Dominican Hospital — price list
← Hospital overviewVerified from Dominican Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
799 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Admin sarscv2 0.5ml 3dose Inpatient | 0093A CPT | $173 | $77.85 | $138 – $147 | — | |
| Admin sarscv2 0.5ml 3dose Outpatient | 0093A CPT | $173 | $77.85 | $112 – $173 | — | |
| Allogeneic bone marrow transplant Inpatient | 0071 APR-DRG | — | — | $56,980 – $90,598 | — | |
| Allogeneic bone marrow transplant Inpatient | 0072 APR-DRG | — | — | $72,248 – $114,874 | — | |
| Allogeneic bone marrow transplant Inpatient | 0073 APR-DRG | — | — | $91,720 – $145,835 | — | |
| Allogeneic bone marrow transplant Inpatient | 0074 APR-DRG | — | — | $160,007 – $254,411 | — | |
| Allogeneic bone marrow transplant Inpatient | 014 MS-DRG | — | — | $10,285 – $423,652 | — | |
| Autologous bone marrow transplant or t-cell immunotherapy Inpatient | 0081 APR-DRG | — | — | $24,161 – $38,416 | — | |
| Autologous bone marrow transplant or t-cell immunotherapy Inpatient | 0082 APR-DRG | — | — | $38,880 – $61,819 | — | |
| Autologous bone marrow transplant or t-cell immunotherapy Inpatient | 0083 APR-DRG | — | — | $46,545 – $74,007 | — | |
| Autologous bone marrow transplant or t-cell immunotherapy Inpatient | 0084 APR-DRG | — | — | $77,668 – $123,492 | — | |
| Autologous bone marrow transplant with cc/mcc Inpatient | 016 MS-DRG | — | — | $10,285 – $195,713 | — | |
| Autologous bone marrow transplant without cc/mcc Inpatient | 017 MS-DRG | — | — | $10,285 – $195,713 | — | |
| Cardiovascular surgery Inpatient | 0210099 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02100J3 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02100JF ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02100ZF ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 0210344 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 0210444 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 021049C ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02104A3 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02104AC ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02104J3 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02104Z3 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 021109F ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02110AF ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02110J8 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02110K8 ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02110KW ICD | — | — | $17,477 – $29,868 | — | |
| Cardiovascular surgery Inpatient | 02110Z8 ICD | — | — | $17,477 – $29,868 | — |