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 |
|---|---|---|---|---|
| Injection into brain canal CPT 61055 | not published | not published | $162.34 – $1,269.37 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $83.73 – $26,875.00 | 9 |
| Injection into spinal artery CPT 62294 | not published | not published | $707.91 – $3,828.40 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $150.81 – $1,669.79 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $99.11 – $26,875.00 | 5 |
| Injection, isavuconazonium HCPCS J1833 | $1,030.32 | $2,289.60 | $1.27 – $1,946.16 | 13 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $157.22 – $247.84 | 4 |
| Injection jugular CPT 36299 | $1,525.95 | $3,391.00 | $1,152.94 – $3,051.90 | 8 |
| Injection of sinus tract CPT 20500 | $1,821.60 | $4,048.00 | $121.76 – $6,369.77 | 12 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,600.00 | $8,000.00 | $6.14 – $4,414.56 | 14 |
| Injection, peramivir HCPCS J2547 | $1,368.00 | $3,040.00 | $2.31 – $2,584.00 | 14 |
| Injection px peyronie ds CPT 54200 | not published | not published | $66.65 – $26,875.00 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $575.10 | $1,278.00 | $434.52 – $1,727.95 | 10 |
| Injection, renflexis HCPCS Q5104 | $3,254.66 | $7,232.56 | $27.85 – $6,147.68 | 14 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,109.25 | $2,465.00 | $838.10 – $2,977.98 | 10 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $56.39 – $26,875.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $987.30 | $2,194.00 | $56.39 – $2,977.98 | 12 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,021.50 | $2,270.00 | $164.49 – $3,828.40 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $91.42 – $112.45 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $184.56 – $3,828.40 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $83.73 – $102.99 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,143.90 | $2,542.00 | $165.76 – $3,828.40 | 12 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $223.38 – $2,977.98 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $987.30 | $2,194.00 | $220.03 – $2,977.98 | 12 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $473.85 | $1,053.00 | $52.54 – $1,269.37 | 12 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $52.49 – $1,269.37 | 8 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $56.22 – $1,269.37 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $190.80 | $424.00 | $24.43 – $360.40 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $174.15 | $387.00 | $166.41 – $387.00 | 10 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $190.80 | $424.00 | $57.17 – $906.01 | 14 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $150.75 | $335.00 | $21.52 – $306.05 | 14 |
| Injection treatment of eye CPT 66020 | not published | not published | $96.98 – $9,807.54 | 8 |
| Injection treatment of eye CPT 66030 | not published | not published | $65.79 – $9,807.54 | 8 |
| Injection treatment of nerve CPT 64605 | not published | not published | $182.42 – $8,397.26 | 8 |
| Injection treatment of nerve CPT 64610 | not published | not published | $235.40 – $8,397.26 | 8 |
| Injection treatment of nerve CPT 64681 | not published | not published | $454.03 – $3,828.40 | 8 |
| Injection treatment of nose CPT 30200 | not published | not published | $36.32 – $26,875.00 | 9 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $337.07 – $531.36 | 4 |
| Inject/treat eye socket CPT 67500 | not published | not published | $171.31 – $26,875.00 | 9 |
| Inject/treat eye socket CPT 67505 | not published | not published | $138.43 – $1,285.46 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $131.16 – $1,285.46 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $21,293.55 | $47,319.00 | $13,722.51 – $43,060.29 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $147.80 – $2,977.98 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,045.35 | $2,323.00 | $138.50 – $3,828.40 | 12 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $41.49 | $92.19 | $26.74 – $83.90 | 8 |
| Inj for ext venography CPT 36005 | $322.65 | $717.00 | $329.82 – $514.00 | 10 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $222.16 – $350.19 | 4 |
| Inj fosnetupitant, palonoset HCPCS J1454 | $2,887.20 | $6,416.00 | $632.88 – $5,453.60 | 14 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,735.10 | $6,078.00 | $106.95 – $5,470.20 | 10 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $2,953.80 | $6,564.00 | $53.82 – $5,907.60 | 10 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $3,336.75 | $7,415.00 | $54.66 – $6,673.50 | 10 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $656.55 | $1,459.00 | $41.35 – $1,313.10 | 10 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,886.85 | $4,193.00 | $177.51 – $3,773.70 | 10 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $1,155.60 | $2,568.00 | $2.50 – $2,182.80 | 14 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $154.23 – $3,828.40 | 8 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $24.35 – $854.46 | 8 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $35.03 – $854.46 | 8 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | $157.95 | $351.00 | $0.02 – $298.35 | 13 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $55.37 | $123.04 | $7.54 – $23.66 | 8 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $59.23 | $131.62 | $2.30 – $55.49 | 13 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $6,329.70 | $14,066.00 | $243.63 – $11,956.10 | 14 |
| Inj. mycophenolate mofetil HCPCS J7519 | $466.65 | $1,037.00 | $300.73 – $943.67 | 8 |
| Inj naloxone hydrochloride HCPCS J2310 | $175.50 | $390.00 | $7.73 – $331.50 | 11 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $818.10 | $1,818.00 | $147.06 – $2,870.24 | 12 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $820.80 | $1,824.00 | $528.96 – $1,659.84 | 8 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,543.56 – $7,866.03 | 8 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,480.64 – $7,866.03 | 8 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $55,730.60 | $123,845.76 | $35,915.28 – $112,699.65 | 8 |
| Inj ogivri 10 mg HCPCS Q5114 | $3,600.00 | $8,000.00 | $46.82 – $6,800.00 | 14 |
| Inj, olaratumab, 10 mg HCPCS J9285 | $3,600.00 | $8,000.00 | $51.04 – $6,800.00 | 13 |
| Inj, pedmark, 100 mg HCPCS J0208 | $385.20 | $856.00 | $248.24 – $778.96 | 8 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $5,299.47 | $11,776.60 | $29.17 – $10,010.11 | 14 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | $3,600.00 | $8,000.00 | $2,320.00 – $7,280.00 | 8 |
| Inj peritoneal venous shunt CPT 49427 | $265.50 | $590.00 | $46.99 – $531.00 | 10 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $183.71 – $289.59 | 4 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $234.54 – $369.73 | 4 |
| Inj proc for lymphang CPT 38790 | $1,687.50 | $3,750.00 | $519.07 – $3,375.00 | 10 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $146.54 – $231.00 | 4 |
| Inj proc myelogram lumbar CPT 62284 | $1,508.40 | $3,352.00 | $101.68 – $3,016.80 | 10 |
| Inj proc sialogram CPT 42550 | not published | not published | $250.78 – $395.32 | 4 |
| Inj progesterone per 50 mg HCPCS J2675 | $129.24 | $287.20 | $1.47 – $244.12 | 13 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,099.01 | $2,442.24 | $442.66 – $1,389.03 | 8 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $1,905.99 | $4,235.52 | $1.04 – $22.10 | 14 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $315.72 – $26,875.00 | 5 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $95.70 – $1,718.06 | 8 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $77.33 – $1,718.06 | 8 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $548.90 – $1,718.06 | 5 |
| Inj testosterone cypionate HCPCS J1071 | $501.84 | $1,115.20 | $0.02 – $194.69 | 13 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $3,600.00 | $8,000.00 | $2,320.00 – $7,280.00 | 8 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $3,600.00 | $8,000.00 | $1,236.10 – $3,878.79 | 8 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $829.80 | $1,844.00 | $53.07 – $166.53 | 8 |
| Inj w/fluor eval cv device CPT 36598 | $338.85 | $753.00 | $126.88 – $906.01 | 12 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $1,935.32 – $26,875.00 | 5 |
| Ins cath ren art 1st bi CPT 36252 | $4,558.05 | $10,129.00 | $296.72 – $13,534.81 | 12 |
| Ins cath ren art 1st uni CPT 36251 | $4,011.30 | $8,914.00 | $227.85 – $13,534.81 | 12 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $341.03 – $13,534.81 | 8 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,515.20 | $12,256.00 | $316.46 – $23,245.51 | 12 |
| Ins cerv dilator (sep proc) CPT 59200 | $222.75 | $495.00 | $297.00 – $1,308.06 | 10 |
| Ins device for right guide open CPT 49412 | not published | not published | $67.39 – $26,875.00 | 5 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $677.58 – $1,068.10 | 4 |
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.