – $27,538.68 | 8 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $503.77 – $55,329.67 | 8 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $43.19 – $26,875.00 | 5 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,946.38 – $17,299.04 | 8 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $4,455.52 – $13,945.78 | 5 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $4,455.52 – $13,945.78 | 5 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $4,455.52 – $13,945.78 | 5 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $4,455.52 – $13,945.78 | 5 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $8,127.29 – $25,438.42 | 5 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $8,127.29 – $25,438.42 | 5 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $319.04 – $26,875.00 | 6 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $8,127.29 – $25,438.42 | 5 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $4,455.52 – $13,945.78 | 5 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $4,455.52 – $13,945.78 | 5 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $4,455.52 – $13,945.78 | 5 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $2,035.07 – $6,369.77 | 5 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $4,605.30 | $10,234.00 | $233.29 – $8,698.90 | 13 |
| In-111 pentetreotide HCPCS A9572 | $4,340.25 | $9,645.00 | $2,630.41 – $11,250.09 | 11 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $501.13 – $789.95 | 4 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $415.69 – $30,719.32 | 8 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $622.04 – $13,952.41 | 8 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,202.62 – $1,895.76 | 4 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,114.20 – $1,756.37 | 4 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,186.40 – $1,870.17 | 4 |
| Incis addl spine segment CPT 22216 | not published | not published | $352.04 – $554.93 | 4 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $860.42 – $26,875.00 | 5 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $241.81 – $8,397.26 | 8 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $145.68 – $4,164.90 | 8 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $251.30 – $13,952.41 | 8 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $197.37 – $6,882.06 | 8 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $290.51 – $26,875.00 | 9 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $484.05 – $26,875.00 | 9 |
| Incise inner ear CPT 69801 | not published | not published | $198.23 – $6,369.77 | 8 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,512.36 – $13,945.78 | 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.