Dominican Hospital
Dominican Hospital in Santa Cruz, California charges 9.6x the Medicare reimbursement rate across 76 analyzed procedures, with 79% showing significant price variations.
Santa Cruz, CA 95065 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
F
Very high
Avg markup vs Medicare
9.62x
Charge / Medicare rate
Max markup
17.97x
Worst procedure
Procedures analyzed
76
With pricing data
Outlier procedures
78.9%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $117,908 | $58,954 | — | 18x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $106,816 | $53,408 | — | 14.1x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $141,077 | $70,538 | — | 13.7x |
| DIABETES WITH CC | 638 | $112,181 | $56,091 | — | 13.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $143,481 | $71,741 | — | 13.1x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $196,676 | $98,338 | — | 12.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $148,171 | $74,085 | — | 12.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $122,648 | $61,324 | — | 12.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $83,887 | $41,943 | — | 12x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $98,579 | $49,289 | — | 11.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $95,784 | $47,892 | — | 11.7x |
| RENAL FAILURE WITH CC | 683 | $100,238 | $50,119 | — | 11.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $82,602 | $41,301 | — | 11.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $54,656 | $27,328 | — | 11.4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $96,106 | $48,053 | — | 11.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $83,439 | $41,719 | — | 11.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $81,047 | $40,524 | — | 11.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $201,155 | $100,578 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $107,581 | $53,791 | — | 11.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $107,758 | $53,879 | — | 11.3x |
| SEIZURES WITHOUT MCC | 101 | $97,832 | $48,916 | — | 11.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $191,715 | $95,857 | — | 11.1x |
| SYNCOPE AND COLLAPSE | 312 | $101,032 | $50,516 | — | 11.1x |
| CELLULITIS WITHOUT MCC | 603 | $93,775 | $46,888 | — | 11x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $84,945 | $42,472 | — | 11x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $158,277 | $79,139 | — | 11x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $111,134 | $55,567 | — | 10.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $149,977 | $74,988 | — | 10.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $94,238 | $47,119 | — | 10.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $82,528 | $41,264 | — | 10.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $133,466 | $66,733 | — | 10.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $96,681 | $48,341 | — | 10.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $177,672 | $88,836 | — | 9.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $71,569 | $35,785 | — | 9.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $128,943 | $64,472 | — | 9.8x |
| RENAL FAILURE WITH MCC | 682 | $140,079 | $70,040 | — | 9.7x |
| CELLULITIS WITH MCC | 602 | $157,393 | $78,696 | — | 9.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $93,922 | $46,961 | — | 9.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $238,871 | $119,436 | — | 9.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $116,263 | $58,131 | — | 9.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $106,617 | $53,308 | — | 9.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $80,710 | $40,355 | — | 9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $149,143 | $74,572 | — | 9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $190,213 | $95,107 | — | 9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $259,495 | $129,747 | — | 9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $237,798 | $118,899 | — | 8.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $183,287 | $91,643 | — | 8.8x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $492,774 | $246,387 | — | 8.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $165,752 | $82,876 | — | 8.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $186,116 | $93,058 | — | 8.1x |
Showing 50 of 76 procedures
How DOMINICAN HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use