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 |
|---|---|---|---|---|
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $319.04 – $998.60 | 5 |
| Unlisted transfusion med px CPT 86999 | $156.29 | $347.29 | $29.60 – $225.93 | 11 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $849.40 – $26,875.00 | 6 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $8,015.59 – $25,088.80 | 5 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $8,015.59 – $25,088.80 | 5 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,376.10 | $3,058.00 | $961.32 – $3,008.93 | 11 |
| Upgrade pm system CPT 33214 | $13,373.10 | $29,718.00 | $455.42 – $45,002.83 | 12 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,755.70 | $8,346.00 | $449.80 – $7,094.10 | 14 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,868.20 | $8,596.00 | $384.05 – $7,306.60 | 14 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,441.25 | $5,425.00 | $265.87 – $4,611.25 | 14 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $257.18 – $4,031.69 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $268.73 – $4,031.69 | 8 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $273.42 – $26,875.00 | 5 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $279.05 – $4,031.69 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $598.11 – $25,088.80 | 8 |
| Urea nitrogen CPT 84520 | $363.15 | $807.00 | $3.95 – $35.40 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $3.19 | $7.07 | $3.26 – $49.73 | 14 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,577.81 – $2,387.07 | 4 |
| Ureter endoscopy CPT 50970 | not published | not published | $189.26 – $14,831.19 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $387.06 – $21,860.48 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $241.81 – $21,860.48 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $181.57 – $14,831.19 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $389.20 – $21,860.48 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $572.90 – $21,860.48 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $239.25 – $21,860.48 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $179.44 – $21,860.48 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,019.35 – $26,875.00 | 5 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,024.91 – $26,875.00 | 5 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $530.55 | $1,179.00 | $59.56 – $3,759.33 | 14 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $441.68 – $14,831.19 | 8 |
| Urethrocystography void s&i CPT 74455 | $530.55 | $1,179.00 | $86.91 – $3,759.33 | 14 |
| Uric acid blood CPT 84550 | $304.65 | $677.00 | $4.52 – $126.65 | 14 |
| Uric acid urine CPT 84560 | $235.80 | $524.00 | $2.98 – $45.46 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $197.55 | $439.00 | $3.17 – $93.50 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $131.85 | $293.00 | $2.25 – $72.25 | 14 |
| Urinary reflex study CPT 51792 | not published | not published | $81.61 – $255.44 | 8 |
| Urine Culture Test CPT 87086 | $234.00 | $520.00 | $8.07 – $132.60 | 14 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $33.75 – $554.29 | 8 |
| Urine pregnancy test CPT 81025 | $22.05 | $49.00 | $4.02 – $77.15 | 14 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,281.67 – $26,875.00 | 5 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,600.00 | $8,000.00 | $12.28 – $6,800.00 | 14 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $15,580.92 | $34,624.25 | $191.03 – $29,430.62 | 14 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $590.76 | $1,312.80 | $380.72 – $1,194.65 | 8 |
| Vaccine dtap < 7 years im CPT 90700 | $115.16 | $255.90 | $32.25 – $174.25 | 12 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $386.30 | $858.43 | $104.33 – $729.67 | 12 |
| Vaccine dtap-ipv/hib im CPT 90698 | $518.67 | $1,152.58 | $93.18 – $979.70 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $75.63 | $168.06 | $17.03 – $93.39 | 12 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $318.07 | $706.81 | $58.64 – $468.35 | 12 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $150.00 | $333.33 | $42.74 – $283.34 | 12 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $297.27 | $660.58 | $65.12 – $421.60 | 13 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $113.23 | $251.62 | $26.14 – $213.88 | 13 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $316.39 | $703.07 | $54.67 – $597.61 | 13 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $84.70 | $188.21 | $19.77 – $159.98 | 13 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $139.64 | $310.30 | $41.31 – $263.76 | 13 |
| Vaccine mmr live subcutaneous CPT 90707 | $338.27 | $751.71 | $79.36 – $638.96 | 12 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $505.80 | $1,123.98 | $33.34 – $955.39 | 13 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $974.95 | $2,166.54 | $205.11 – $1,841.56 | 13 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,075.14 | $2,389.19 | $692.87 – $2,174.17 | 8 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $158.81 | $352.90 | $48.44 – $299.97 | 12 |
| Vaccine rabies im CPT 90675 | $1,637.46 | $3,638.80 | $279.65 – $3,092.98 | 13 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $1,274.40 | $2,832.00 | $821.28 – $2,577.12 | 8 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,138.40 | $4,752.00 | $1,378.08 – $4,324.32 | 8 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $2,138.40 | $4,752.00 | $1,378.08 – $4,324.32 | 8 |
| Vaccine tdap >=7 years im CPT 90715 | $191.92 | $426.48 | $13.00 – $155.61 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $117.38 | $260.83 | $23.15 – $221.71 | 12 |
| Vaccine varicella live subcutaneous CPT 90716 | $753.08 | $1,673.50 | $123.85 – $1,422.48 | 12 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,237.03 – $21,227.63 | 8 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $656.68 – $21,227.63 | 8 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,158.54 – $21,227.63 | 8 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $698.23 – $31,799.02 | 8 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $639.96 – $21,227.63 | 8 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,264.65 – $21,227.63 | 8 |
| Vaginal bx CPT 58999 | not published | not published | $276.38 – $865.07 | 5 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $780.72 – $13,672.56 | 8 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,994.02 – $3,016.75 | 4 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,162.90 – $21,227.63 | 8 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,793.77 – $13,672.56 | 8 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,797.40 – $2,719.28 | 4 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,017.53 – $1,539.42 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $897.17 – $26,875.00 | 5 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $912.12 – $26,875.00 | 5 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $822.40 – $26,875.00 | 5 |
| Valproic acid total therapeutic drug level CPT 80164 | $399.15 | $887.00 | $13.54 – $181.05 | 14 |
| Valvuloplasty aortic CPT 92986 | $7,543.35 | $16,763.00 | $1,108.37 – $24,517.57 | 12 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,614.29 – $26,875.00 | 5 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,912.88 – $26,875.00 | 5 |
| Valvuloplasty mitral CPT 92987 | $15,990.75 | $35,535.00 | $1,197.84 – $48,766.53 | 12 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,477.33 – $26,875.00 | 5 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,582.43 – $26,875.00 | 5 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $180.00 | $400.00 | $12.63 – $39.61 | 8 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $184.91 | $410.90 | $22.39 – $70.24 | 8 |
| Vancomycin peak therapeutic drug level CPT 80202 | $526.05 | $1,169.00 | $13.54 – $993.65 | 14 |
| Varicella zoster antibody igg CPT 86787 | $4.05 | $9.00 | $2.30 – $115.31 | 14 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $543.93 – $13,952.41 | 8 |
| Vasectomy CPT 55250 | not published | not published | $299.06 – $8,808.98 | 8 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $917.47 | $2,038.82 | $591.26 – $1,855.33 | 8 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,994.02 – $3,016.75 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $9,082.35 | $20,183.00 | $19.58 – $17,155.55 | 14 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,287.22 – $26,875.00 | 5 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,645.23 – $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.