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 |
|---|---|---|---|---|
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $647.10 | $1,438.00 | $54.64 – $1,321.53 | 14 |
| X-ray thoracic spine 2 views CPT 72070 | $725.85 | $1,613.00 | $40.22 – $1,778.76 | 14 |
| X-ray thoracic spine 3 views CPT 72072 | $815.85 | $1,813.00 | $44.22 – $1,778.76 | 14 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $461.25 | $1,025.00 | $39.29 – $1,321.53 | 14 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $272.25 | $605.00 | $34.72 – $1,321.53 | 14 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $523.35 | $1,163.00 | $56.31 – $1,778.76 | 14 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $895.50 | $1,990.00 | $165.31 – $2,918.31 | 14 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $841.50 | $1,870.00 | $146.35 – $2,918.31 | 14 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $688.50 | $1,530.00 | $54.64 – $2,918.31 | 14 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $126.10 | $280.22 | $1.51 – $238.19 | 12 |
| Zika virus dna/rna amp probe CPT 87662 | $59.40 | $132.00 | $45.61 – $459.43 | 14 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $44.10 | $98.00 | $9.64 – $83.30 | 13 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $3,600.00 | $8,000.00 | $8.30 – $6,800.00 | 14 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $4,255.20 | $9,456.00 | $9.24 – $3,995.82 | 13 |
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.