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 |
|---|---|---|---|---|
| Treat ankle dislocation CPT 27848 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treat ankle fracture CPT 28445 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treat big toe fracture CPT 28505 | $6,447.42 | $12,642.00 | $3,423.00 – $6,732.00 | 5 |
| Treat cheek bone fracturemalar 21360 CPT 21360 | not published | not published | $2,238.00 – $9,773.00 | 5 |
| Treat chest lining CPT 32215 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Treat clavicle dislocation 23545 CPT 23545 | $1,110.78 | $2,178.00 | $343.23 – $4,042.00 | 5 |
| Treat each add spine fx CPT 22328 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Treat ectopic pregnancy CPT 59140 | not published | not published | $5,318.00 – $6,732.00 | 3 |
| Treat elbow dislocation CPT 24605 | $3,152.82 | $6,182.00 | $2,237.46 – $4,737.00 | 5 |
| Treat elbow dislocation CPT 24615 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treat elbow fracture CPT 24586 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Treat elbow fracture CPT 24620 | $4,233.51 | $8,301.00 | $2,237.46 – $4,737.00 | 5 |
| Treat elbow fracture CPT 24635 | $14,413.11 | $28,261.00 | $3,423.00 – $15,575.00 | 5 |
| Treat eyelid by injection CPT 68200 | $1,144.95 | $2,245.00 | $621.60 – $4,042.00 | 5 |
| Treat eyelid lesion 67850 CPT 67850 | not published | not published | $1,387.12 – $4,737.00 | 5 |
| Treat finger fracture each CPT 26727 | $6,447.42 | $12,642.00 | $4,552.87 – $9,773.00 | 5 |
| Treat finger fracture each CPT 26742 | $2,734.11 | $5,361.00 | $1,716.00 – $4,042.00 | 5 |
| Treat foot bone lesion CPT 28005 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Treat foot dislocation CPT 28540 | $455.94 | $894.00 | $343.23 – $4,042.00 | 5 |
| Treat foot dislocation CPT 28545 | $6,447.42 | $12,642.00 | $2,238.00 – $6,732.00 | 5 |
| Treat foot dislocation CPT 28546 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Treat foot dislocation CPT 28570 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat foot dislocation CPT 28576 | not published | not published | $3,423.00 – $10,302.82 | 5 |
| Treat foot dislocation CPT 28600 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat foot dislocation CPT 28605 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat foot dislocation CPT 28606 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Treat fracture of radius CPT 25505 | $1,958.40 | $3,840.00 | $2,237.46 – $4,042.00 | 5 |
| Treat fracture of radius CPT 25520 | $3,126.30 | $6,130.00 | $1,716.00 – $4,042.00 | 5 |
| Treat fracture of ulna CPT 25535 | $626.79 | $1,229.00 | $343.23 – $4,042.00 | 5 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Treat hand bone lesion CPT 26034 | not published | not published | $2,237.46 – $4,737.00 | 5 |
| Treat hand dislocation CPT 26675 | $3,107.43 | $6,093.00 | $1,716.00 – $4,042.00 | 5 |
| Treat hand dislocation CPT 26685 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Treat hand dislocation CPT 26686 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treat heel fracture CPT 28415 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treat hip dislocation CPT 27252 | $3,068.67 | $6,017.00 | $2,237.46 – $4,042.00 | 5 |
| Treat hip dislocation CPT 27257 | $3,107.43 | $6,093.00 | $2,237.46 – $4,042.00 | 5 |
| Treat hip dislocation CPT 27258 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treat hip dislocation CPT 27253 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Treat hip dislocation CPT 27254 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treat hip dislocation CPT 27259 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Treat hip fracture(s) CPT 27227 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Treat hip fracture(s) CPT 27228 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Treat hip socket fracture CPT 27222 | $1,257.15 | $2,465.00 | $343.23 – $4,042.00 | 5 |
| Treat hip wall fracture CPT 27226 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Treat humerus fracture CPT 24515 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Treat humerus fracture CPT 24516 | $28,431.48 | $55,748.00 | $4,233.00 – $18,229.15 | 5 |
| Treat humerus fracture CPT 24535 | $1,958.40 | $3,840.00 | $1,716.00 – $4,042.00 | 5 |
| Treat humerus fracture CPT 24545 | $14,413.11 | $28,261.00 | $4,233.00 – $18,229.15 | 5 |
| Treat humerus fracture CPT 24546 | not published | not published | $4,812.00 – $18,229.15 | 5 |
| Treat humerus fracture CPT 24565 | $2,485.74 | $4,874.00 | $1,716.00 – $4,042.00 | 5 |
| Treat humerus fracture CPT 24575 | not published | not published | $3,423.00 – $18,229.15 | 5 |
| Treat humerus fracture CPT 24579 | not published | not published | $3,423.00 – $18,229.15 | 5 |
| Treat humerus fracture CPT 24582 | not published | not published | $2,995.00 – $10,302.82 | 5 |
| Treat kneecap dislocation CPT 27562 | $3,152.82 | $6,182.00 | $343.23 – $4,042.00 | 5 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Treat kneecap fracture CPT 27524 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Treat knee dislocation CPT 27552 | $3,126.30 | $6,130.00 | $2,237.46 – $4,737.00 | 5 |
| Treat knee dislocation CPT 27556 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treat knee dislocation CPT 27557 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Treat knee dislocation CPT 27558 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Treat knee fracture CPT 27535 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Treat knee fracture CPT 27536 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Treat knee fracture CPT 27540 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Treat knee fracture 27530 CPT 27530 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat knee fracture(s) CPT 27538 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat knuckle dislocation CPT 26705 | $3,107.43 | $6,093.00 | $1,716.00 – $4,042.00 | 5 |
| Treat knuckle dislocation CPT 26715 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Treat lower jaw fracture 21462 CPT 21462 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Treat lower leg bone lesion CPT 27607 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Treat lower leg dislocation CPT 27830 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat lower leg dislocation CPT 27831 | $6,447.42 | $12,642.00 | $2,238.00 – $4,645.79 | 5 |
| Treat lower leg dislocation CPT 27832 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Treat lower leg fracture CPT 27826 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treat lower leg fracture CPT 27827 | $28,431.48 | $55,748.00 | $3,423.00 – $18,229.15 | 5 |
| Treat lower leg fracture CPT 27828 | $28,431.48 | $55,748.00 | $4,233.00 – $18,229.15 | 5 |
| Treat lower leg joint CPT 27829 | $14,413.11 | $28,261.00 | $2,995.00 – $15,575.00 | 5 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $14,413.11 | $28,261.00 | $4,812.00 – $15,575.00 | 5 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $14,413.11 | $28,261.00 | $4,812.00 – $15,575.00 | 5 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $14,326.92 | $28,092.00 | $4,812.00 – $15,575.00 | 5 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $6,912.54 | $13,554.00 | $4,504.34 – $6,732.00 | 5 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | not published | not published | $185.13 – $330.89 | 3 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | not published | not published | $125.74 – $125.74 | 1 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $402.90 | $790.00 | $124.08 – $310.92 | 3 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $6,124.08 | $12,008.00 | $4,504.34 – $6,732.00 | 5 |
| Treatment mouth roof lesion CPT 42160 | $6,161.82 | $12,082.00 | $2,995.00 – $4,737.00 | 5 |
| Treatment of anal fissure CPT 46942 | not published | not published | $1,294.00 – $4,042.00 | 5 |
| Treatment of anal fissure w/dilat 46940 CPT 46940 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Treatment of ankle fracture CPT 27792 | $14,326.92 | $28,092.00 | $3,423.00 – $15,575.00 | 5 |
| Treatment of ankle fracture CPT 27814 | $14,413.11 | $28,261.00 | $3,423.00 – $15,575.00 | 5 |
| Treatment of ankle fracture CPT 27822 | $14,413.11 | $28,261.00 | $3,423.00 – $15,575.00 | 5 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treatment of ankle fracture 27786 CPT 27786 | $691.05 | $1,355.00 | $343.23 – $4,042.00 | 5 |
| Treatment of choroid lesion CPT 67220 | not published | not published | $765.30 – $4,042.00 | 5 |
| Treatment of corneal lesion CPT 65450 | not published | not published | $441.66 – $4,042.00 | 5 |
| Treatment of eyelid lesions CPT 68040 | not published | not published | $441.66 – $4,042.00 | 5 |
| Treatment of fibula fracture CPT 27784 | $14,326.92 | $28,092.00 | $3,423.00 – $15,575.00 | 5 |
| Treatment of fibula fracture 27780 CPT 27780 | $448.80 | $880.00 | $343.23 – $4,042.00 | 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.