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 |
|---|---|---|---|---|
| Ven thrombosis images bilat CPT 78458 | not published | not published | $556.27 – $1,002.41 | 4 |
| Ventilator each subsequent day CPT 94003 | $2,926.89 | $5,739.00 | $859.63 – $877.17 | 2 |
| Ventilator initial day CPT 94002 | $3,758.19 | $7,369.00 | $859.63 – $877.17 | 2 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $1,653.93 | $3,243.00 | $1,230.71 – $4,042.00 | 5 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Version cephalic external CPT 59412 | $3,769.92 | $7,392.00 | $691.00 – $6,732.00 | 5 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.34 – $24.77 | 4 |
| Very long chain fatty acids CPT 82726 | not published | not published | $19.36 – $157.82 | 4 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $2,238.00 – $12,908.00 | 4 |
| Vest large holster HCPCS Q0498 | $1,392.42 | $2,730.24 | not published | 0 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | not published | not published | $5.75 – $11.05 | 3 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $185.97 | $364.65 | $16.39 – $47.85 | 3 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | not published | not published | $13.17 – $136.41 | 3 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $17.14 – $83.96 | 4 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $19.80 – $74.51 | 4 |
| Visc & infraren abd 1 prosth CPT 34845 | not published | not published | $691.00 – $12,568.00 | 3 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $691.00 – $12,568.00 | 3 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $691.00 – $12,568.00 | 3 |
| Visc & infraren abd 4+ prost CPT 34848 | not published | not published | $691.00 – $12,568.00 | 3 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $7,817.28 | $15,328.00 | $185.25 – $189.04 | 2 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $300.45 – $306.58 | 2 |
| Vital capacity test CPT 94150 | $208.08 | $408.00 | $26.88 – $182.70 | 3 |
| Vitamin b-12 CPT 82607 | $157.59 | $309.00 | $14.78 – $132.30 | 4 |
| Vitamin D Test CPT 82306 | $334.56 | $656.00 | $29.01 – $259.81 | 4 |
| Vit for macular hole CPT 67042 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Vit for macular pucker CPT 67041 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Vit for membrane dissect CPT 67043 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Vkorc1 gene CPT 81355 | not published | not published | $86.44 – $460.23 | 4 |
| Vlvctmy rad comp bi lymphad CPT 56637 | not published | not published | $2,995.00 – $20,488.00 | 3 |
| Vlvctmy rad comp uni lymphad CPT 56634 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Vlvctmy rad prtl uni lymphad CPT 56631 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Vlvt pv clsd hrt via p-art CPT 33471 | not published | not published | $9,773.00 – $9,773.00 | 1 |
| Vngrph chd anom/persist svc CPT 93584 | not published | not published | $691.00 – $12,908.00 | 2 |
| Vngrph chd azygs/hemiazygs CPT 93585 | not published | not published | $691.00 – $12,908.00 | 2 |
| Vngrph chd coronary sinus CPT 93586 | not published | not published | $691.00 – $12,908.00 | 2 |
| Vngrph chd vnvn cltrl at/abv CPT 93587 | not published | not published | $691.00 – $12,908.00 | 2 |
| Vngrph chd vnvn cltrl below CPT 93588 | not published | not published | $691.00 – $12,908.00 | 2 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | not published | $691.00 – $12,908.00 | 4 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $96.90 – $287.00 | 4 |
| Volume deplete of harvest CPT 38214 | not published | not published | $613.88 – $4,042.00 | 5 |
| Volume measurement urine timed CPT 81050 | $30.60 | $60.00 | $3.57 – $22.33 | 4 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | not published | not published | $1.79 – $3.93 | 4 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $259.21 | $508.25 | $2.12 – $6.58 | 3 |
| Vsrctv std tcd icr art compl CPT 93896 | not published | not published | $737.84 – $737.84 | 1 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Vulvectomy radical complete CPT 56633 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Vulvectomy radical partial CPT 56630 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $4,504.34 – $9,773.00 | 5 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $4,918.89 – $10,656.07 | 4 |
| Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401 | not published | not published | $984.49 – $2,185.84 | 4 |
| Warde 1003990 aldosterone CPT 82088 | $54.62 | $107.10 | $39.94 – $357.71 | 4 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $17.85 | $35.00 | $27.24 – $243.97 | 4 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $3.06 | $6.00 | $12.64 – $113.21 | 4 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $99.07 | $194.25 | $24.74 – $221.64 | 4 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $11.33 | $22.22 | $15.19 – $136.08 | 4 |
| Warde 1015200 kappa light chain free CPT 83521 | $61.20 | $120.00 | $16.92 – $40.83 | 4 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $34.87 | $68.38 | $7.86 – $292.36 | 4 |
| Warde 3008005 oligoclonal bands CPT 83916 | $56.20 | $110.20 | $26.84 – $176.43 | 4 |
| Warde 3016000 west nile virus antibody CPT 86788 | $43.76 | $85.81 | $16.51 – $144.64 | 4 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $43.76 | $85.81 | $14.10 – $123.55 | 4 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $51.00 | $100.00 | $12.00 – $113.09 | 4 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $31.88 | $62.50 | $8.72 – $77.70 | 4 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $31.88 | $62.50 | $17.62 – $154.28 | 4 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $104.04 | $204.00 | $139.78 – $424.78 | 4 |
| Warde 3400852 arsenic CPT 82175 | $66.81 | $131.00 | $18.59 – $166.51 | 4 |
| Warde 3708165 mercury urine CPT 83825 | $56.10 | $110.00 | $15.93 – $142.05 | 4 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $17.46 | $34.23 | $18.03 – $43.49 | 4 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $35.19 | $69.00 | $11.81 – $27.24 | 4 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $35.57 | $69.75 | $7.94 – $61.39 | 4 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $56.10 | $110.00 | $37.85 – $338.98 | 4 |
| Warde aldolase CPT 82085 | $12.37 | $24.25 | $9.52 – $85.20 | 4 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $283.51 | $555.90 | $16.53 – $147.36 | 4 |
| Warde amiodarone therapeutic drug level CPT 80151 | $65.33 | $128.10 | $18.27 – $55.48 | 4 |
| Warde analysis gene hfe common variants CPT 81256 | $200.43 | $393.00 | $64.05 – $452.61 | 4 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $43.35 | $85.00 | $160.68 – $339.40 | 4 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | not published | not published | $0.07 – $111.62 | 2 |
| Warde anti-mullerian hormone CPT 82166 | $10.20 | $20.00 | $37.85 – $91.29 | 4 |
| Warde apolipoprotein b CPT 82172 | $27.08 | $53.10 | $20.67 – $102.99 | 4 |
| Warde bile acids CPT 82239 | $28.82 | $56.50 | $16.78 – $151.79 | 4 |
| Warde cadmium blood CPT 82300 | not published | not published | $23.17 – $203.02 | 4 |
| Warde calcitonin CPT 82308 | $79.05 | $155.00 | $26.25 – $235.05 | 4 |
| Warde calculus (stone) infrared CPT 82365 | $31.62 | $62.00 | $12.64 – $113.21 | 4 |
| Warde clozapine therapeutic drug level CPT 80159 | $8.67 | $17.00 | $19.75 – $93.48 | 4 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $28.92 | $56.70 | $21.52 – $163.55 | 4 |
| Warde collagen cross links c-telopeptide CPT 82523 | $70.89 | $139.00 | $18.31 – $241.84 | 4 |
| Warde complement total hemolytic CPT 86162 | $28.69 | $56.25 | $19.91 – $178.27 | 4 |
| Warde copper CPT 82525 | $41.13 | $80.65 | $12.16 – $109.19 | 4 |
| Warde cryoglobulin CPT 82595 | $35.96 | $70.50 | $6.34 – $55.31 | 4 |
| Warde erythropoietin CPT 82668 | $68.37 | $134.05 | $18.41 – $163.79 | 4 |
| Warde estrogen fractionated CPT 82671 | $212.72 | $417.10 | $31.65 – $283.44 | 4 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $5.10 | $10.00 | $11.85 – $28.60 | 4 |
| Warde folic acid rbc CPT 82747 | $31.03 | $60.85 | $17.30 – $157.59 | 4 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $19.18 | $37.60 | $9.51 – $85.09 | 4 |
| Warde gastrin CPT 82941 | $21.45 | $42.05 | $17.28 – $154.81 | 4 |
| Warde growth hormone (hgh) CPT 83003 | $20.60 | $40.40 | $16.34 – $146.24 | 4 |
| Warde haloperidol therapeutic drug level CPT 80173 | $72.42 | $142.00 | $15.46 – $127.69 | 4 |
| Warde helminth antibody strongyloides igg CPT 86682 | $19.89 | $39.00 | $12.75 – $115.22 | 4 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $9.51 | $18.64 | $12.61 – $95.96 | 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.