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 |
|---|---|---|---|---|
| Warde hepatitis a antibody CPT 86708 | $189.72 | $372.00 | $12.14 – $105.17 | 4 |
| Warde hepatitis be antibody CPT 86707 | $32.64 | $64.00 | $11.34 – $98.20 | 4 |
| Warde hepatitis delta agent antibody CPT 86692 | $51.28 | $100.55 | $16.82 – $141.40 | 4 |
| Warde immunofixation electrophoresis urine CPT 86335 | $181.25 | $355.40 | $28.76 – $122.13 | 4 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $32.64 | $64.00 | $11.30 – $97.85 | 4 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $209.10 | $410.00 | $252.30 – $2,258.01 | 4 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $93.71 | $183.75 | $23.10 – $134.95 | 4 |
| Warde lipoprotein (a) CPT 83695 | $24.29 | $47.63 | $14.03 – $111.14 | 4 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $25.50 | $50.00 | $45.38 – $291.48 | 4 |
| Warde mitochondrial antibody each CPT 86381 | $40.16 | $78.75 | $24.94 – $85.38 | 4 |
| Warde neutralization rabies CPT 86382 | not published | not published | $16.57 – $197.47 | 4 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $36.21 | $71.00 | $12.98 – $67.00 | 4 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $114.24 | $224.00 | $22.51 – $54.30 | 4 |
| Warde protein c antigen CPT 85302 | $99.27 | $194.65 | $11.77 – $105.82 | 4 |
| Warde sex hormone binding globulin CPT 84270 | $52.39 | $102.72 | $21.30 – $190.61 | 4 |
| Warde somatomedin CPT 84305 | $79.05 | $155.00 | $20.83 – $149.25 | 4 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $37.13 | $72.80 | $5.39 – $48.10 | 4 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $105.49 | $206.85 | $15.44 – $145.77 | 4 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $173.50 | $340.20 | $49.84 – $352.45 | 4 |
| Warde topiramate therapeutic drug level CPT 80201 | $31.03 | $60.85 | $11.68 – $129.99 | 4 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $129.54 | $254.00 | $25.55 – $228.78 | 4 |
| Warde viscosity CPT 85810 | $40.98 | $80.35 | $11.44 – $102.52 | 4 |
| Warde vitamin a CPT 84590 | $54.09 | $106.05 | $11.38 – $101.75 | 4 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $58.65 | $115.00 | $20.81 – $158.29 | 4 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $89.25 | $175.00 | $27.54 – $209.29 | 4 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $33.74 | $66.15 | $9.69 – $86.68 | 4 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $115.77 | $227.00 | $37.73 – $262.82 | 4 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $42.33 | $83.00 | $13.90 – $124.38 | 4 |
| Warde zinc CPT 84630 | $34.15 | $66.96 | $11.16 – $99.98 | 4 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $241.44 – $946.32 | 3 |
| Wash harvest stem cells CPT 38209 | not published | not published | $613.88 – $4,042.00 | 5 |
| Wbc automated CPT 85048 | $86.70 | $170.00 | $2.49 – $22.45 | 4 |
| Wcd device interrogate CPT 93292 | not published | not published | $51.93 – $91.82 | 3 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Wedging of cast CPT 29740 | $519.69 | $1,019.00 | $389.18 – $4,042.00 | 5 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $389.18 – $4,042.00 | 5 |
| Western blot test CPT 84181 | $96.90 | $190.00 | $16.69 – $149.49 | 4 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $18.17 – $37.58 | 4 |
| Whole blood for transfusion HCPCS P9010 | $229.50 | $450.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,261.26 – $18,093.86 | 4 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $917.28 – $18,093.86 | 4 |
| Wilate injection HCPCS J7183 | not published | not published | $1.29 – $2.75 | 4 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $3,537.87 | $6,937.00 | $1,716.00 – $12,908.00 | 4 |
| Wound closure by adhesive HCPCS G0168 | $20.40 | $40.00 | $1,716.00 – $2,238.00 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $173.16 – $1,728.88 | 4 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $770.10 | $1,510.00 | $565.65 – $577.20 | 2 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $760.92 | $1,492.00 | $565.65 – $577.20 | 2 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $1,166.37 | $2,287.00 | $279.18 – $284.87 | 2 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $1,265.31 | $2,481.00 | $565.65 – $577.20 | 2 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $2,237.46 – $11,377.00 | 5 |
| Wrist X-ray CPT 73110 | $993.99 | $1,949.00 | $121.09 – $133.18 | 4 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,812.00 – $12,568.00 | 5 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $3,211.25 – $12,568.00 | 5 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $691.00 – $12,568.00 | 5 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,812.00 – $12,568.00 | 5 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $33.54 – $33.54 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $2,238.00 – $12,568.00 | 5 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $37.86 – $585.57 | 2 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $3,760.74 | $7,374.00 | $2,870.98 – $4,737.00 | 5 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $3,738.30 | $7,330.00 | $2,870.98 – $5,318.00 | 5 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $895.72 – $18,093.86 | 4 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.07 – $18,093.86 | 4 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $40.25 – $213.42 | 4 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| X-ray abdomen 1 view CPT 74018 | $343.74 | $674.00 | $121.09 – $164.32 | 4 |
| X-ray abdomen 2 views CPT 74019 | $1,083.75 | $2,125.00 | $145.47 – $197.06 | 4 |
| X-ray abdomen >=3 views CPT 74021 | $1,448.40 | $2,840.00 | $145.47 – $229.73 | 4 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $1,448.40 | $2,840.00 | $145.47 – $186.18 | 4 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $1,051.11 | $2,061.00 | $121.09 – $168.28 | 4 |
| X-ray ankle 2 views (both sides) CPT 73600 | $750.72 | $1,472.00 | $121.09 – $127.70 | 4 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $610.98 | $1,198.00 | $485.45 – $610.96 | 4 |
| X-ray assay calculus CPT 82370 | not published | not published | $12.27 – $109.96 | 4 |
| X-ray bone age studies CPT 77072 | $750.21 | $1,471.00 | $98.87 – $179.33 | 4 |
| X-ray bone length studies CPT 77073 | $694.62 | $1,362.00 | $145.47 – $198.36 | 4 |
| X-ray bone survey complete CPT 77075 | $2,262.87 | $4,437.00 | $145.47 – $362.32 | 4 |
| X-ray bone survey infant CPT 77076 | $1,112.82 | $2,182.00 | $145.47 – $186.18 | 4 |
| X-ray cervical spine 2-3 views CPT 72040 | $1,143.42 | $2,242.00 | $121.09 – $151.14 | 4 |
| X-ray cervical spine 4-5 views CPT 72050 | $2,043.57 | $4,007.00 | $145.47 – $225.54 | 4 |
| X-ray cervical spine >= 6 views CPT 72052 | $2,210.34 | $4,334.00 | $145.47 – $284.27 | 4 |
| X-ray clavicle complete (both sides) CPT 73000 | $1,125.06 | $2,206.00 | $121.09 – $131.05 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,015.41 | $1,991.00 | $244.06 – $416.03 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,197.48 | $2,348.00 | $244.06 – $485.46 | 4 |
| X-ray consultation CPT 76140 | not published | not published | $143.23 – $277.03 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $811.41 | $1,591.00 | $121.09 – $131.05 | 4 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $945.54 | $1,854.00 | $121.09 – $143.23 | 4 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $2,350.79 – $3,480.99 | 2 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $2,012.69 – $2,982.24 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $800.70 | $1,570.00 | $244.06 – $291.55 | 4 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $1,569.27 | $3,077.00 | $145.47 – $485.81 | 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.