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 |
|---|---|---|---|---|
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.39 – $48.10 | 4 |
| Carbon dioxide CPT 82374 | $138.72 | $272.00 | $4.78 – $41.66 | 4 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $254.01 | $498.06 | $5.86 – $170.63 | 3 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $513.08 | $1,006.03 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $221.85 | $435.00 | $12.07 – $108.19 | 4 |
| Carcinoembryonic ag (cea) CPT 82378 | $207.06 | $406.00 | $18.58 – $166.21 | 4 |
| Cardiac drug stress test CPT 93024 | not published | not published | $293.25 – $621.60 | 3 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $760.32 – $775.83 | 3 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $760.32 – $775.83 | 3 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $760.32 – $3,905.71 | 4 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $783.32 – $2,035.50 | 4 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $931.68 – $2,035.50 | 4 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,082.44 | $6,044.00 | $998.69 – $2,035.50 | 4 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | not published | not published | $179.37 – $231.21 | 3 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | not published | not published | $146.42 – $183.03 | 3 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $556.27 – $589.01 | 4 |
| Cardiac Stress Test CPT 93015 | not published | not published | $558.32 – $969.50 | 2 |
| Cardioassist internal CPT 92970 | not published | not published | $4,042.00 – $6,732.00 | 2 |
| Cardiokymography HCPCS Q0035 | not published | not published | $51.97 – $98.68 | 3 |
| Cardiolipin antibody iga CPT 86147 | $125.46 | $246.00 | $24.94 – $126.74 | 4 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $3,664.35 | $7,185.00 | $919.68 – $4,042.00 | 4 |
| Cardioversion/elective/internal 92961 CPT 92961 | $3,271.14 | $6,414.00 | $919.68 – $4,042.00 | 4 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $506.55 – $2,563.69 | 2 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $61.71 | $121.00 | $42.71 – $691.00 | 3 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $40.80 | $80.00 | $22.67 – $691.00 | 3 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $39.51 – $111.48 | 4 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $573.20 – $4,114.94 | 4 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $573.20 – $4,114.94 | 4 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $159.78 – $313.04 | 4 |
| Carotene CPT 82380 | $33.89 | $66.45 | $9.04 – $81.01 | 4 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $3,919.35 | $7,685.00 | $332.01 – $1,176.30 | 3 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $1,716.00 – $1,716.00 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | $3,893.34 | $7,634.00 | $2,717.15 – $6,732.00 | 5 |
| Car seat/bed test 60 minutes CPT 94780 | not published | not published | $51.97 – $293.66 | 3 |
| Car seat/bed test additional 30 minutes CPT 94781 | not published | not published | $114.98 – $114.98 | 1 |
| Car-t admn autologous CPT 38228 | not published | not published | $459.61 – $4,042.00 | 5 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $691.00 – $6,732.00 | 3 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $691.00 – $6,732.00 | 3 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $691.00 – $6,732.00 | 3 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $691.00 – $4,042.00 | 5 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $6.67 – $42.94 | 3 |
| Cataract Surgery CPT 66984 | not published | not published | $3,211.25 – $12,568.00 | 5 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $3,211.25 – $12,568.00 | 5 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $26.75 – $150.97 | 4 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,550.40 | $3,040.00 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $11,860.56 | $23,256.00 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $6,940.59 | $13,609.00 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $10,646.76 | $20,876.00 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $9,241.70 | $18,120.99 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $17,674.56 | $34,656.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $11,682.65 | $22,907.16 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $44,813.70 | $87,870.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $17,364.48 | $34,048.00 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $19,023.41 | $37,300.80 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $6,912.13 | $13,553.20 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $10,822.20 | $21,220.00 | $4,511.03 – $12,568.00 | 5 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $16,201.68 | $31,768.00 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $6,956.40 | $13,640.00 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $3,202.80 | $6,280.00 | not published | 0 |
| Catheter declot mechanical CPT 36596 | not published | not published | $2,190.38 – $4,042.00 | 5 |
| Catheter insert artery CPT 36625 | $1,513.17 | $2,967.00 | $1,716.00 – $4,042.00 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $46.92 | $92.00 | $6.00 – $9.34 | 3 |
| Catheter stripping venous CPT 36595 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $3,647.99 | $7,152.92 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $15,119.46 | $29,646.00 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,017.45 | $1,995.00 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $8,576.57 | $16,816.80 | not published | 0 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $347.66 – $4,042.00 | 5 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $1,118.94 | $2,194.00 | $1,716.00 – $4,042.00 | 2 |
| Cath left heart/lv gram CPT 93452 | $10,594.23 | $20,773.00 | $4,511.03 – $12,568.00 | 5 |
| Cath left heart transseptal punc CPT 93462 | $7,803.51 | $15,301.00 | $1,716.00 – $12,908.00 | 3 |
| Cath lt/rt pulm art CPT 36014 | $705.84 | $1,384.00 | $1,716.00 – $12,908.00 | 3 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $10,333.62 | $20,262.00 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $29,917.01 | $58,660.80 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $2,495.94 | $4,894.00 | $1,716.00 – $12,908.00 | 3 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $1,716.00 – $1,716.00 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $20,814.63 | $40,813.00 | $4,511.03 – $12,568.00 | 5 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $13,709.31 | $26,881.00 | $4,511.03 – $12,568.00 | 5 |
| Cath plc art/grft/angio right hrt CPT 93457 | $16,797.36 | $32,936.00 | $4,511.03 – $12,568.00 | 5 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $17,519.52 | $34,352.00 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,683.22 | $7,222.00 | $4,511.03 – $11,377.00 | 5 |
| Cath right hrt mnpul art CPT 36013 | $610.98 | $1,198.00 | $1,716.00 – $12,908.00 | 3 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $312.63 | $613.00 | $401.70 – $4,042.00 | 3 |
| Cath segmntl pulm art CPT 36015 | $1,602.93 | $3,143.00 | $1,716.00 – $12,908.00 | 3 |
| Cath steerable flex adv 12f HCPCS C1766 | $6,940.59 | $13,609.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $459.17 – $1,004.28 | 2 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $4,063.03 | $7,966.72 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $3,971.47 | $7,787.20 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $683.40 | $1,340.00 | $279.18 – $4,042.00 | 5 |
| Cauterization of cervix 57510 CPT 57510 | $6,124.08 | $12,008.00 | $2,995.00 – $6,732.00 | 5 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $17.64 – $136.31 | 4 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $203.16 – $617.34 | 4 |
| Cdna analysis for variants CPT 81403 | $484.50 | $950.00 | $181.50 – $1,257.55 | 4 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $185.13 – $188.91 | 2 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $102.16 – $188.91 | 3 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $237.06 – $2,159.22 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $199.92 | $392.00 | $1.66 – $3.89 | 3 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $84.15 | $165.00 | $2.40 – $10.66 | 3 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $15.21 – $15.31 | 2 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $9.47 – $9.47 | 1 |
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.