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 |
|---|---|---|---|---|
| Treatment of foot infection CPT 28002 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Treatment of foot infection CPT 28003 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Treatment of gum lesion CPT 41850 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Treatment of head injury 62010 CPT 62010 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Treatment of heel fracture 28400 CPT 28400 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treatment of miscarriage CPT 59821 | $6,124.08 | $12,008.00 | $4,504.34 – $6,732.00 | 5 |
| Treatment of mouth lesion physical 40820 CPT 40820 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Treatment of penis lesion CPT 54110 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treatment of penis lesion CPT 54115 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Treatment of rectal prolapse CPT 45520 | not published | not published | $691.00 – $4,042.00 | 5 |
| Treatment of retinal lesion CPT 67208 | not published | not published | $441.66 – $4,042.00 | 5 |
| Treatment of retinal lesion CPT 67210 | not published | not published | $765.30 – $4,042.00 | 5 |
| Treatment of retinal lesion CPT 67218 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Treatment of thigh fracture CPT 27501 | $451.35 | $885.00 | $343.23 – $4,042.00 | 5 |
| Treatment of thigh fracture CPT 27503 | $3,126.30 | $6,130.00 | $1,716.00 – $4,042.00 | 5 |
| Treatment of thigh fracture CPT 27506 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treatment of thigh fracture CPT 27508 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treatment of thigh fracture CPT 27509 | $14,413.11 | $28,261.00 | $3,423.00 – $10,302.82 | 5 |
| Treatment of thigh fracture CPT 27510 | $2,001.75 | $3,925.00 | $1,716.00 – $4,042.00 | 5 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $2,995.00 – $18,229.15 | 5 |
| Treatment of thigh fracture CPT 27507 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treatment of thigh fracture CPT 27513 | not published | not published | $3,423.00 – $18,229.15 | 5 |
| Treatment of thigh fracture CPT 27514 | not published | not published | $2,995.00 – $18,229.15 | 5 |
| Treatment of tibia fracture CPT 27756 | $14,413.11 | $28,261.00 | $3,423.00 – $10,302.82 | 5 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Treatment of toe fracture 28510 CPT 28510 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $2,908.69 – $6,732.00 | 5 |
| Treatment radiation delivery level 2 CPT 77407 | not published | not published | $508.38 – $547.63 | 3 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $765.30 – $4,042.00 | 5 |
| Treat metacarpal fracture CPT 26608 | $6,486.18 | $12,718.00 | $4,042.00 – $6,732.00 | 5 |
| Treat metacarpal fracture CPT 26615 | $6,486.18 | $12,718.00 | $4,233.00 – $15,575.00 | 5 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Treat metatarsal fracture CPT 28485 | $14,326.92 | $28,092.00 | $4,233.00 – $15,575.00 | 5 |
| Treat midfoot fracture each CPT 28455 | $3,107.43 | $6,093.00 | $1,716.00 – $4,042.00 | 5 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treat neck spine fracture CPT 22326 | not published | not published | $3,423.00 – $18,229.15 | 5 |
| Treat odontoid fx w/graft CPT 22319 | not published | not published | $3,423.00 – $18,229.15 | 5 |
| Treat odontoid fx without graft CPT 22318 | not published | not published | $2,995.00 – $18,229.15 | 5 |
| Treat pelvic fracture(s) CPT 27215 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $4,233.00 – $11,377.00 | 3 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Treat pelvic ring fracture CPT 27218 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Treat penis lesion graft CPT 54111 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treat penis lesion graft CPT 54112 | not published | not published | $2,995.00 – $13,441.06 | 5 |
| Treat radius fracture CPT 24665 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Treat radius fracture CPT 24666 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $3,423.00 – $10,302.82 | 5 |
| Treat skull fracture CPT 62000 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Treat skull fracture CPT 62005 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $1,230.71 – $4,042.00 | 5 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $1,230.71 – $4,042.00 | 5 |
| Treat spine fracture CPT 22325 | not published | not published | $2,995.00 – $18,229.15 | 5 |
| Treat sternum fracture CPT 21820 | $451.35 | $885.00 | $343.23 – $4,042.00 | 5 |
| Treat tail bone fracture CPT 27202 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Treat thigh fracture CPT 27230 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat thigh fracture CPT 27235 | $14,413.11 | $28,261.00 | $4,233.00 – $11,377.00 | 5 |
| Treat thigh fracture CPT 27236 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Treat thigh fracture CPT 27238 | $3,107.43 | $6,093.00 | $1,716.00 – $4,042.00 | 5 |
| Treat thigh fracture CPT 27245 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Treat thigh fracture CPT 27246 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat thigh fracture CPT 27248 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Treat thigh fracture CPT 27240 | $3,323.16 | $6,516.00 | $2,237.46 – $4,737.00 | 5 |
| Treat thigh fracture CPT 27244 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Treat thigh fx growth plate CPT 27516 | $448.80 | $880.00 | $343.23 – $4,042.00 | 5 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $1,716.00 – $4,042.00 | 5 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $3,423.00 – $18,229.15 | 5 |
| Treat thumb fracture CPT 26650 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Treat thumb fracture CPT 26665 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Treat toe dislocation CPT 28636 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Treat toe dislocation CPT 28665 | $771.12 | $1,512.00 | $389.18 – $4,042.00 | 5 |
| Treat toe dislocation CPT 28666 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Treat toe fracture CPT 28525 | $6,447.42 | $12,642.00 | $3,423.00 – $6,732.00 | 5 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Treat trigeminal tract CPT 61791 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Treat ulnar fracture CPT 24675 | $2,734.11 | $5,361.00 | $1,716.00 – $4,042.00 | 5 |
| Treat ulnar fracture CPT 24685 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Treat vaginal bleeding CPT 57180 | $282.54 | $554.00 | $281.31 – $4,042.00 | 5 |
| Treat wrist bone fracture CPT 25635 | $3,107.43 | $6,093.00 | $1,716.00 – $4,042.00 | 5 |
| Treat wrist dislocation CPT 25675 | $855.27 | $1,677.00 | $343.23 – $4,042.00 | 5 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $140.36 – $297.22 | 4 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $11.94 – $78.88 | 4 |
| Treponema pallidum antibody CPT 86780 | $195.84 | $384.00 | $12.98 – $145.83 | 4 |
| Treprostinil injection HCPCS J3285 | not published | not published | $54.08 – $122.18 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $608.26 – $1,634.86 | 3 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $197.47 – $602.21 | 4 |
| Trh stimulation panel CPT 80439 | not published | not published | $65.87 – $500.76 | 4 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $84.15 | $165.00 | $1.74 – $14.93 | 3 |
| Triamcinolone a inj prs-free HCPCS J3300 | $127.32 | $249.64 | $4.64 – $53.79 | 4 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.69 – $1.21 | 2 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $3.34 – $20.96 | 2 |
| Trichinella antibody CPT 86784 | not published | not published | $12.31 – $110.79 | 4 |
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.