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 |
|---|---|---|---|---|
| Lengthening of thigh tendon CPT 27393 | not published | not published | $290.51 – $30,719.32 | 8 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $387.06 – $30,719.32 | 8 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $580.60 – $13,952.41 | 8 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,034.31 – $1,630.43 | 4 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $967.23 – $30,719.32 | 8 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $667.74 – $55,329.67 | 8 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $842.05 – $30,719.32 | 8 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $172.80 | $384.00 | $3.40 – $77.35 | 13 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $8,986.50 | $19,970.00 | $176.75 – $6,800.00 | 14 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,600.00 | $8,000.00 | $878.64 – $8,000.00 | 14 |
| Leuprolide acetate injeciton HCPCS J9218 | $3,207.60 | $7,128.00 | $14.70 – $6,058.80 | 12 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $197.10 | $438.00 | $0.05 – $21.25 | 13 |
| Levetiracetam therapeutic drug level CPT 80177 | $3.60 | $8.00 | $3.68 – $118.61 | 14 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $213.77 | $475.04 | $1.40 – $51.00 | 12 |
| Liberta rc ipg HCPCS C1820 | $38,207.25 | $84,905.00 | $9,771.74 – $44,417.00 | 12 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $54.40 | $120.88 | $7.54 – $23.66 | 8 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $29.81 | $66.24 | $16.24 – $50.96 | 8 |
| Lidocaine therapeutic drug level CPT 80176 | $44.55 | $99.00 | $14.69 – $131.56 | 14 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $43,236.00 | $96,080.00 | $57,648.00 – $86,472.00 | 7 |
| Ligate esophagus veins CPT 43400 | not published | not published | $959.11 – $26,875.00 | 5 |
| Ligate leg veins open CPT 37761 | not published | not published | $478.78 – $13,534.81 | 8 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $484.05 – $13,534.81 | 8 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $71.16 – $107.66 | 4 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,147.52 – $26,875.00 | 5 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $457.13 – $13,534.81 | 8 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $388.77 – $13,534.81 | 8 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,086.57 – $13,672.56 | 8 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $173.45 – $6,967.32 | 8 |
| Ligation common iliac vein CPT 37660 | not published | not published | $683.55 – $26,875.00 | 5 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $232.41 – $13,534.81 | 8 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $427.22 – $26,875.00 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $427.22 – $26,875.00 | 9 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $303.32 – $26,875.00 | 9 |
| Ligation major artery chest CPT 37616 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $4,324.22 – $26,875.00 | 6 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $484.05 – $13,534.81 | 8 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $886.91 – $26,875.00 | 5 |
| Ligation of femoral vein CPT 37650 | not published | not published | $598.11 – $13,534.81 | 8 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,327.62 – $23,245.51 | 8 |
| Ligation of neck artery CPT 37606 | not published | not published | $427.22 – $26,875.00 | 9 |
| Ligation of salivary duct CPT 42665 | not published | not published | $223.01 – $13,945.78 | 8 |
| Ligation of shunt CPT 49428 | not published | not published | $122.61 – $26,875.00 | 5 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $739.52 – $13,534.81 | 8 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $216.17 – $13,534.81 | 8 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $312.72 – $13,534.81 | 8 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $513.09 – $13,534.81 | 8 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $239.67 – $377.81 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $207.90 | $462.00 | $3.47 – $392.70 | 13 |
| Lipase CPT 83690 | $429.30 | $954.00 | $3.66 – $61.72 | 14 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $448.59 – $13,945.78 | 8 |
| Lipoprotein direct measurement hdl CPT 83718 | $278.10 | $618.00 | $8.19 – $77.00 | 14 |
| Lip surgery procedure CPT 40799 | not published | not published | $319.04 – $26,875.00 | 6 |
| Lithium therapeutic drug level CPT 80178 | $273.15 | $607.00 | $6.61 – $206.55 | 14 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $11,387.25 | $25,305.00 | $16,448.25 – $22,774.50 | 6 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $632.72 – $26,875.00 | 5 |
| Liver Function Test CPT 80076 | $667.80 | $1,484.00 | $8.17 – $113.90 | 14 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $602.82 – $26,875.00 | 5 |
| Liver imaging CPT 78201 | $1,294.20 | $2,876.00 | $111.73 – $7,994.90 | 14 |
| Liver imag w/vasclr flow CPT 78202 | $1,294.20 | $2,876.00 | $172.33 – $7,994.90 | 14 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $2,015.55 | $4,479.00 | $163.23 – $6,158.70 | 14 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $338.78 – $13,952.41 | 8 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $2.74 | $6.07 | $0.63 – $5.16 | 12 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $432.00 | $960.00 | $0.76 – $22.10 | 13 |
| Low back disk surgery CPT 63030 | not published | not published | $1,281.67 – $30,719.32 | 8 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $5,529.60 | $12,288.00 | $233.92 – $10,444.80 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $4,388.85 | $9,753.00 | $146.10 – $8,290.05 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,835.35 | $8,523.00 | $447.95 – $7,244.55 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,835.35 | $8,523.00 | $380.88 – $7,244.55 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,506.50 | $5,570.00 | $266.80 – $4,734.50 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $684.45 | $1,521.00 | $43.45 – $1,778.76 | 14 |
| Lower jaw bone graft CPT 21215 | not published | not published | $854.44 – $25,438.42 | 8 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $710.90 – $44,770.14 | 8 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $800.08 – $44,770.14 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $698.74 – $44,770.14 | 8 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $865.95 – $44,770.14 | 8 |
| Lumbar diskogram s&i CPT 72295 | $2,360.70 | $5,246.00 | $125.48 – $28,687.56 | 14 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,710.49 – $79,080.55 | 8 |
| Lung function test (mbc/mvv) CPT 94200 | $98.10 | $218.00 | $18.82 – $255.44 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $232.20 | $516.00 | $28.23 – $672.79 | 12 |
| Lung perfusion imaging CPT 78580 | $2,175.30 | $4,834.00 | $161.37 – $6,158.70 | 14 |
| Lung transplant double CPT 32853 | not published | not published | $3,064.04 – $26,875.00 | 5 |
| Lung transplant single CPT 32851 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,665.01 – $26,875.00 | 5 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,236.63 – $26,875.00 | 5 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,010.42 – $26,875.00 | 5 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $10,314.00 | $22,920.00 | $205.04 – $19,482.00 | 14 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.39 – $105.32 | 8 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $3,534.30 | $7,854.00 | $271.89 – $7,994.90 | 14 |
| Lymph vessel x-ray trunk CPT 75807 | $6,503.40 | $14,452.00 | $198.64 – $46,769.24 | 14 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $64.51 – $2,189.87 | 8 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $108.30 – $13,672.56 | 8 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $188.38 – $8,808.98 | 8 |
| Magnesium CPT 83735 | $391.50 | $870.00 | $4.20 – $60.06 | 14 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $43.13 | $95.83 | $0.76 – $22.10 | 13 |
| Male sling procedure CPT 53440 | not published | not published | $854.44 – $55,869.78 | 8 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,678.56 – $26,875.00 | 5 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $229.34 – $6,882.06 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $298.21 – $6,882.06 | 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.