Supplies, drugs & other prices at Dominican Hospital
Santa Cruz, CA · every code in this section with a posted price and a Medicare benchmark.
39 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $1,419.30 | $3,154 | 1.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $809.10 | $1,798 | 1.6× |
| Adm tocilizu covid-19 1st (M0249) | $501.75 | $1,115 | 0.8× |
| Adm tocilizu covid-19 2nd (M0250) | $501.75 | $1,115 | 0.8× |
| Alcohol/subs interv 15-30mn (G0396) | $56.70 | $126 | 1.0× |
| Alcohol/subs interv >30 min (G0397) | $283.50 | $630 | 1.1× |
| Catheterize for urine spec (P9612) | $18 | $40 | 1.9× |
| Covid-19 lab test non-cdc (U0002) range across 4 matching MRF lines |
$18–$68.85 | $40–$153 | varies |
| Diab manage trn per indiv (G0108) | $131.85 | $293 | 2.4× |
| Diab manage trn ind/group (G0109) | $40.05 | $89 | 2.5× |
| Direct refer hospital observ (G0379) | $485.55 | $1,079 | 0.6× |
| Drug test def 1-7 classes (G0480) range across 23 matching MRF lines |
$8.87–$513.90 | $19.71–$1,142 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$33.75–$45 | $75–$100 | varies |
| Drug test def 22+ classes (G0483) | $81 | $180 | 0.3× |
| Inj for sacroiliac jt anesth (G0260) | $1,109.25 | $2,465 | 1.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $43,092 | $95,760 | 0.9× |
| Mnt subs tx for change dx (G0270) | $66.60 | $148 | 2.1× |
| Oth resp proc, group (G0239) range across 3 matching MRF lines |
$175.50–$351.45 | $390–$781 | varies |
| Oth resp proc, indiv (G0238) | $77.40 | $172 | 1.8× |
| Pathogen test for platelets (P9100) | $60.75 | $135 | 0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) | $11,953.80 | $26,564 | 1.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $11,287.80 | $25,084 | 0.7× |
| Psa screening (G0103) | $58.05 | $129 | 3.0× |
| Revasc intra lithotrip-ather (C9766) | $14,627.70 | $32,506 | 0.5× |
| Revasc intra lithotrip-stent (C9765) | $14,627.70 | $32,506 | 0.5× |
| Revasc intravasc lithotripsy (C9764) | $9,142.20 | $20,316 | 0.5× |
| Revasc lith-sten-ath tib/per (C9775) | $27,592.20 | $61,316 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) | $29,353.95 | $65,231 | 1.1× |
| Revasc lithotr-stent tib/per (C9773) | $27,592.20 | $61,316 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $17,256.60 | $38,348 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) | $23,495.40 | $52,212 | 0.9× |
| Therapeutic procd strg endur (G0237) | $76.05 | $169 | 1.8× |
| Trluml perip athrc abd aorta (0236T) likely a partial charge, not the full procedure |
$2,937.15 | $6,527 | 0.2× |
| Trluml Perip Athrc Brchiocph (0237T) likely a partial charge, not the full procedure |
$2,343.15 | $5,207 | 0.1× |
| Trluml Perip Athrc Iliac Art (0238T) likely a partial charge, not the full procedure |
$7,212.60 | $16,028 | 0.3× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) unusually low: confirm this is the full procedure |
$7,212.60 | $16,028 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) | $2,059.20 | $4,576 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $3,629.70 | $8,066 | 3.2× |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$1,176.30–$1,376.10 | $2,614–$3,058 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.