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 |
|---|---|---|---|---|
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $26,155.60 | $51,285.49 | $1.85 – $5.44 | 4 |
| Coagulation time activated teg CPT 85347 | $307.02 | $602.00 | $4.19 – $37.34 | 4 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.60 – $37.76 | 4 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.40 – $31.61 | 4 |
| Cocaine 4 % nasal solution HCPCS C9046 | $858.19 | $1,682.73 | $1.97 – $1.97 | 1 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $1.97 – $1.97 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $72.09 – $72.09 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $179.04 – $182.70 | 2 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $179.04 – $182.70 | 2 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.21 – $2.09 | 2 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $173.16 – $1,078.33 | 3 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $7.91 – $58.32 | 4 |
| Cold agglutinin titer CPT 86157 | $12.48 | $24.47 | $7.90 – $70.79 | 4 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| 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 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| 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 |
| Collagen based wound filler HCPCS A6010 | $2,095.08 | $4,108.00 | not published | 0 |
| Collagen dressing <=16 sq in HCPCS A6021 | $48.55 | $95.20 | not published | 0 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | $30.29 | $59.40 | not published | 0 |
| 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 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $173.16 – $3,457.78 | 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 |
| Colostomy with biopsies CPT 44322 | 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 |
| Comm hlth intg svs sdoh 60mn HCPCS G0019 | not published | not published | $141.36 – $144.24 | 2 |
| 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 body section x-ray CPT 76101 | not published | not published | $357.24 – $357.24 | 1 |
| Complex body section x-rays CPT 76102 | not published | not published | $435.35 – $435.35 | 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.