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 |
|---|---|---|---|---|
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.56 – $1.56 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $255.00 | $500.00 | $50.28 – $397.89 | 4 |
| Zika virus igm antibody CPT 86794 | $140.25 | $275.00 | $16.51 – $130.64 | 4 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $23.51 | $46.10 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $100.77 | $197.58 | $10.37 – $26.15 | 3 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.44 – $22.91 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $473.23 | $927.90 | $19.05 – $244.73 | 3 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $240.74 – $285.82 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $189.38 – $575.51 | 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.