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 |
|---|---|---|---|---|
| Total Hip Replacement CPT 27130 | not published | not published | $3,423.00 – $20,488.00 | 5 |
| Total hysterectomy CPT 58150 | not published | not published | $2,238.00 – $25,815.00 | 4 |
| Total Knee Replacement CPT 27447 | not published | not published | $3,423.00 – $20,488.00 | 5 |
| Total lung lavage CPT 32997 | not published | not published | $2,238.00 – $4,737.00 | 3 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $3,423.00 – $9,773.00 | 2 |
| Total tau CPT 84394 | not published | not published | $126.34 – $162.25 | 3 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,995.00 – $24,397.68 | 5 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $2,995.00 – $24,397.68 | 5 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $691.00 – $12,908.00 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $691.00 – $12,908.00 | 4 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Tot estradiol response panel CPT 80415 | not published | not published | $54.77 – $416.45 | 4 |
| Toxoplasma antibody igg CPT 86777 | $45.06 | $88.35 | $14.10 – $125.91 | 4 |
| Toxoplasma antibody igm CPT 86778 | $36.20 | $70.98 | $14.12 – $130.70 | 4 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $629.01 – $1,911.41 | 4 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $301.84 – $917.21 | 4 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $322.92 – $981.26 | 4 |
| Tpmt gene com vrnts CPT 81335 | $76.50 | $150.00 | $171.31 – $1,097.95 | 4 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $347.66 – $4,042.00 | 5 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $691.00 – $20,488.00 | 5 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $691.00 – $6,732.00 | 5 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $691.00 – $13,441.06 | 5 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $383.25 – $782.23 | 4 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $765.30 – $4,042.00 | 5 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $3,423.00 – $7,102.79 | 5 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,366.80 | $2,680.00 | $750.46 – $4,042.00 | 5 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $21.21 – $21.64 | 2 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $201.96 | $396.00 | $56.85 – $58.01 | 2 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $145.35 | $285.00 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $424.02 – $5,318.00 | 5 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Transcath biopsy CPT 37200 | $6,852.36 | $13,436.00 | $2,238.00 – $15,575.00 | 5 |
| Transcath closure of asd CPT 93580 | $30,199.65 | $59,215.00 | $9,773.00 – $25,507.82 | 4 |
| Transcath closure of vsd CPT 93581 | $25,456.65 | $49,915.00 | $9,773.00 – $25,507.82 | 4 |
| Transcatheter bx s&i CPT 75970 | $2,045.10 | $4,010.00 | $2,882.68 – $2,937.45 | 2 |
| Transcath mv repair addl prosthesis CPT 33419 | $17,730.15 | $34,765.00 | $691.00 – $12,568.00 | 3 |
| Transcath mv repair init prosthesis CPT 33418 | $17,730.15 | $34,765.00 | $691.00 – $12,568.00 | 3 |
| Transcath occlusion cns CPT 61624 | not published | not published | $2,238.00 – $25,815.00 | 5 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $6,682.00 – $20,488.00 | 5 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $691.00 – $12,568.00 | 3 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Transcrv abltj utrn fibrd rf CPT 58580 | not published | not published | $691.00 – $12,568.00 | 5 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $9.18 – $42.07 | 4 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $4.92 – $46.62 | 4 |
| Transcutaneous methb CPT 88741 | not published | not published | $9.18 – $42.07 | 4 |
| Transect artery sinus CPT 61611 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Transect pulmonary artery CPT 33922 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Transfer of embryo CPT 58976 | not published | not published | $424.02 – $4,042.00 | 5 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Transferrin CPT 84466 | $142.29 | $279.00 | $12.50 – $115.34 | 4 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $2,870.98 – $9,773.00 | 5 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Transfusion blood/blood component(s) CPT 36430 | $1,724.31 | $3,381.00 | $613.88 – $4,042.00 | 5 |
| Transorl lwr esophgl myotomy CPT 43497 | not published | not published | $2,238.00 – $9,773.00 | 5 |
| Transperi needle place pros CPT 55875 | not published | not published | $7,460.75 – $12,568.00 | 5 |
| Transpetrosal approach/skull CPT 61598 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Transpl allograft pancreas CPT 48554 | not published | not published | $2,238.00 – $12,568.00 | 2 |
| Transplantation heart/lung CPT 33935 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Transplantation of heart CPT 33945 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Transplantation of liver CPT 47135 | not published | not published | $6,732.00 – $12,568.00 | 3 |
| Transplant femur ridge CPT 27140 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Transplant forearm tendon CPT 25310 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Transplant forearm tendon CPT 25312 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Transplant/graft hand tendon CPT 26483 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Transplant/graft palm tendon CPT 26489 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Transplant hand tendon CPT 26480 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Transplant of thigh tendon CPT 27396 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Transplant palm tendon CPT 26485 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Transplants of thigh tendons CPT 27397 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Transplant ureter to skin CPT 50860 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Transplj hematopoietic boost CPT 38243 | not published | not published | $2,167.10 – $12,568.00 | 5 |
| Transplt allo hct/donor CPT 38240 | not published | not published | $2,238.00 – $87,524.65 | 5 |
| Transplt allo lymphocytes CPT 38242 | not published | not published | $2,167.10 – $4,737.00 | 5 |
| Transplt autol hct/donor CPT 38241 | not published | not published | $2,167.10 – $12,568.00 | 5 |
| Transposition of vein valve CPT 34510 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Transposition ovary(s) CPT 58825 | not published | not published | $2,238.00 – $19,505.00 | 4 |
| Transtemporal approach/skull CPT 61595 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Transthor cath for stent CPT 33621 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Transthor diaphrag hern repair 43334 CPT 43334 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Transthor diaphrag hern rpr CPT 43335 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Transurethral rf treatment CPT 53860 | not published | not published | $691.00 – $5,318.00 | 5 |
| Transvrs a-arch grf hypthrm CPT 33871 | not published | not published | $691.00 – $12,568.00 | 3 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,702.80 | $9,221.18 | $71.59 – $162.73 | 4 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $3,721.47 | $7,297.00 | $55.25 – $125.96 | 4 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $10.22 – $115.52 | 4 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $44,829.51 | $87,901.00 | $1,854.70 – $1,892.55 | 2 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $7,854.00 | $15,400.00 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $48.60 – $352.87 | 4 |
| Treat ankle dislocation CPT 27842 | $3,107.43 | $6,093.00 | $2,237.46 – $4,737.00 | 5 |
| Treat ankle dislocation CPT 27846 | $14,413.11 | $28,261.00 | $3,423.00 – $15,575.00 | 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.