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 |
|---|---|---|---|---|
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Colistimethate sodium inj HCPCS J0770 | $84.15 | $165.00 | $23.88 – $67.98 | 3 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $51.65 – $157.77 | 4 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $143.97 | $282.30 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $46.61 | $91.40 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $529.82 | $1,038.87 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $251.02 | $492.20 | not published | 0 |
| Collar extrication adult univ HCPCS L0200 | $273.11 | $535.50 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $255.00 | $500.00 | $179.62 – $1,716.00 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $255.00 | $500.00 | $185.13 – $1,716.00 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $38.25 | $75.00 | $6.00 – $17.96 | 4 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $300.45 – $1,716.00 | 4 |
| Colonoscopy (diagnostic) CPT 45378 | $1,612.62 | $3,162.00 | $1,294.00 – $4,737.00 | 5 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $1,294.00 – $4,737.00 | 5 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $1,294.00 – $4,737.00 | 5 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/control bleed CPT 45382 | $2,101.71 | $4,121.00 | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $1,294.00 – $4,737.00 | 5 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $2,238.00 – $8,619.83 | 5 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $2,238.00 – $8,619.83 | 5 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,665.08 – $4,737.00 | 5 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $2,238.00 – $20,652.00 | 4 |
| Colpocentesis 57020 CPT 57020 | $10,039.35 | $19,685.00 | $2,995.00 – $7,102.79 | 5 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $3,423.00 – $24,668.00 | 4 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $9,773.00 – $11,377.00 | 4 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $6,732.00 – $7,102.79 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $6,160.80 | $12,080.00 | $2,238.00 – $6,732.00 | 5 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $691.00 – $4,042.00 | 5 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $532.95 | $1,045.00 | $281.31 – $4,042.00 | 5 |
| Colposcopy vulva 56820 CPT 56820 | $385.56 | $756.00 | $281.31 – $4,042.00 | 5 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $424.02 – $4,042.00 | 5 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $424.02 – $4,042.00 | 5 |
| Colpotomy drng of abscess 57010 CPT 57010 | $6,160.80 | $12,080.00 | $2,995.00 – $6,732.00 | 5 |
| Colpotomy w/exploration 57000 CPT 57000 | $6,160.80 | $12,080.00 | $2,238.00 – $6,732.00 | 5 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $359.04 | $704.00 | $151.02 – $315.88 | 4 |
| Compatibility test each unit electronic CPT 86923 | $166.26 | $326.00 | $74.45 – $287.00 | 4 |
| Compatibility test each unit immediate spin technique CPT 86920 | $287.64 | $564.00 | $140.82 – $315.88 | 4 |
| Compatibility test incubate CPT 86921 | not published | not published | $126.52 – $315.88 | 4 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $970.26 – $4,042.00 | 5 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $970.26 – $4,042.00 | 5 |
| Complement antigen each component c3 CPT 86160 | $108.12 | $212.00 | $11.76 – $105.35 | 4 |
| Complement fixation each CPT 86171 | $4.59 | $9.00 | $9.81 – $87.92 | 4 |
| Complete removal of vulva CPT 56625 | not published | not published | $4,504.34 – $12,568.00 | 5 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $347.66 – $4,042.00 | 5 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $890.97 | $1,747.00 | $565.65 – $4,042.00 | 5 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,587.63 | $3,113.00 | $1,028.39 – $4,042.00 | 5 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $300.45 – $4,042.00 | 5 |
| Compl oph exam general anes CPT 92018 | not published | not published | $3,308.19 – $6,732.00 | 4 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $2,640.27 | $5,177.00 | $1,028.39 – $5,318.00 | 5 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $2,640.27 | $5,177.00 | $1,028.39 – $5,318.00 | 5 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $890.97 | $1,747.00 | $1,716.00 – $19,505.00 | 4 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,066.92 | $2,092.00 | $565.65 – $4,042.00 | 5 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,066.92 | $2,092.00 | $565.65 – $5,318.00 | 5 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $713.49 | $1,399.00 | $1,716.00 – $12,908.00 | 4 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $498.27 | $977.00 | $1,716.00 – $12,908.00 | 4 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,258.68 | $2,468.00 | $1,028.39 – $4,042.00 | 5 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $890.97 | $1,747.00 | $1,716.00 – $12,908.00 | 4 |
| Composite graft/pri close/don area 15760 CPT 15760 | $3,760.74 | $7,374.00 | $2,870.98 – $4,737.00 | 5 |
| Comprehensive hearing test CPT 92557 | not published | not published | $179.04 – $182.70 | 2 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $185.25 – $189.04 | 2 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $185.25 – $189.04 | 2 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,885.47 | $3,697.00 | $485.45 – $495.35 | 2 |
| Concentration infection agents any type CPT 87015 | $113.22 | $222.00 | $6.55 – $58.61 | 4 |
| Conditioning play audiometry 92582 CPT 92582 | not published | not published | $179.04 – $182.70 | 2 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $248.65 – $248.65 | 1 |
| Condylomata destruction 56420 CPT 56420 | $544.68 | $1,068.00 | $281.31 – $4,042.00 | 5 |
| Conivaptan hcl HCPCS C9488 | $2,565.81 | $5,031.00 | $63.76 – $63.76 | 1 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Conization of cervix CPT 57520 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,143.29 | $2,241.75 | $71.31 – $823.21 | 4 |
| Connect omega .5mm HCPCS L8613 | $2,417.40 | $4,740.00 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $6,529.91 | $12,803.74 | $654.15 – $654.15 | 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.