Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Brachy source yttrium-90 HCPCS C2616 | $59,436.32 | $116,541.80 | $17,415.59 – $17,771.01 | 2 |
| Brachy src nonstrand c-131 HCPCS C2643 | $390.15 | $765.00 | $97.80 – $99.80 | 2 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $304.98 | $598.00 | $350.34 – $357.49 | 2 |
| Brachy src stranded c-131 HCPCS C2642 | $416.16 | $816.00 | $116.73 – $119.11 | 2 |
| Brachytx isodose complex CPT 77318 | $5,224.44 | $10,244.00 | $521.01 – $1,672.75 | 3 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $521.01 – $1,232.44 | 3 |
| Brachytx isodose plan simple CPT 77316 | $2,429.13 | $4,763.00 | $521.01 – $945.27 | 3 |
| Braf gene CPT 81210 | not published | not published | $171.89 – $407.94 | 4 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Brain flow imaging only CPT 78610 | not published | not published | $345.13 – $770.94 | 4 |
| Brain image < 4 views CPT 78600 | not published | not published | $556.27 – $716.02 | 4 |
| Brain image 4+ views CPT 78605 | not published | not published | $755.17 – $843.47 | 4 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $556.27 – $843.47 | 4 |
| Brain image w/flow 4 + views CPT 78606 | $1,904.85 | $3,735.00 | $755.17 – $961.64 | 4 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $5,476.38 | $10,738.00 | $485.45 – $5,620.77 | 4 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $485.45 – $2,858.51 | 4 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $3,964.74 | $7,774.00 | $332.01 – $2,858.51 | 4 |
| Brain MRI (with and without contrast) CPT 70553 | $7,324.11 | $14,361.00 | $485.45 – $5,473.94 | 4 |
| Brain MRI (with contrast) CPT 70552 | $4,453.32 | $8,732.00 | $485.45 – $3,329.49 | 4 |
| Brain MRI (without contrast) CPT 70551 | $3,720.45 | $7,295.00 | $332.01 – $2,779.57 | 4 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $260.10 | $510.00 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $458.64 – $2,444.49 | 4 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $572.55 – $3,051.61 | 4 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $311.64 – $2,666.30 | 4 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $295.32 – $1,574.02 | 4 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $277.22 – $1,477.59 | 4 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $181.42 – $11,731.72 | 4 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $311.64 – $2,666.30 | 4 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $277.22 – $1,477.59 | 4 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $431.20 – $3,227.63 | 4 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,788.38 – $21,224.46 | 4 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,808.57 | $5,507.00 | $2,298.14 – $4,737.00 | 5 |
| Breast punct aspir cyst, bil CPT 19000 | $1,513.17 | $2,967.00 | $691.00 – $4,042.00 | 5 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $4,812.00 – $19,567.04 | 5 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $3,423.00 – $11,377.00 | 3 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Breast reduction CPT 19318 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $144.35 – $1,716.00 | 4 |
| Breathing response hypoxia CPT 94450 | not published | not published | $122.43 – $182.70 | 3 |
| Breath recording infant CPT 94772 | not published | not published | $319.31 – $529.83 | 3 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $92.52 – $561.44 | 4 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $10.84 – $68.66 | 4 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $133.26 – $535.20 | 4 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $479,504.79 – $1,052,208.19 | 3 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $544.23 – $4,042.00 | 5 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Bronchial allergy tests CPT 95070 | not published | not published | $519.24 – $576.57 | 3 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $544.23 – $4,042.00 | 5 |
| Bronchial challenge CPT 94070 | not published | not published | $449.59 – $529.83 | 3 |
| Bronchial valve init insert CPT 31647 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $2,476.66 – $4,737.00 | 4 |
| Bronchial valve remov init CPT 31648 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Bronchoscopy clear airways 31645 CPT 31645 | $6,126.12 | $12,012.00 | $2,238.00 – $4,737.00 | 5 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $1,716.00 – $15,202.00 | 4 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $2,995.00 – $5,293.73 | 5 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $1,716.00 – $15,202.00 | 4 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $2,476.66 – $4,737.00 | 5 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $5,105.61 | $10,011.00 | $2,476.66 – $4,737.00 | 5 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $277.75 – $2,238.00 | 4 |
| Br punct aspir ea add, l CPT 19001 | $1,513.17 | $2,967.00 | $691.00 – $12,908.00 | 4 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Budesonide non-comp unit HCPCS J7626 | $31.63 | $62.01 | $0.93 – $2.56 | 3 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $84.15 | $165.00 | $1.14 – $1.30 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $147.39 | $289.00 | $26.12 – $98.94 | 4 |
| Bundled special stain group 2 CPT 88313 | $92.82 | $182.00 | $25.53 – $188.91 | 4 |
| Bundle his recording CPT 93600 | not published | not published | $4,042.00 – $11,074.44 | 4 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $84.15 | $165.00 | $0.02 – $0.09 | 3 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $1.13 – $1.13 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $5.01 – $15.54 | 2 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $10.11 – $25.22 | 2 |
| Buprenorphine and metabolite - sendout CPT 80348 | $5.56 | $10.91 | $0.07 – $158.00 | 2 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $1.30 – $8.99 | 3 |
| Buprenorphine oral 1mg HCPCS J0571 | $11.81 | $23.16 | $2.69 – $2.71 | 2 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,956.63 – $4,139.24 | 4 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,956.63 – $4,139.24 | 4 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Burr hole implant ventricular cath/other device CPT 61210 | $12,428.19 | $24,369.00 | $2,238.00 – $9,773.00 | 3 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Burr hole skull & remove clot 61154 CPT 61154 | $3,678.12 | $7,212.00 | $2,238.00 – $9,773.00 | 3 |
| Bur rotalink 2.15mm HCPCS C1724 | $12,157.07 | $23,837.40 | not published | 0 |
| Busulfan injection HCPCS J0594 | not published | not published | $0.66 – $12.52 | 4 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $8.07 – $10.08 | 3 |
| Buttock fasciotomy CPT 27027 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $2,238.00 – $4,737.00 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.