15/100
#2,288 nationally
Dominican Hospital
1555 Soquel Drive, Santa Cruz, CA 95065 · (831) 462-7700
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Dominican Hospital billed $8.71 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 8.7x
- volume-weighted across all its priced work
- Procedures priced
- 118
- inpatient and outpatient combined
- Rank in CA
- #189
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 8% of U.S. hospitals.
Better than 40% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 6% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
577 | $211,840 | $22,271 | +225% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
304 | $46,900 | $3,577 | +141% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
227 | $41,972 | $4,263 | +66% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
168 | $154,520 | $14,778 | +256% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
132 | $120,542 | $11,209 | +207% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
119 | $108,417 | $17,206 | +74% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
102 | $23,826 | $4,176 | +25% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
94 | $155,738 | $16,832 | +183% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
94 | $17,592 | $2,493 | +50% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
92 | $63,677 | $9,368 | +60% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$266,305 | $25,340 | +283% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$116,013 | $10,898 | +265% |
|
COPD (with complications)
MS-DRG 191 · Inpatient stay |
$120,714 | $9,096 | +263% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$116,504 | $9,262 | +258% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$154,520 | $14,778 | +256% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$213,063 | $16,799 | +247% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$172,426 | $16,861 | +226% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$211,840 | $22,271 | +225% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$102,997 | $42,961 | -31% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$14,439 | $3,723 | -18% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$45,127 | $13,966 | -12% |
|
Level 4 Pacemaker and Similar Procedures
APC 5224 · Hospital outpatient visit |
$100,740 | $25,458 | +5% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$110,076 | $22,913 | +15% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$44,277 | $11,118 | +17% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$80,069 | $14,388 | +18% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$41,953 | $7,489 | +21% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.