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 |
|---|---|---|---|---|
| Revision of neck muscle CPT 21725 | not published | not published | $435.33 – $3,025.55 | 8 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $580.60 – $915.22 | 4 |
| Revision of nose CPT 30120 | not published | not published | $427.22 – $13,945.78 | 8 |
| Revision of nose CPT 30430 | not published | not published | $270.00 – $25,438.42 | 8 |
| Revision of nose CPT 30435 | not published | not published | $848.46 – $25,438.42 | 8 |
| Revision of nose CPT 30450 | not published | not published | $1,182.12 – $25,438.42 | 8 |
| Revision of nose CPT 30460 | not published | not published | $572.90 – $25,438.42 | 8 |
| Revision of nose CPT 30462 | not published | not published | $1,145.81 – $25,438.42 | 8 |
| Revision of penis CPT 54300 | not published | not published | $387.06 – $14,831.19 | 8 |
| Revision of penis CPT 54304 | not published | not published | $641.26 – $14,831.19 | 8 |
| Revision of penis CPT 54420 | not published | not published | $561.37 – $14,831.19 | 8 |
| Revision of penis CPT 54430 | not published | not published | $561.37 – $26,875.00 | 5 |
| Revision of penis CPT 54435 | not published | not published | $495.58 – $14,831.19 | 8 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,021.06 – $25,438.42 | 8 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $1,587.56 – $26,875.00 | 5 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,403.43 – $26,875.00 | 5 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,136.11 – $26,875.00 | 5 |
| Revision of radius CPT 25350 | not published | not published | $484.05 – $30,719.32 | 8 |
| Revision of radius CPT 25355 | not published | not published | $580.60 – $13,952.41 | 8 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $509.25 – $8,397.26 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $299.06 – $14,831.19 | 8 |
| Revision of scrotum CPT 55180 | not published | not published | $616.48 – $21,860.48 | 8 |
| Revision of spinal shunt CPT 63744 | not published | not published | $484.05 – $27,538.68 | 8 |
| Revision of testis CPT 54660 | not published | not published | $6,984.18 – $21,860.48 | 5 |
| Revision of thigh muscles CPT 27430 | not published | not published | $694.66 – $30,719.32 | 8 |
| Revision of toe CPT 28312 | not published | not published | $224.72 – $13,952.41 | 8 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,167.72 – $26,875.00 | 5 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,136.11 – $26,875.00 | 5 |
| Revision of ulna CPT 25360 | not published | not published | $484.05 – $30,719.32 | 8 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $701.07 – $30,719.32 | 8 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $709.61 – $30,719.32 | 8 |
| Revision of ureter CPT 50700 | not published | not published | $867.69 – $26,875.00 | 5 |
| Revision of urethra CPT 53450 | not published | not published | $208.91 – $14,831.19 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $235.40 – $14,831.19 | 8 |
| Revision of urethra CPT 57220 | not published | not published | $508.77 – $21,227.63 | 8 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,281.67 – $2,020.35 | 4 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $709.19 – $23,245.51 | 8 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,023.62 – $25,438.42 | 8 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $726.28 – $30,719.32 | 8 |
| Revision tips CPT 37183 | $9,458.55 | $21,019.00 | $249.81 – $24,517.57 | 12 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,356.29 – $55,329.67 | 8 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,463.51 – $2,214.15 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,180.19 – $23,245.51 | 8 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,111.69 – $23,245.51 | 8 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $725.85 – $25,438.42 | 8 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,025.33 – $25,438.42 | 8 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,557.66 – $26,875.00 | 5 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,064.63 – $21,860.48 | 8 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $893.75 – $25,438.42 | 8 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $347.33 – $14,788.37 | 8 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $141.83 – $14,788.37 | 8 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $108.34 – $14,788.37 | 8 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $1,492.55 – $2,258.08 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,143.33 – $1,729.75 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | $5,478.75 | $12,175.00 | $235.67 – $10,957.50 | 10 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $456.44 – $8,397.26 | 8 |
| Rheumatoid factor quantitative CPT 86431 | $3.15 | $7.00 | $3.22 – $50.83 | 14 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $580.60 – $25,438.42 | 8 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $509.76 | $1,132.80 | $28.08 – $377.40 | 13 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $7,333.08 | $16,295.72 | $27.02 – $6,800.00 | 14 |
| Rho d immune globulin inj HCPCS J2790 | $199.80 | $444.00 | $81.62 – $397.37 | 13 |
| Rib cartilage graft CPT 21230 | not published | not published | $769.00 – $25,438.42 | 8 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $693.47 | $1,541.04 | $15.66 – $49.14 | 8 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $6,341.85 | $14,093.00 | $76.43 – $5,263.20 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $5,707.80 | $12,684.00 | $34.76 – $6,800.00 | 14 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $4,838.40 | $10,752.00 | $24.94 – $9,139.20 | 14 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $551.97 – $870.09 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $114.37 – $3,025.55 | 8 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $559.57 – $25,088.80 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $230.27 – $6,882.06 | 8 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $440.04 – $12,307.35 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $236.25 – $5,070.26 | 8 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $126.88 – $26,875.00 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $103.50 – $156.58 | 4 |
| Rmvl icd by tv extr CPT 33244 | $3,810.15 | $8,467.00 | $626.73 – $15,649.66 | 12 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $5,531.85 | $12,293.00 | $313.48 – $38,477.09 | 12 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $5,762.25 | $12,805.00 | $325.02 – $40,079.65 | 12 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $5,301.45 | $11,781.00 | $301.56 – $36,874.53 | 12 |
| Rmvl icd pulse gen only CPT 33241 | $2,965.50 | $6,590.00 | $172.17 – $15,649.66 | 12 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $86.37 – $130.68 | 4 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $337.30 – $26,875.00 | 5 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $953.55 – $26,875.00 | 5 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $921.60 | $2,048.00 | $175.16 – $2,658.62 | 12 |
| Rmvl perm pm pulse gen CPT 33233 | $3,167.10 | $7,038.00 | $178.58 – $22,028.94 | 12 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $134.40 – $26,875.00 | 5 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $4,948.65 | $10,997.00 | $301.56 – $34,420.61 | 12 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $3,913.65 | $8,697.00 | $278.11 – $27,221.61 | 12 |
| Rmvl pq iabp CPT 33968 | not published | not published | $30.77 – $48.48 | 4 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $2,498.40 | $5,552.00 | $166.05 – $4,996.80 | 11 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $319.56 – $13,952.41 | 8 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $26,875.00 – $26,875.00 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $316.08 – $15,649.66 | 8 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,779.75 | $3,955.00 | $115.41 – $3,361.75 | 12 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $188.84 – $12,307.35 | 8 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $70.07 – $1,715.96 | 8 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,366.34 – $2,067.14 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,111.32 – $1,681.31 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $667.74 – $26,875.00 | 5 |
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.