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 |
|---|---|---|---|---|
| Biopsy of wrist joint CPT 25100 | not published | not published | $241.81 – $13,952.41 | 8 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $169.60 – $16,466.59 | 8 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $241.81 – $16,466.59 | 8 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,691.55 | $3,759.00 | $81.18 – $6,967.32 | 12 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $67.07 – $6,369.77 | 8 |
| Biopsy skin incisional single lesion CPT 11106 | $264.60 | $588.00 | $108.71 – $1,840.44 | 12 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,519.55 | $5,599.00 | $85.44 – $6,967.32 | 12 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $221.72 – $12,307.35 | 8 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $77.76 – $2,189.87 | 8 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $140.27 – $13,672.56 | 8 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $54.25 – $2,189.87 | 8 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $414.40 – $30,719.32 | 8 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $332.38 – $13,952.41 | 8 |
| Biospy of bladder CPT 53899 | $188.55 | $419.00 | $142.46 – $1,045.86 | 10 |
| Bivalirudin HCPCS J0583 | $3,600.00 | $8,000.00 | $0.26 – $6,800.00 | 12 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $368.55 | $819.00 | $90.15 – $1,045.86 | 12 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $132.87 – $1,879.94 | 8 |
| Bld prd mix CPT 86965 | $159.75 | $355.00 | $119.60 – $575.92 | 12 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $40.59 – $1,879.94 | 8 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $329.85 | $733.00 | $26.02 – $500.50 | 13 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $512.67 – $7,866.03 | 8 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $387.06 – $7,866.03 | 8 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $387.06 – $7,866.03 | 8 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $597.26 – $7,866.03 | 8 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $11,826.00 | $26,280.00 | $85.58 – $389.00 | 12 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $11,826.00 | $26,280.00 | $49.50 – $225.00 | 12 |
| Bln dil 900ml preperitnl HCPCS C1727 | $854.10 | $1,898.00 | $29.70 – $135.00 | 12 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,380.65 | $11,957.00 | $1,196.58 – $5,439.00 | 12 |
| Bln press regulation 71-80cm HCPCS C1815 | $15,373.35 | $34,163.00 | $3,420.56 – $15,548.00 | 12 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,882.80 | $4,184.00 | $920.48 – $4,184.00 | 12 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $122.61 – $3,828.40 | 8 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $105.26 – $26,875.00 | 9 |
| Block paracervical nrv CPT 64435 | not published | not published | $83.73 – $2,977.98 | 8 |
| Block plantar digital nerve CPT 64455 | not published | not published | $22.63 – $1,269.37 | 8 |
| Blood Clotting (PT/INR) Test CPT 85610 | $187.65 | $417.00 | $3.07 – $38.44 | 14 |
| Blood Clotting (PTT) Test CPT 85730 | $253.80 | $564.00 | $3.08 – $53.86 | 14 |
| Blood Count (CBC) Test CPT 85025 | $287.10 | $638.00 | $7.77 – $96.90 | 14 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $235.35 | $523.00 | $6.47 – $89.25 | 14 |
| Blood Culture Test CPT 87040 | $540.90 | $1,202.00 | $10.32 – $266.05 | 14 |
| Blood draw capillary 36416 CPT 36416 | $33.30 | $74.00 | $3.22 – $27.83 | 8 |
| Blood gases ph venous CPT 82800 | $464.85 | $1,033.00 | $9.57 – $878.05 | 14 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $20.70 | $46.00 | $14.14 – $142.58 | 14 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $12.60 | $28.00 | $4.19 – $39.26 | 14 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $1.85 | $4.11 | $1.90 – $47.66 | 14 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $39.60 | $88.00 | $3.80 – $74.80 | 14 |
| Blood split unit HCPCS P9011 | $276.75 | $615.00 | $149.20 – $609.76 | 12 |
| Blood typing abo CPT 86900 | $125.10 | $278.00 | $3.41 – $113.87 | 14 |
| Blood typing ag donor ea ag CPT 86902 | $200.70 | $446.00 | $3.28 – $276.07 | 14 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $157.95 | $351.00 | $4.60 – $241.58 | 14 |
| Blood typing rh (d) CPT 86901 | $117.45 | $261.00 | $3.53 – $75.94 | 14 |
| Blood typing rh phenotype complete reference CPT 86906 | $33.75 | $75.00 | $7.47 – $168.77 | 14 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $145.25 – $12,307.35 | 8 |
| Bone imaging multiple areas CPT 78305 | $2,776.50 | $6,170.00 | $161.97 – $6,158.70 | 14 |
| Bone/joint imaging ltd area CPT 78300 | $2,173.05 | $4,829.00 | $116.06 – $6,158.70 | 14 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,300.95 | $2,891.00 | $210.62 – $6,967.32 | 12 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,237.85 | $4,973.00 | $224.72 – $6,967.32 | 12 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $253.77 – $7,049.20 | 8 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $150.04 – $20,147.09 | 8 |
| Bone marrow imaging mult CPT 78103 | $1,057.05 | $2,349.00 | $552.06 – $6,158.70 | 12 |
| Bone marrow interpretation CPT 85097 | $38.25 | $85.00 | $39.10 – $433.81 | 14 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,926.04 – $30,719.32 | 8 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,550.94 – $30,719.32 | 8 |
| Bone survey-lead poisoning CPT 77074 | $699.75 | $1,555.00 | $56.42 – $1,778.76 | 14 |
| Bone tendon board add on HCPCS C9356 | $9,096.30 | $20,214.00 | $157.67 – $9,950.00 | 12 |
| Bone void filler nanoss 10cc HCPCS C9362 | $2,447.55 | $5,439.00 | $40.70 – $3,218.00 | 13 |
| Boot j walker l HCPCS L4386 | $60.75 | $135.00 | $63.45 – $135.00 | 13 |
| Boot mlti podous univ xlg HCPCS L4396 | $78.75 | $175.00 | $82.25 – $175.00 | 13 |
| Boot softgait shrt m HCPCS L4387 | $45.00 | $100.00 | $47.00 – $100.00 | 13 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $504.45 | $1,121.00 | $227.88 – $1,121.00 | 13 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $22.50 | $50.00 | $11.50 – $152.50 | 14 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,600.00 | $8,000.00 | $3.23 – $6,800.00 | 13 |
| (both sides) smear without diff wbc count CPT 85008 | $15.75 | $35.00 | $0.75 – $35.00 | 14 |
| Bowel imaging CPT 78290 | $1,577.70 | $3,506.00 | $155.12 – $6,158.70 | 14 |
| Brace afo lg left 6607 HCPCS L1930 | $60.75 | $135.00 | $63.45 – $135.00 | 13 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $27.00 | $60.00 | $11.75 – $25.00 | 13 |
| Brace ank air stirrup univ HCPCS L4350 | $27.00 | $60.00 | $28.20 – $60.00 | 13 |
| Brace ankle joint dflxn assist HCPCS L2210 | $298.35 | $663.00 | $44.18 – $663.00 | 13 |
| Brace knee extender plus 22-30in HCPCS L1832 | $175.05 | $389.00 | $182.83 – $389.00 | 13 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $504.45 | $1,121.00 | $5.50 – $25.00 | 12 |
| Brace tlso flex cust HCPCS L0450 | $228.60 | $508.00 | $139.55 – $508.00 | 13 |
| Brace wrist classic lft sm HCPCS L3908 | $175.05 | $389.00 | $11.75 – $25.00 | 13 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,932.06 – $12,307.35 | 5 |
| Brach/thor cath 1st CPT 36215 | $1,701.00 | $3,780.00 | $206.77 – $3,402.00 | 10 |
| Brach/thor cath 2nd CPT 36216 | $1,701.00 | $3,780.00 | $251.20 – $3,402.00 | 10 |
| Brach/thor cath 3rd CPT 36217 | $1,701.00 | $3,780.00 | $301.61 – $3,402.00 | 10 |
| Brach/thor cath addl CPT 36218 | $1,651.50 | $3,670.00 | $49.56 – $3,303.00 | 10 |
| Brachy source palladium HCPCS C2640 | $163.35 | $363.00 | $79.86 – $363.00 | 13 |
| Brachy source yttrium-90 HCPCS C2616 | $38,097.00 | $84,660.00 | $18,625.20 – $84,660.00 | 13 |
| Brachy src stranded c-131 HCPCS C2642 | $179.10 | $398.00 | $87.56 – $463.80 | 13 |
| Braf gene CPT 81210 | $36.00 | $80.00 | $52.00 – $1,570.60 | 14 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,388.48 – $26,875.00 | 5 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,367.11 – $26,875.00 | 5 |
| Brain flow imaging only CPT 78610 | $805.95 | $1,791.00 | $57.69 – $7,994.90 | 14 |
| Brain image w/flow 4 + views CPT 78606 | $1,353.60 | $3,008.00 | $228.33 – $7,994.90 | 14 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,538.70 | $10,086.00 | $324.17 – $8,573.10 | 14 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $4,538.70 | $10,086.00 | $222.78 – $8,573.10 | 14 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,966.40 | $6,592.00 | $210.94 – $3,703.00 | 14 |
| Brain MRI (with and without contrast) CPT 70553 | $3,750.75 | $8,335.00 | $446.18 – $7,084.75 | 14 |
| Brain MRI (with contrast) CPT 70552 | $3,750.75 | $8,335.00 | $379.01 – $7,084.75 | 14 |
| Brain MRI (without contrast) CPT 70551 | $2,451.60 | $5,448.00 | $272.77 – $3,703.00 | 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.