Does Dominican Hospital publish its standard charges and chargemaster?

Yes. Dominican Hospital publishes a machine-readable file with 4,690 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Dominican Hospital charge for procedures?

Dominican Hospital (Santa Cruz, CA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · CA · CCN 050242

Dominican Hospital

Santa Cruz, CA, 95065

193 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

4,690

last crawl 2026-05-22

Procedures tracked

168

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All CA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.dignityhealth.org/content/dam/dignity-health/documents/pricing-procedure-spreadsheets-2020/price-transparency-4-30-2022/bayarea/941196203_Dominican-Hospital_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	5	—	—	$13,167	$13,574	1.1×	$30,949
emergency
ED visit level 1	CPT	99281	15	$687	$480.9	$21.77	$518.38	3.7×	$3,051
ED visit level 2	CPT	99282	15	$1,157	$809.9	$34.97	$873.02	3.7×	$5,231
ED visit level 3	CPT	99283	15	$1,777	$1,243.9	$63.97	$1,340.84	3.3×	$6,975
ED visit level 4	CPT	99284	15	$3,479	$2,435.3	$98.04	$2,625.08	3.9×	$12,099
ED visit level 5	CPT	99285	15	$5,611	$3,927.7	$155.03	$4,233.79	4.1×	$15,726
Critical care, first hour	CPT	99291	15	$13,899	$9,729.3	$1,116.16	$10,487	9.8×	$16,580
imaging
CT head without contrast	CPT	70450	11	$4,813	$3,369.1	$149.03	$2,174.43	10.5×	$4,813
CT head with contrast	CPT	70460	11	$6,594	$4,615.8	$209.04	$2,444.9	10.4×	$6,594
CT head with and without contrast	CPT	70470	11	$7,896	$5,527.2	$247.23	$2,915.45	10.9×	$7,896
CT neck with contrast	CPT	70491	11	$6,490	$4,543	$262.9	$2,851.44	10.4×	$6,490
MRI brain without contrast	CPT	70551	11	$1,539	$1,077.3	$283.78	$1,231.2	3.0×	$1,539
Chest X-ray single view	CPT	71045	12	$674	$471.8	$17.67	$314.68	3.3×	$1,188.11
Chest X-ray 2 views	CPT	71046	12	$877	$613.9	$27.48	$419.19	4.3×	$1,188.11
Chest X-ray 3 views	CPT	71047	12	$932	$652.4	$35.27	$497.88	5.2×	$1,188.11
CT chest without contrast	CPT	71250	11	$4,156	$2,909.2	$163.13	$2,402.84	11.2×	$4,156
CT chest with contrast	CPT	71260	11	$8,149	$5,704.3	$238.02	$2,943.57	10.5×	$8,149
CT chest with and without contrast	CPT	71270	11	$10,122	$7,085.4	$267.66	$3,609.91	12.4×	$10,122
Lumbosacral spine X-ray	CPT	72100	12	$1,144	$800.8	$43.45	$880	8.5×	$1,600.42
CT cervical spine without contrast	CPT	72125	11	$8,224	$5,756.8	$163.13	$2,402.84	11.9×	$8,224
CT thoracic spine without contrast	CPT	72128	11	$9,318	$6,522.6	$163.13	$2,402.84	12.1×	$9,318
CT lumbar spine without contrast	CPT	72131	11	$8,060	$5,642	$163.13	$2,402.84	11.8×	$8,060
CT pelvis without contrast	CPT	72192	11	$3,208	$2,245.6	$163.13	$2,234.97	11.2×	$3,208
CT pelvis with contrast	CPT	72193	11	$6,293	$4,405.1	$267.66	$2,795.42	9.9×	$6,293
Shoulder X-ray	CPT	73030	12	$1,328	$929.6	$37.09	$752.25	8.1×	$1,328
Humerus X-ray	CPT	73060	12	$862	$603.4	$29.81	$353.07	3.9×	$1,188.11
Hand X-ray 3 views	CPT	73130	12	$1,298	$908.6	$36.06	$735.25	7.9×	$1,298
Knee X-ray 1-2 views	CPT	73560	12	$1,238	$866.6	$27.28	$698.7	7.5×	$1,238
Ankle X-ray 3 views	CPT	73610	12	$1,427	$998.9	$36.06	$752.25	8.2×	$1,427
CT abdomen without contrast	CPT	74150	11	$7,084	$4,958.8	$163.13	$2,370.79	12.6×	$7,084
CT abdomen with contrast	CPT	74160	11	$10,920	$7,644	$267.66	$3,199.72	11.2×	$10,920
CT abdomen with and without contrast	CPT	74170	11	$12,691	$8,883.7	$267.66	$3,725.82	11.1×	$12,691
CT abdomen and pelvis without contrast	CPT	74176	11	$9,889	$6,922.3	$178.43	$2,036.13	5.6×	$9,889
CT abdomen and pelvis with contrast	CPT	74177	11	$14,760	$10,332	$281.8	$2,959.54	5.4×	$14,760
CT abdomen and pelvis with and without contrast	CPT	74178	11	$17,267	$12,087	$319.24	$3,713.85	6.5×	$17,267
MRI abdomen with and without contrast	CPT	74183	11	$2,575	$1,802.5	$351.25	$2,060	3.6×	$2,575
Abdominal ultrasound complete	CPT	76700	12	$2,802	$1,961.4	$119.34	$1,130.16	7.6×	$2,802
Abdominal ultrasound limited	CPT	76705	12	$2,157	$1,509.9	$87.13	$918	6.3×	$2,157
Retroperitoneal ultrasound complete	CPT	76770	12	$2,504	$1,752.8	$115.78	$1,130.16	7.9×	$2,504
Obstetric ultrasound first trimester	CPT	76801	12	$1,707	$1,194.9	$78.42	$961.99	6.8×	$1,707
Obstetric ultrasound after first trimester	CPT	76805	12	$1,980	$1,386	$135.29	$1,146.4	7.5×	$1,980
Obstetric ultrasound with fetal anatomy	CPT	76811	12	$2,060	$1,442	$159.03	$1,423.93	6.0×	$3,379.77
Transvaginal ultrasound	CPT	76830	12	$2,189	$1,532.3	$97.04	$1,074.14	7.3×	$2,189
Pelvic ultrasound complete	CPT	76856	12	$2,172	$1,520.4	$97.04	$1,070.09	7.5×	$2,172
Scrotal ultrasound	CPT	76870	12	$2,360	$1,652	$85.75	$1,086.17	8.3×	$2,360
EKG tracing only	CPT	93005	10	$1,268	$887.6	$29.84	$492.06	4.2×	$1,268
Transthoracic echocardiogram complete	CPT	93306	10	$6,666	$4,666.2	$239.76	$3,744.8	6.3×	$6,666
Transthoracic echocardiogram	CPT	93307	10	$2,606	$1,824.2	$215.3	$1,800.24	7.3×	$2,606
Stress echocardiogram	CPT	93350	10	$4,312	$3,018.4	$137.87	$1,757.54	3.5×	$4,312
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	5	—	—	$19,522	$20,126	1.3×	$45,887
COPD w MCC	MS-DRG	190	5	—	—	$11,975	$12,346	1.1×	$28,148
COPD w CC	MS-DRG	191	5	—	—	$9,465.27	$9,758.01	1.1×	$22,248
COPD w/o CC/MCC	MS-DRG	192	5	—	—	$7,498.3	$7,730.21	1.1×	$17,625
Simple pneumonia & pleurisy w CC	MS-DRG	194	5	—	—	$9,252.63	$9,538.79	1.1×	$21,748
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	5	—	—	$7,187.68	$7,409.98	1.1×	$16,895
AMI discharged alive w MCC	MS-DRG	280	5	—	—	$16,997	$17,523	1.1×	$39,953
AMI discharged alive w CC	MS-DRG	281	5	—	—	$9,947.89	$10,256	1.1×	$23,383
AMI discharged alive w/o CC/MCC	MS-DRG	282	5	—	—	$7,816.23	$8,057.97	1.0×	$18,372
Heart failure & shock w MCC	MS-DRG	291	5	—	—	$13,468	$13,885	1.1×	$31,657
Heart failure & shock w CC	MS-DRG	292	5	—	—	$9,248.46	$9,534.49	1.1×	$21,739
Heart failure & shock w/o CC/MCC	MS-DRG	293	5	—	—	$6,396.52	$6,594.35	1.1×	$15,035
Cardiac arrhythmia w MCC	MS-DRG	308	5	—	—	$12,765	$13,160	1.1×	$30,005
Cardiac arrhythmia w CC	MS-DRG	309	5	—	—	$8,070.57	$8,320.18	1.1×	$18,970
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	5	—	—	$6,076.51	$6,264.44	1.0×	$14,283
GI hemorrhage w CC	MS-DRG	378	5	—	—	$10,604	$10,932	1.1×	$24,924
GI hemorrhage w/o CC/MCC	MS-DRG	379	5	—	—	$6,889.56	$7,102.64	1.0×	$16,194
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	5	—	—	$8,230.05	$8,484.59	1.1×	$19,345
Fractures of femur w/o MCC	MS-DRG	533	5	—	—	$15,010	$15,474	1.0×	$35,280
Kidney/UTI w MCC	MS-DRG	689	5	—	—	$11,862	$12,229	1.1×	$27,881
Kidney/UTI w/o MCC	MS-DRG	690	5	—	—	$8,524.01	$8,787.64	1.1×	$20,036
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	5	—	—	$19,763	$20,374	1.1×	$46,453
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	5	—	—	$10,945	$11,284	1.1×	$25,727
lab
Basic metabolic panel (BMP)	CPT	80048	12	$1,181	$826.7	$8.21	$87.98	2.7×	$1,003.85
Electrolyte panel	CPT	80051	12	$1,113	$779.1	$6.8	$72.9	3.1×	$946.05
Comprehensive metabolic panel	CPT	80053	12	$1,039	$727.3	$10.24	$173.54	3.9×	$883.15
Lipid panel	CPT	80061	12	$931	$651.7	$12.99	$101.75	2.7×	$791.35
Renal function panel	CPT	80069	12	$1,334	$933.8	$8.42	$90.34	3.3×	$1,133.9
Hepatic function panel	CPT	80076	12	$1,222	$855.4	$7.92	$85.12	3.2×	$1,038.7
Urinalysis non-automated	CPT	81002	12	$52	$36.4	$3.08	$15.59	2.2×	$47.05
Urinalysis automated	CPT	81003	12	$175	$122.5	$2.18	$28.15	2.0×	$148.75
Glucose quantitative	CPT	82947	12	$454	$317.8	$3.81	$50.11	2.8×	$385.9
Hemoglobin A1c	CPT	83036	12	$125	$87.5	$9.42	$60.14	2.2×	$125
Thyroid stimulating hormone (TSH)	CPT	84443	12	$671	$469.7	$16.3	$105.25	2.2×	$570.35
Complete blood count with automated differential	CPT	85025	12	$638	$446.6	$7.54	$81.07	3.1×	$542.3
Complete blood count without differential	CPT	85027	12	$432	$302.4	$6.28	$67.45	3.1×	$367.2
Urine culture bacterial	CPT	87086	12	$374	$261.8	$7.83	$84.14	3.6×	$317.9
Urine culture identification	CPT	87088	12	$726	$508.2	$7.85	$84.33	3.8×	$617.1
Tissue exam by pathologist level IV	CPT	88305	12	$293	$205.1	$35.75	$77.94	0.76×	$293
maternity
Fetal non-stress test	CPT	59025	15	$1,280	$896	$32.7	$545	2.9×	$26,737
Routine obstetric care including vaginal delivery	CPT	59400	4	—	—	$1,994.02	$9,407.93	4.1×	$26,737
Vaginal delivery only	CPT	59409	9	—	—	$780.72	$7,470	3.4×	$26,737
Vaginal delivery with postpartum	CPT	59410	4	—	—	$7,288.9	$9,407.93	8.9×	$26,737
Routine obstetric care with C-section	CPT	59510	4	—	—	$1,995.21	$9,468	3.8×	$26,737
C-section delivery only	CPT	59514	4	—	—	$781.35	$9,468	9.9×	$26,737
C-section with postpartum	CPT	59515	4	—	—	$8,330.17	$13,227	10.5×	$26,737
office
Office visit, new patient, 15-29 min	CPT	99202	6	$1,845	$1,291.5	$49.2	$546.76	6.3×	$1,845
Office visit, new patient, 30-44 minutes	CPT	99203	6	$2,305	$1,613.5	$82.05	$1,369.87	11.2×	$2,305
Office visit, new patient, 45-59 min	CPT	99204	6	$2,709	$1,896.3	$83.85	$238.58	1.4×	$2,709
Office visit, new patient, 60-74 min	CPT	99205	6	$4,371	$3,059.7	$118.62	$3,715.35	16.8×	$4,371
Office visit, established patient, 5 min	CPT	99211	6	$1,383	$968.1	$17.21	$446.72	6.9×	$1,383
Office visit, established patient, 10-19 min	CPT	99212	6	$1,845	$1,291.5	$16.37	$765	9.6×	$1,845
Office visit, established patient, 20-29 minutes	CPT	99213	6	$2,305	$1,613.5	$34.43	$219.69	1.9×	$2,305
Office visit, established patient, 30-39 minutes	CPT	99214	6	$2,878	$2,014.6	$53.79	$602.23	3.9×	$2,878
Office visit, established patient, 40-54 min	CPT	99215	6	$4,371	$3,059.7	$82.05	$275.36	1.5×	$4,371
preventive
Upper GI endoscopy diagnostic	CPT	43235	9	—	—	$405.42	$5,603	6.1×	$10,965
Upper GI endoscopy with biopsy	CPT	43239	9	—	—	$423.61	$6,729	7.0×	$23,444
Sigmoidoscopy diagnostic	CPT	45330	9	—	—	$99	$5,446.65	6.5×	$9,344
Sigmoidoscopy with biopsy	CPT	45331	9	—	—	$130.65	$5,446.65	6.1×	$9,344
Colonoscopy diagnostic	CPT	45378	9	—	—	$534.04	$5,603	6.4×	$23,444
Colonoscopy with biopsy	CPT	45380	9	—	—	$597.36	$5,603	4.6×	$23,444
Colonoscopy with polyp removal	CPT	45385	9	—	—	$723.96	$5,603	4.6×	$23,444
surgery
Total shoulder arthroplasty	CPT	23472	8	—	—	$63	$18,477	4.5×	$58,303
PCI w drug-eluting stent w MCC	MS-DRG	246	7	—	—	$32,815	$54,536	2.0×	$77,131
PCI w drug-eluting stent w/o MCC	MS-DRG	247	7	—	—	$20,816	$49,768	2.7×	$65,795
Hip hemiarthroplasty	CPT	27125	7	—	—	$63	$9,407.93	7.5×	$58,303
Total hip replacement	CPT	27130	9	—	—	$2,693.8	$18,477	4.3×	$58,303
Total knee replacement	CPT	27447	9	—	—	$2,693.8	$19,342	4.6×	$58,303
Knee revision arthroplasty single component	CPT	27486	6	—	—	$63	$11,647	7.0×	$58,303
Knee revision arthroplasty all components	CPT	27487	7	—	—	$63	$11,660	5.8×	$58,303
Shoulder arthroscopy with decompression	CPT	29826	6	—	—	$605.06	$10,091	30.9×	$23,444
Shoulder arthroscopy with rotator cuff repair	CPT	29827	9	—	—	$623.03	$13,256	4.0×	$29,661
Knee arthroscopy with meniscectomy	CPT	29881	9	—	—	$790.35	$9,945	4.9×	$23,444
ACL reconstruction	CPT	29888	9	—	—	$1,220.29	$10,277	3.1×	$29,661
Major small/large bowel procedures w MCC	MS-DRG	329	5	—	—	$51,180	$52,763	1.2×	$120,300
Major small/large bowel procedures w CC	MS-DRG	330	5	—	—	$26,821	$27,650	1.2×	$63,043
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	5	—	—	$18,077	$18,636	1.1×	$42,491
CABG single arterial graft	CPT	33533	5	—	—	$63	$8,226	4.4×	$26,737
CABG 2 arterial grafts	CPT	33534	5	—	—	$63	$8,226	3.8×	$35,957
CABG 3 arterial grafts	CPT	33535	5	—	—	$63	$8,226	3.6×	$35,957
CABG 4+ arterial grafts	CPT	33536	5	—	—	$63	$8,226	3.4×	$35,957
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	5	—	—	$17,853	$18,405	1.1×	$41,964
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	5	—	—	$13,958	$14,390	1.1×	$32,808
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	5	—	—	$36,903	$38,044	1.2×	$86,740
Open appendectomy	CPT	44950	9	—	—	$724.63	$7,030.11	6.2×	$26,737
Laparoscopic appendectomy	CPT	44970	9	—	—	$494.31	$13,456	8.6×	$23,958
Spinal fusion (non-cervical) w MCC	MS-DRG	459	5	—	—	$70,436	$72,614	1.5×	$165,561
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	5	—	—	$41,220	$42,495	1.3×	$96,889
Major joint replacement w MCC	MS-DRG	469	5	—	—	$32,414	$33,417	1.1×	$76,190
Major joint replacement w/o MCC	MS-DRG	470	5	—	—	$20,056	$20,676	1.1×	$47,142
Laparoscopic cholecystectomy	CPT	47562	9	—	—	$843.15	$16,260	9.2×	$35,957
Lap cholecystectomy with cholangiography	CPT	47563	9	—	—	$970.44	$16,260	8.7×	$35,957
Hip & femur procedures except major joint w MCC	MS-DRG	480	5	—	—	$31,788	$32,771	1.2×	$74,718
Hip & femur procedures except major joint w CC	MS-DRG	481	5	—	—	$22,097	$22,780	1.1×	$51,939
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	5	—	—	$17,403	$17,941	1.1×	$40,906
Open umbilical hernia repair	CPT	49560	9	—	—	$839.12	$9,945	5.2×	$23,444
Umbilical hernia repair age 5+	CPT	49585	9	—	—	$534.04	$9,945	7.6×	$23,444
Lap inguinal hernia repair	CPT	49650	9	—	—	$379.7	$10,301	9.2×	$23,958
Lap incisional hernia repair	CPT	49652	9	—	—	$524.57	$13,456	5.0×	$31,675
Total abdominal hysterectomy	CPT	58150	6	—	—	$1,162.9	$8,409	8.6×	$26,737
Vaginal hysterectomy	CPT	58260	9	—	—	$1,162.9	$7,030.11	3.9×	$31,675
Lap-assisted vaginal hysterectomy	CPT	58550	9	—	—	$838.74	$18,491	12.5×	$31,675
Lap-assisted vaginal hysterectomy >250g	CPT	58552	9	—	—	$616.65	$18,109	8.1×	$42,172
Lap salpingo-oophorectomy	CPT	58661	9	—	—	$701.38	$13,256	6.5×	$23,958
OR procedure for obesity w MCC	MS-DRG	619	5	—	—	$32,162	$33,157	1.2×	$75,597
OR procedure for obesity w CC	MS-DRG	620	5	—	—	$18,622	$19,197	1.2×	$43,770
OR procedure for obesity w/o CC/MCC	MS-DRG	621	5	—	—	$16,895	$17,418	1.1×	$39,713
Complex cataract surgery	CPT	66982	9	—	—	$1,272.35	$9,843.54	4.4×	$26,147
Cataract surgery with lens implant	CPT	66984	9	—	—	$1,818.32	$9,843.54	4.5×	$26,147
Intravitreal injection	CPT	67028	9	—	—	$477.78	$3,738	10.9×	$9,344
Vitrectomy mechanical	CPT	67042	9	—	—	$1,186.9	$9,429.41	3.7×	$31,675
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	5	—	—	$12,056	$12,428	1.0×	$28,337
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	5	—	—	$18,962	$19,549	1.0×	$44,571
PCI single major coronary artery	CPT	92920	12	$11,299	$7,909.3	$63	$9,006.6	1.6×	$35,957
PCI with drug-eluting stent	CPT	92928	12	$14,283	$9,998.1	$63	$12,141	1.2×	$47,547
PCI bypass graft	CPT	92937	12	$23,450	$16,415	$63	$15,179	1.4×	$47,547
Left heart catheterization	CPT	93452	12	$20,600	$14,420	$967.53	$13,867	4.5×	$25,832
Coronary angiography with cath	CPT	93455	12	$22,686	$15,880	$1,166.18	$15,086	4.8×	$35,957
Coronary angiography with bypass cath	CPT	93458	12	$31,271	$21,890	$1,204.89	$17,333	5.6×	$35,957

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 15)

Payer	Codes covered	Median rate
UnitedHealthcare	163	$3,737
Blue Cross Blue Shield	155	$5,446.65
Kaiser Permanente	154	$865.15
commercial \| sutter health \| all plans	148	$9,843.54
Medicare	145	$1,626.57
Medicaid	122	$229.71
Anthem BCBS	115	$2,520
Aetna	108	$1,828.85
Cigna	85	$9,344
commercial \| healthsmart \| all plans	80	$944.8
Multiplan	80	$1,003.85
First Health	80	$1,003.85
commercial \| pinnacle \| all plans	13	$7,683.32
Health Net	9	$2,218.11
commercial \| western growers \| all plans	7	$1,208.36

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