Visits & medical services prices at Dominican Hospital
Santa Cruz, CA · every code in this section with a posted price and a Medicare benchmark.
145 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$74.25–$167.40 | $165–$372 | varies |
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $322.20 | $716 | 1.0× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$37.35–$267.75 | $83–$595 | varies |
| Airway resistance by oscillometry (94728) | $486.90 | $1,082 | 2.6× |
| Application on-body injector (96377) | $195.75 | $435 | 2.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $879.30 | $1,954 | 1.6× |
| Canalith repositioning proc (95992) | $71.55 | $159 | 1.8× |
| Car seat/bed test 60 min (94780) | $50.85 | $113 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $980.55 | $2,179 | 3.1× |
| Cardiopulmonary resuscitation (92950) | $693 | $1,540 | 2.2× |
| Cardioversion (92960) range across 4 matching MRF lines |
$1,040.40–$1,651.50 | $2,312–$3,670 | varies |
| Cardioversion elective internal (92961) | $883.35 | $1,963 | 0.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $21,283.65 | $47,297 | 4.5× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $17,027.10 | $37,838 | 3.6× |
| Cbt 1st hour (94644) | $227.70 | $506 | 1.2× |
| Chemo Admin Peritoneal Cavity (96446) | $684 | $1,520 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $421.20 | $936 | 4.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $421.20 | $936 | 4.0× |
| Chemo IV infusion addl hr (96415) | $291.60 | $648 | 2.8× |
| Chemo IV push addl drug (96411) | $291.60 | $648 | 2.8× |
| Chemother Prolong Infuse W/Pump (96416) | $510.30 | $1,134 | 1.1× |
| Chemotherapy Into Cns (96450) range across 3 matching MRF lines |
$558–$722.70 | $1,240–$1,606 | varies |
| Chemotherapy Unspecified (96549) | $489.15 | $1,087 | 7.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $466.65 | $1,037 | 4.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $466.65 | $1,037 | 1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $466.65 | $1,037 | 1.0× |
| Chest Wall Manipulation (94668) | $204.30 | $454 | 1.0× |
| Color/duplex Doppler, complete (93975) | $1,898.10 | $4,218 | 5.4× |
| Color/duplex Doppler, limited (93976) | $1,100.70 | $2,446 | 7.2× |
| Continuous Pulse Ox (94762) | $1,525.50 | $3,390 | 8.1× |
| Coronary Art/Grft Angio S&I (93455) | $12,352.95 | $27,451 | 2.6× |
| Coronary Artery Angio S&I (93454) | $11,764.80 | $26,144 | 2.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$1,809.90–$4,891.50 | $4,022–$10,870 | varies |
| Cpt initial (94667) range across 2 matching MRF lines |
$228.60–$281.70 | $508–$626 | varies |
| Critical care first hour (99291) | $6,254.55 | $13,899 | 5.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $270.90 | $602 | 0.9× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$769.05–$1,326.15 | $1,709–$2,947 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,705.50 | $3,790 | 4.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,879.20 | $4,176 | 5.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $526.95 | $1,171 | 1.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $250.65 | $557 | 1.6× |
| Duplex Scan Hemodialysis Access (93990) | $368.55 | $819 | 2.4× |
| Duplex up extrem art bilat (93930) | $1,343.25 | $2,985 | 3.8× |
| Echo Congenital Complete (93303) | $945.90 | $2,102 | 1.2× |
| Echo Heart Xthoracic,Limited (93308) | $1,245.15 | $2,767 | 3.6× |
| Echo transesophageal (93312) | $2,518.65 | $5,597 | 3.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,059.20 | $4,576 | 2.6× |
| Eeg 41-60 Minutes (95812) | $1,000.35 | $2,223 | 3.2× |
| EEG awake and asleep (95819) | $1,058.40 | $2,352 | 3.4× |
| EEG awake drowsy (95816) | $962.10 | $2,138 | 3.0× |
| EEG extended monitoring 61-119 minutes (95813) | $1,102.05 | $2,449 | 3.5× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$278.55–$714.60 | $619–$1,588 | varies |
| Emergency Dept Visit Level 2 (99282) | $945 | $2,100 | 4.2× |
| Emergency Dept Visit Level 3 (99283) | $1,441.80 | $3,204 | 3.6× |
| Emergency Dept Visit Level 4 (99284) | $2,791.80 | $6,204 | 4.6× |
| Endomyocardial Biopsy (93505) | $1,465.65 | $3,257 | 0.3× |
| Er level 1 (99281) | $540 | $1,200 | 4.4× |
| Er level v (99285) | $4,498.20 | $9,996 | 5.2× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $712.80 | $1,584 | 1.3× |
| Evaluate pt use of inhaler (94664) | $256.95 | $571 | 0.8× |
| External Ecg Scanning Analysis Report (93226) | $1,165.95 | $2,591 | 13.5× |
| Extracranial Bilat Study (93880) | $1,222.20 | $2,716 | 3.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $398.70 | $886 | 1.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,772.10 | $3,938 | 1.4× |
| Gi tract capsule endoscopy (91110) | $2,347.65 | $5,217 | 1.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $22,305.60 | $49,568 | 4.7× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,273.95 | $2,831 | 1.3× |
| High altitude simulation test (94452) | $230.40 | $512 | 1.2× |
| High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) | $264.60 | $588 | 1.4× |
| Holter monitor recording (93225) | $792.90 | $1,762 | 4.1× |
| Icd device progr eval dual (93283) | $186.30 | $414 | 3.4× |
| Icd Device Progr Eval Mult (93284) | $232.20 | $516 | 4.3× |
| Icm Device Eval (93290) | $60.30 | $134 | 1.1× |
| Ilr Device Interrogate (93291) | $89.55 | $199 | 2.1× |
| Immunization administration (90471) range across 4 matching MRF lines |
$32.40–$94.95 | $72–$211 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $870.30 | $1,934 | 1.6× |
| Insert/Place Heart Catheter (93503) | $1,724.40 | $3,832 | 0.7× |
| Interrogation eval in person wr defibrillator (93292) | $91.80 | $204 | 1.7× |
| Irrig Drug Delivery Device (96523) | $515.25 | $1,145 | 6.0× |
| IV infusion hydration each additional hour (96361) | $291.60 | $648 | 4.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $466.65 | $1,037 | 1.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $466.65 | $1,037 | 4.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $291.60 | $648 | 4.3× |
| IV push initial (96374) | $190.80 | $424 | 0.6× |
| L Hrt Art/Grft Angio (93459) | $18,048.60 | $40,108 | 3.8× |
| Lung Function Test (Mbc/Mvv) (94200) | $98.10 | $218 | 1.1× |
| Mechanical chest wall oscillation per session (94669) | $107.55 | $239 | 0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $83.70 | $186 | 2.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $99.45 | $221 | 2.7× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $76.05 | $169 | 4.5× |
| Motility study esophagus (91010) | $1,506.60 | $3,348 | 2.8× |
| Nasopharyngoscopy (92511) | $359.10 | $798 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 6 matching MRF lines |
$639–$815.40 | $1,420–$1,812 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $639 | $1,420 | 1.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 11 matching MRF lines |
$309.60–$557.55 | $688–$1,239 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $639 | $1,420 | 1.1× |
| Nitric oxide expired gas determination (95012) | $147.60 | $328 | 2.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $265.50 | $590 | 1.4× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $135.45 | $301 | 0.7× |
| Oxygen Uptake Rest Indirect (94690) | $68.40 | $152 | 0.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $202.05 | $449 | 0.6× |
| Peripheral arterial disease rehab per session (93668) | $71.10 | $158 | 0.8× |
| Perq Transcath Cls Mitral (93590) | $21,589.65 | $47,977 | 0.8× |
| Phlebotomy therapeutic (99195) | $540.90 | $1,202 | 2.8× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $181.80 | $404 | 2.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $181.80 | $404 | 2.1× |
| Plethysmography (94726) | $658.35 | $1,463 | 1.2× |
| Pulm function test by gas (94727) | $526.50 | $1,170 | 1.7× |
| Pulmonary service/procedure (94799) | $92.25 | $205 | 0.5× |
| Pulmonary Stress Testing (94618) | $83.70 | $186 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $17,197.20 | $38,216 | 3.6× |
| R hrt coronary artery angio (93456) | $13,621.50 | $30,270 | 2.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $13,099.95 | $29,111 | 2.8× |
| Refill/Maint Portable Pump (96521) | $292.95 | $651 | 0.9× |
| Refill/Maint Pump/Resvr Syst (96522) | $405 | $900 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $511.65 | $1,137 | 9.4× |
| Respiratory flow volume loop (94375) | $354.60 | $788 | 1.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $330.75 | $735 | 3.8× |
| Right Heart Cath (93451) | $3,628.80 | $8,064 | 0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$234–$349.20 | $520–$776 | varies |
| Sleep study unattended (95806) | $734.85 | $1,633 | 2.3× |
| Spirometry (94010) | $232.20 | $516 | 0.7× |
| Stress Tte Only (93350) | $2,059.20 | $4,576 | 2.6× |
| Subcutaneous Infusion Each Additional Hour (96370) | $305.55 | $679 | 4.5× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $488.70 | $1,086 | 1.6× |
| Subq Infusion Additional Pump Infusion Site (96371) | $150.75 | $335 | 1.4× |
| Temp transcutaneous pacing (92953) | $353.70 | $786 | 0.4× |
| Ther/Proph/Diag Inj Ia (96373) | $372.15 | $827 | 1.2× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $150.75 | $335 | 1.4× |
| Ther/Proph/Diag Iv Inf Init (96365) | $466.65 | $1,037 | 1.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,103.30 | $4,674 | 3.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$53.55–$57.60 | $119–$128 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$26.10–$27.90 | $58–$62 | varies |
| Transcath Closure of Asd (93580) | $17,004.15 | $37,787 | 0.6× |
| Tte w/doppler, complete (93306) | $3,629.70 | $8,066 | 4.5× |
| Tte W/O Doppler Complete (93307) | $1,419.30 | $3,154 | 4.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $190.80 | $424 | 2.8× |
| Unlisted cardiovascular service/procedure (93799) range across 4 matching MRF lines |
$189–$8,098.65 | $420–$17,997 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $637.65 | $1,417 | 3.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $981 | $2,180 | 3.1× |
| Valvuloplasty aortic valve (92986) | $7,543.35 | $16,763 | 0.9× |
| Valvuloplasty mitral valve (92987) | $15,990.75 | $35,535 | 0.9× |
| Vent Mgmt Inpat Init Day (94002) | $4,466.25 | $9,925 | 4.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $4,253.40 | $9,452 | 4.7× |
| Vital capacity, total (94150) | $102.60 | $228 | 0.5× |
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.