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 |
|---|---|---|---|---|
| Corneal transplant CPT 65755 | not published | not published | $5,751.51 – $12,568.00 | 5 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $5,530.00 – $12,568.00 | 5 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $15,969.12 | $31,312.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $20,996.19 | $41,169.00 | $4,511.03 – $12,568.00 | 5 |
| Coronary angio/lv gram/lt heart CPT 93458 | $17,719.95 | $34,745.00 | $4,511.03 – $12,568.00 | 5 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $17,792.88 | $34,888.00 | $4,511.03 – $12,568.00 | 5 |
| Coronary artery correction CPT 33502 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Coronary artery graft CPT 33503 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Coronary artery graft CPT 33504 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Coronary art/grft angio s&i CPT 93455 | $10,214.79 | $20,029.00 | $4,511.03 – $12,568.00 | 5 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $10,044.45 | $19,695.00 | $4,511.03 – $12,568.00 | 5 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $645.66 | $1,266.00 | $1,333.00 – $5,318.00 | 3 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $115.48 – $324.46 | 2 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Correct finger deformity CPT 26567 | $6,447.42 | $12,642.00 | $4,552.87 – $11,377.00 | 5 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Correction claw finger other CPT 26499 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $2,238.00 – $9,773.00 | 5 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $6,447.42 | $12,642.00 | $3,423.00 – $11,377.00 | 5 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,387.12 – $4,737.00 | 5 |
| Correction of astigmatism CPT 65775 | not published | not published | $3,308.19 – $6,732.00 | 5 |
| Correction of bladder defect CPT 51940 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $441.66 – $4,042.00 | 5 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $185.13 – $4,042.00 | 5 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $1,387.12 – $4,737.00 | 5 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $2,238.00 – $25,815.00 | 4 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Correct rectal prolapse CPT 45541 | $5,721.69 | $11,219.00 | $2,238.00 – $11,377.00 | 5 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $1,028.39 – $4,042.00 | 5 |
| Correct skin color ea 20.0cm CPT 11922 | not published | not published | $691.00 – $12,908.00 | 4 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Corticorelin ovine triflutal HCPCS J0795 | not published | not published | $5.10 – $9.05 | 2 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $31.97 – $286.39 | 4 |
| Cortisol total am CPT 82533 | $205.53 | $403.00 | $15.97 – $143.23 | 4 |
| Costotransversectomy CPT 21610 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $159.60 | $312.94 | $66.79 – $152.46 | 3 |
| Co-treatment - group 15 mins, st CPT 92508 | $49.98 | $98.00 | $24.79 – $25.30 | 2 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | not published | not published | $141.36 – $373.08 | 3 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | not published | not published | $443.15 – $443.15 | 1 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $4,773.60 | $9,360.00 | not published | 0 |
| Cover eye w/membrane CPT 65778 | not published | not published | $691.00 – $4,737.00 | 5 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $691.00 – $11,377.00 | 5 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $47.94 | $94.00 | $52.95 – $57.70 | 3 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $50.28 – $303.18 | 4 |
| #covid19rsv-rsv CPT 87634 | $128.52 | $252.00 | $68.80 – $544.31 | 4 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $13.62 | $26.70 | $12.77 – $115.75 | 4 |
| C-peptide CPT 84681 | $32.26 | $63.25 | $20.39 – $148.84 | 4 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $1,716.00 – $12,908.00 | 2 |
| Cptrized corneal topography CPT 92025 | not published | not published | $82.09 – $83.76 | 2 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $82.09 – $691.00 | 3 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $300.45 – $498.24 | 3 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $906.16 – $1,917.96 | 3 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Craniectomy f/osteomyelitis CPT 61501 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Craniofacial approach skull CPT 61580 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Craniofacial approach skull CPT 61581 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Craniofacial approach skull CPT 61582 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Craniofacial approach skull CPT 61583 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Crbrospnl fld flw imag cistern CPT 78630 | $2,368.44 | $4,644.00 | $755.17 – $1,251.58 | 4 |
| C-reactive protein CPT 86140 | $69.36 | $136.00 | $5.08 – $45.38 | 4 |
| C-reactive protein high sensitivity CPT 86141 | $227.46 | $446.00 | $12.69 – $113.57 | 4 |
| C-reactive protein, quantitative CPT 86406 | $36.21 | $71.00 | $10.43 – $142.16 | 4 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Create eardrum opening CPT 69436 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Create passage to kidney CPT 52334 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Create tear duct drain CPT 68745 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Create tear duct drain CPT 68750 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Create tear sac drain CPT 68720 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Creatine isoforms CPT 82554 | not published | not published | $11.63 – $101.28 | 4 |
| Creatine kinase CPT 82550 | $260.61 | $511.00 | $6.38 – $57.55 | 4 |
| Creatine kinase isoenzymes CPT 82552 | $26.69 | $52.34 | $13.12 – $117.52 | 4 |
| Creatine kinase mb CPT 82553 | $328.44 | $644.00 | $11.32 – $101.33 | 4 |
| Creatine - sendout CPT 82540 | $21.40 | $41.96 | $4.55 – $40.30 | 4 |
| Creatinine CPT 82565 | $142.29 | $279.00 | $5.02 – $44.91 | 4 |
| Creatinine 24 hour urine CPT 82570 | $173.91 | $341.00 | $5.08 – $45.38 | 4 |
| Creatinine clearance urine CPT 82575 | $382.50 | $750.00 | $9.27 – $82.78 | 4 |
| #creutz-prot.,western blot CPT 84182 | $56.57 | $110.93 | $28.63 – $157.94 | 4 |
| Crh stimulation panel CPT 80412 | not published | not published | $785.59 – $2,456.13 | 4 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Cricotracheal resection CPT 31592 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Crisis psychotherapy 90839 CPT 90839 | not published | not published | $246.98 – $252.02 | 2 |
| Critical care 30-74 minutes CPT 99291 | $10,430.52 | $20,452.00 | $1,149.39 – $1,172.85 | 2 |
| Critical care each additional 30 minutes CPT 99292 | $1,137.30 | $2,230.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $127.35 – $278.43 | 4 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $2,238.00 – $24,401.00 | 4 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $3,423.00 – $12,568.00 | 3 |
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.