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 |
|---|---|---|---|---|
| Mayo muramidase CPT 85549 | $6.54 | $14.52 | $6.68 – $167.93 | 14 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $9.00 | $20.00 | $9.20 – $161.59 | 14 |
| Mayo myoglobin CPT 83874 | $5.56 | $12.35 | $5.01 – $115.72 | 14 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $6.75 | $15.00 | $6.90 – $189.97 | 14 |
| Mayo oxalate 24 hour urine CPT 83945 | $8.14 | $18.08 | $8.32 – $129.36 | 14 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $5.63 | $12.49 | $5.75 – $134.59 | 14 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $56.25 | $125.00 | $5.52 – $107.87 | 14 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $20.25 | $45.00 | $20.70 – $314.23 | 14 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $18.00 | $40.00 | $15.98 – $161.04 | 14 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $6.49 | $14.41 | $6.63 – $123.16 | 14 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $12.60 | $28.00 | $8.44 – $75.63 | 14 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $3.31 | $7.35 | $3.39 – $148.51 | 14 |
| Mayo psaft prostate specific antigen free CPT 84154 | $2.25 | $5.00 | $2.30 – $164.62 | 14 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $34.51 | $76.67 | $17.60 – $164.76 | 14 |
| Mayo receptor assay transferrin soluble CPT 84238 | $7.20 | $16.00 | $7.36 – $327.46 | 14 |
| Mayo renin CPT 84244 | $5.40 | $12.00 | $5.52 – $196.86 | 14 |
| Mayo repu protein electrophoresis urine CPT 84166 | $7.50 | $16.66 | $4.54 – $159.66 | 14 |
| Mayo selenium CPT 84255 | $5.85 | $13.00 | $5.81 – $228.54 | 14 |
| Mayo serotonin CPT 84260 | $13.95 | $31.00 | $13.25 – $277.45 | 14 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $5.74 | $12.75 | $5.75 – $173.30 | 14 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $13.50 | $30.00 | $11.99 – $122.88 | 14 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $14.16 | $31.46 | $14.48 – $28.32 | 7 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $3.19 | $7.07 | $2.07 – $38.30 | 14 |
| Mayo tgrp testosterone free CPT 84402 | $2.70 | $6.00 | $1.38 – $228.13 | 14 |
| Mayo tgrp testosterone total CPT 84403 | $5.85 | $13.00 | $1.38 – $231.16 | 14 |
| Mayo thyroglobulin CPT 84432 | $27.00 | $60.00 | $16.06 – $143.82 | 14 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $5.40 | $12.00 | $5.52 – $91.20 | 14 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $4.50 | $9.99 | $4.60 – $110.90 | 14 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $14.85 | $33.00 | $15.18 – $181.29 | 14 |
| Mayo vitamin b3 (niacin) CPT 84591 | $44.10 | $98.00 | $12.63 – $152.78 | 14 |
| Mayo vitamin k CPT 84597 | $13.50 | $30.00 | $13.72 – $122.88 | 14 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $9.00 | $20.00 | $9.20 – $118.61 | 14 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $679.08 – $26,875.00 | 5 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $331.35 – $13,952.41 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $406.55 – $13,952.41 | 8 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $435.96 – $6,882.06 | 8 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,393.89 – $15,742.84 | 8 |
| Measure kidney pressure CPT 50396 | not published | not published | $52.54 – $2,870.24 | 8 |
| Measurement post void urine by ultrasound CPT 51798 | $112.95 | $251.00 | $59.20 – $255.44 | 12 |
| Measure ureter pressure CPT 50686 | not published | not published | $121.33 – $672.79 | 8 |
| Medial canthopexy CPT 21280 | not published | not published | $449.44 – $13,945.78 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $346.61 – $25,088.80 | 8 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $266.19 – $25,088.80 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $568.70 | $1,263.76 | $0.38 – $930.65 | 13 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $131,891.85 | $293,093.00 | $79,081.20 – $293,093.00 | 12 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $970.50 – $30,719.32 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $19.62 | $43.60 | $1.14 – $28.90 | 13 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $4,150.02 | $9,222.25 | $29.58 – $7,838.92 | 14 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $290.25 | $645.00 | $0.64 – $118.73 | 12 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $168.73 – $255.27 | 4 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $11,826.00 | $26,280.00 | $14.14 – $9,194.00 | 13 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $220.50 | $490.00 | $1.36 – $202.30 | 13 |
| Metabolic Blood Panel (Basic) CPT 80048 | $644.85 | $1,433.00 | $8.46 – $109.65 | 14 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $541.35 | $1,203.00 | $10.56 – $368.05 | 14 |
| Metabolic panel ionized ca CPT 80047 | $569.70 | $1,266.00 | $8.17 – $1,076.10 | 14 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $583.20 | $1,296.00 | $0.54 – $374.00 | 12 |
| Methadone injection HCPCS J1230 | $805.68 | $1,790.40 | $1.01 – $108.06 | 13 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $285.48 | $634.40 | $8.62 – $539.24 | 13 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $14.85 | $33.00 | $0.30 – $28.05 | 12 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $157.05 | $349.00 | $2.50 – $53.55 | 13 |
| Methyldopate hcl injection HCPCS J0210 | $45.00 | $100.00 | $20.41 – $120.84 | 13 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,717.46 | $6,038.80 | $0.51 – $1,543.09 | 13 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $117.16 | $260.35 | $6.72 – $221.30 | 13 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $664.64 | $1,476.96 | $0.76 – $1,255.42 | 12 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $8.10 | $18.00 | $0.21 – $15.30 | 12 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $85.19 | $189.31 | $31.63 – $99.25 | 8 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $113.69 | $252.64 | $15.66 – $49.14 | 8 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $12.10 | $26.88 | $1.16 – $22.10 | 13 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $11.70 | $26.00 | $7.54 – $23.66 | 8 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $55.35 | $123.00 | $35.67 – $111.93 | 8 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $815.17 | $1,811.48 | $0.28 – $762.96 | 13 |
| Microbe susceptible mlc CPT 87187 | $21.34 | $47.41 | $16.18 – $359.69 | 14 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $210.62 – $332.01 | 4 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $172.80 | $384.00 | $0.13 – $22.10 | 13 |
| Middle cerebral artery echo CPT 76821 | $430.20 | $956.00 | $82.17 – $1,778.76 | 14 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $65.70 | $146.00 | $1.50 – $66.26 | 12 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $3,600.00 | $8,000.00 | $25.60 – $5,157.80 | 14 |
| Mitomycin instillation HCPCS J9281 | $28,857.60 | $64,128.00 | $313.00 – $54,508.80 | 14 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $1,387.35 | $3,083.00 | $27.36 – $2,620.55 | 14 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,221.55 – $26,875.00 | 5 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $677.58 – $55,329.67 | 8 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $72.60 – $109.84 | 4 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $125.47 – $189.83 | 4 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $120.63 – $182.50 | 4 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $110.66 – $6,882.06 | 8 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $301.94 – $6,882.06 | 8 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $276.25 – $6,369.77 | 8 |
| Mnt subs tx for change dx HCPCS G0270 | $66.60 | $148.00 | $34.54 – $125.80 | 9 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $115.35 – $26,875.00 | 5 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,165.67 – $26,875.00 | 5 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $460.91 – $26,875.00 | 5 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $11,826.00 | $26,280.00 | $3,420.56 – $15,548.00 | 12 |
| Mopath procedure level 7 CPT 81406 | $236.25 | $525.00 | $282.88 – $2,532.99 | 14 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $104.85 | $232.98 | $1.27 – $23.84 | 13 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $2,225.45 | $4,945.44 | $9.82 – $53.72 | 13 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $126.00 | $280.00 | $178.99 – $2,584.38 | 14 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $50.40 | $112.00 | $53.30 – $703.40 | 14 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $99.00 | $220.00 | $35.75 – $725.17 | 14 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $272.15 – $13,945.78 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $126.00 | $280.00 | $178.99 – $3,117.37 | 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.