California / Dominican Hospital

CMS certification 050242 · Santa Cruz, CA · 2 entries in CMS's price-transparency list

Dominican Hospital: charges and Medicare payments

Dominican Hospital reported 3,169 Medicare inpatient stays across 90 DRGs in 2024. Across them it charged 9.07 times what it was paid — among the higher ratios in California, number 26 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 577 stays at an average charge of $211,840, 135% above the national average. It also billed 1,780 outpatient services, charging 8.19 times what Medicare paid.

1Medicare inpatient stays 3,169
2Charge ÷ paid, inpatient 9.07×
3Rank in CA (highest ratio = 1) 26 of 247
4CMS price-transparency actions 2

Average charge per stay at Dominican Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 90 DRGs that can be compared with the national average, Dominican Hospital charged more than the national average in 90 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	577	$211,840	+135%	$22,271
291 Heart Failure and Shock with MCC	168	$154,520	+174%	$14,778
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	132	$120,542	+146%	$11,209
177 Respiratory Infections and Inflammations with MCC	94	$155,738	+121%	$16,832
853 Infectious and Parasitic Diseases with O.R. Procedures with...	81	$475,742	+108%	$60,973
193 Simple Pneumonia and Pleurisy with MCC	78	$144,720	+142%	$14,938
698 Other Kidney and Urinary Tract Diagnoses with MCC	76	$161,794	+120%	$18,379
690 Kidney and Urinary Tract Infections without MCC	75	$84,511	+123%	$8,697
378 Gastrointestinal Hemorrhage with CC	59	$116,786	+141%	$11,151
603 Cellulitis without MCC	59	$88,105	+136%	$9,599
683 Renal Failure with CC	58	$101,747	+150%	$9,648
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	53	$103,296	+157%	$8,522
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	51	$118,026	+112%	$11,369
689 Kidney and Urinary Tract Infections with MCC	51	$109,094	+113%	$12,435
190 Chronic Obstructive Pulmonary Disease with MCC	47	$134,170	+165%	$12,206
682 Renal Failure with MCC	44	$172,426	+161%	$16,861
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$135,169	+124%	$13,808
189 Pulmonary Edema and Respiratory Failure	39	$150,686	+162%	$14,915
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	38	$186,777	+87%	$20,569
552 Medical Back Problems without MCC	37	$99,663	+104%	$10,475
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	34	$116,504	+214%	$9,262
267 Endovascular Cardiac Valve Replacement and Supplement...	33	$317,708	+44%	$50,656
309 Cardiac Arrhythmia and Conduction Disorders with CC	33	$88,484	+145%	$8,152
321 Percutaneous Cardiovascular Procedures with Intraluminal...	32	$290,562	+78%	$32,653
377 Gastrointestinal Hemorrhage with MCC	31	$172,605	+102%	$21,961
287 Circulatory Disorders except AMI, with Cardiac...	30	$128,798	+102%	$12,081
322 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$179,826	+57%	$19,437
481 Hip and Femur Procedures except Major Joint with CC	30	$162,093	+61%	$22,348
280 Acute Myocardial Infarction, Discharged Alive with MCC	29	$213,063	+181%	$16,799
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$93,892	+153%	$8,802
286 Circulatory Disorders except AMI, with Cardiac...	27	$220,026	+96%	$24,473
480 Hip and Femur Procedures except Major Joint with MCC	27	$235,702	+70%	$29,305
854 Infectious and Parasitic Diseases with O.R. Procedures with...	26	$220,479	+124%	$24,249
329 Major Small and Large Bowel Procedures with MCC	25	$437,224	+103%	$55,571
389 Gastrointestinal Obstruction with CC	24	$82,389	+112%	$8,591
266 Endovascular Cardiac Valve Replacement and Supplement...	23	$499,581	+75%	$68,667
394 Other Digestive System Diagnoses with CC	23	$123,561	+163%	$10,167
194 Simple Pneumonia and Pleurisy with CC	22	$116,012	+202%	$10,898
308 Cardiac Arrhythmia and Conduction Disorders with MCC	22	$114,513	+102%	$12,970
312 Syncope and Collapse	22	$91,917	+102%	$9,413
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$179,045	+75%	$22,287
870 Septicemia or Severe Sepsis with MV >96 Hours	22	$681,460	+111%	$81,221
896 Alcohol, Drug Abuse or Dependence without Rehabilitation...	21	$116,705	+50%	$18,327
178 Respiratory Infections and Inflammations with CC	20	$96,625	+113%	$10,543
314 Other Circulatory System Diagnoses with MCC	20	$183,385	+93%	$22,169
543 Pathological Fractures and Musculoskeletal and Connective...	20	$108,868	+122%	$10,963
638 Diabetes with CC	20	$106,103	+155%	$9,822
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$127,708	+109%	$13,760
536 Fractures of Hip and Pelvis without MCC	19	$74,034	+96%	$8,643
699 Other Kidney and Urinary Tract Diagnoses with CC	19	$107,901	+127%	$10,832
092 Other Disorders of Nervous System with CC	18	$94,785	+84%	$10,744
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	18	$532,220	+93%	$60,615
101 Seizures without MCC	17	$107,551	+121%	$9,906
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	17	$644,686	+62%	$83,013
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	17	$68,218	+137%	$6,159
482 Hip and Femur Procedures except Major Joint without CC/MCC	17	$125,107	+61%	$16,773
617 Amputation of Lower Limb for Endocrine, Nutritional and...	17	$162,477	+87%	$19,930
917 Poisoning and Toxic Effects of Drugs with MCC	17	$192,164	+157%	$21,005
086 Traumatic Stupor and Coma <1 Hour with CC	16	$131,524	+93%	$15,813
069 Transient Ischemia without Thrombolytic	15	$102,183	+103%	$8,726

Showing the 60 most frequent of 90 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	304	$46,900	$3,577
Level 1 Endovascular Procedures	227	$41,972	$4,263
Level 5 Musculoskeletal Procedures	119	$108,417	$17,206
Level 3 Vascular Procedures	102	$23,826	$4,176
Level 2 Upper GI Procedures	94	$17,592	$2,493
Level 4 Musculoskeletal Procedures	92	$63,677	$9,368
Level 4 Urology and Related Services	85	$40,089	$4,567
Level 2 Excision/ Biopsy/ Incision and Drainage	79	$14,218	$2,124
Level 3 Endovascular Procedures	76	$80,069	$14,388
Level 5 Urology and Related Services	73	$49,648	$6,779
Level 3 Excision/ Biopsy/ Incision and Drainage	68	$14,439	$3,723
Level 1 Laparoscopy and Related Services	55	$65,901	$7,560
Level 3 Urology and Related Services	53	$16,848	$2,669
Level 3 Pacemaker and Similar Procedures	41	$45,127	$13,966
Level 2 Endovascular Procedures	39	$41,953	$7,489
Level 2 Musculoskeletal Procedures	37	$18,785	$2,106
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	32	$29,044	$4,533
Level 2 Laparoscopy and Related Services	29	$131,766	$13,232
Level 2 Vascular Procedures	28	$15,342	$2,001
Level 6 Musculoskeletal Procedures	19	$137,504	$24,350
Level 4 Vascular Procedures	19	$50,714	$7,200
Level 4 Endovascular Procedures	19	$110,076	$22,913
Level 2 Pacemaker and Similar Procedures	18	$44,277	$11,118
Level 4 Gynecologic Procedures	18	$31,582	$4,096
Level 4 Pacemaker and Similar Procedures	15	$100,740	$25,458

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Dominican Hospital charged $211,840 on average, 48% more than the California average of $143,063, and was paid $22,271 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Dominican Hospital charged $154,520 on average, 53% more than the California average of $100,739, and was paid $14,778 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Dominican Hospital charged $120,542 on average, 58% more than the California average of $76,120, and was paid $11,209 against a state average of $12,552. For Respiratory Infections and Inflammations with MCC (DRG 177), Dominican Hospital charged $155,738 on average, 25% more than the California average of $124,302, and was paid $16,832 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $46,900 was 13% above the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $41,972 was 4% above the state average of $40,544. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $108,417 was 1% below the state average of $109,149. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $23,826 was 21% below the state average of $30,190.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Dominican Hospital in Santa Cruz, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2022-12-13 (CMS case 589)
Met Requirements — 2025-06-10 (CMS case 5005)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.