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 |
|---|---|---|---|---|
| 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 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| 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 byp grft 2 veins CPT 35682 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| 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 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $6,732.00 – $12,568.00 | 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 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.85 – $26.47 | 4 |
| 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 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Construct bladder opening CPT 51980 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Construct bowel bladder CPT 50820 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Construct bowel bladder CPT 50825 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Construction of absent anus CPT 46730 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Construction of absent anus CPT 46735 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Construction of absent anus CPT 46740 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Construction of vagina CPT 57291 | not published | not published | $4,812.00 – $9,773.00 | 5 |
| Construct thumb replacement CPT 26550 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Construct vagina with graft CPT 57292 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Consultation pathology during surgery CPT 88329 | $273.87 | $537.00 | $66.86 – $254.02 | 4 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $913.92 | $1,792.00 | $144.05 – $1,256.40 | 4 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $169.83 | $333.00 | $46.20 – $73.21 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $325.89 | $639.00 | $139.74 – $287.00 | 4 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $72.51 – $98.94 | 4 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $243.78 | $478.00 | $51.97 – $343.00 | 4 |
| Consult comp w/report rfrd material CPT 88325 | $298.35 | $585.00 | $98.94 – $531.84 | 4 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $621.60 – $634.29 | 2 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $185.13 – $188.91 | 2 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $73.62 – $73.62 | 1 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $138.56 – $1,716.00 | 2 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $5,318.00 – $8,405.34 | 5 |
| Contour of face bone lesion CPT 21029 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Contrast baths charges CPT 97034 | not published | not published | $14.46 – $14.75 | 2 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,415.58 | $8,658.00 | $1,106.67 – $4,434.05 | 4 |
| Contrast exam thoracic aorta CPT 75600 | $4,627.74 | $9,074.00 | $1,721.34 – $4,434.05 | 4 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $5,847.66 | $11,466.00 | $1,104.30 – $7,742.78 | 4 |
| Contrast x-ray gallbladder CPT 74290 | $265.71 | $521.00 | $186.18 – $291.55 | 4 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $485.45 – $610.96 | 4 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $485.45 – $1,088.44 | 4 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $341.46 – $1,090.80 | 4 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $485.45 – $610.96 | 4 |
| Contrast x-ray of hip CPT 73525 | $1,105.68 | $2,168.00 | $485.45 – $610.96 | 4 |
| Contrast x-ray of knee joint CPT 73580 | $1,481.04 | $2,904.00 | $485.45 – $657.99 | 4 |
| Contrast x-ray of wrist CPT 73115 | $761.94 | $1,494.00 | $394.35 – $610.96 | 4 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $18,418.75 | $36,115.20 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $9,394.20 | $18,420.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $1,944.63 | $3,813.00 | $185.13 – $4,042.00 | 5 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $3,423.00 – $4,737.00 | 5 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $329.57 – $4,042.00 | 5 |
| Control of nosebleed ant comp 30903 CPT 30903 | $1,944.63 | $3,813.00 | $185.13 – $4,042.00 | 5 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $1,944.63 | $3,813.00 | $185.13 – $4,042.00 | 5 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $660.45 | $1,295.00 | $750.46 – $4,042.00 | 5 |
| Control throat bleeding CPT 42961 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Control throat bleeding CPT 42962 | $6,199.05 | $12,155.00 | $2,995.00 – $6,732.00 | 5 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $646.59 – $646.59 | 1 |
| Conversion ext bil drg cath CPT 47535 | $7,717.83 | $15,133.00 | $3,423.00 – $11,377.00 | 5 |
| Convert nephrostomy catheter CPT 50434 | $2,572.95 | $5,045.00 | $2,238.00 – $4,042.00 | 5 |
| Conv gtube to jtube CPT 44373 | not published | not published | $2,670.09 – $4,737.00 | 5 |
| Coombs direct CPT 86880 | $191.76 | $376.00 | $10.78 – $82.09 | 4 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $87.72 | $172.00 | $11.44 – $237.06 | 4 |
| Coombs indirect titer reference CPT 86886 | $508.47 | $997.00 | $10.36 – $237.06 | 4 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $582.39 – $1,279.47 | 4 |
| Copper intrauterine device HCPCS J7300 | $3,115.60 | $6,109.02 | $430.57 – $2,936.90 | 2 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,029.00 – $5,571.31 | 4 |
| Core ndl bx lng/med perq CPT 32408 | $3,329.28 | $6,528.00 | $691.00 – $4,737.00 | 5 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $6,447.42 | $12,642.00 | $3,423.00 – $11,377.00 | 5 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $53.36 – $83.76 | 3 |
| Corneal smear CPT 65430 | not published | not published | $621.60 – $4,042.00 | 5 |
| Corneal transplant CPT 65710 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Corneal transplant CPT 65730 | not published | not published | $5,751.51 – $12,568.00 | 5 |
| Corneal transplant CPT 65750 | not published | not published | $6,682.00 – $12,568.00 | 5 |
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.