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 |
|---|---|---|---|---|
| Culture screening strep group a CPT 87081 | $107.10 | $210.00 | $6.50 – $57.73 | 4 |
| Culture type pulse field gel CPT 87152 | not published | not published | $7.59 – $45.91 | 4 |
| Culture typing added method CPT 87158 | not published | not published | $7.59 – $45.91 | 4 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $12.27 – $109.96 | 4 |
| Culture typing immunologic CPT 87147 | $157.08 | $308.00 | $5.08 – $41.07 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $277.95 | $545.00 | $213.70 – $515.36 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $206.04 | $404.00 | $34.39 – $362.03 | 4 |
| Culture urine each isolate CPT 87088 | not published | not published | $7.93 – $63.16 | 4 |
| Culture virus isolation CPT 87250 | not published | not published | $19.17 – $171.59 | 4 |
| Curette/treat cornea CPT 65435 | $2,646.39 | $5,189.00 | $1,387.12 – $4,737.00 | 5 |
| Curette/treat cornea CPT 65436 | $6,410.70 | $12,570.00 | $2,238.00 – $6,732.00 | 5 |
| Cutter lead HCPCS C1773 | $28,974.38 | $56,812.50 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,976.76 | $3,876.00 | $2,190.38 – $4,042.00 | 5 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $89.71 – $207.63 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $136.18 – $253.96 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $12.34 | $24.20 | $14.03 – $125.74 | 4 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $84.15 | $165.00 | $1.33 – $3.71 | 3 |
| Cyclic citrullinated peptide antibody CPT 86200 | $45.90 | $90.00 | $12.69 – $111.14 | 4 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $7.88 – $7.88 | 1 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $521.06 | $1,021.69 | $0.76 – $2.87 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $9.03 | $17.70 | $2.28 – $2.45 | 3 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $38.67 – $153.51 | 3 |
| Cyclosporine 2 hour CPT 80158 | $279.99 | $549.00 | $17.69 – $158.47 | 4 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $5.61 | $11.00 | $1.48 – $1.59 | 3 |
| Cyclosporine oral 100 mg HCPCS J7502 | $56.36 | $110.50 | $4.05 – $6.68 | 3 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $173.16 – $714.70 | 3 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $173.16 – $956.19 | 3 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $47,254.88 | $92,656.62 | not published | 0 |
| Cymetra injectable HCPCS Q4112 | $874.65 | $1,715.00 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $285.53 – $909.11 | 4 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $171.31 – $456.86 | 4 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $441.89 – $1,261.45 | 4 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $171.31 – $1,097.95 | 4 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $171.31 – $1,097.95 | 4 |
| Cystatin c CPT 82610 | $57.83 | $113.40 | $18.15 – $119.36 | 4 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $489.02 – $6,444.91 | 4 |
| Cystine urine quantitative CPT 82131 | not published | not published | $22.52 – $147.24 | 4 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $637.50 | $1,250.00 | $263.59 – $610.96 | 4 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $691.00 – $13,441.06 | 5 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $5,318.00 – $13,441.06 | 4 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $970.26 – $4,042.00 | 5 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $2,238.00 – $25,242.00 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $2,238.00 – $13,441.06 | 5 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $691.00 – $9,773.00 | 5 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Cystoscopy and treatment CPT 52214 | $9,584.94 | $18,794.00 | $2,995.00 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $3,423.00 – $7,613.01 | 5 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,908.69 – $4,737.00 | 5 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,238.00 – $5,318.00 | 5 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,908.69 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,908.69 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $970.26 – $4,737.00 | 5 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,908.69 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $2,995.00 – $7,613.01 | 5 |
| Cystoscopy and treatment CPT 52310 | $5,546.76 | $10,876.00 | $2,908.69 – $4,737.00 | 5 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,908.69 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $4,042.00 – $6,732.00 | 5 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,870.68 | $3,668.00 | $970.26 – $4,042.00 | 5 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,908.69 – $4,737.00 | 5 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $970.26 – $4,042.00 | 5 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $4,042.00 – $8,992.00 | 5 |
| Cystoscopy inject material CPT 52327 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $2,995.00 – $7,613.01 | 5 |
| Cystoscopy removal of clots CPT 52001 | $9,584.94 | $18,794.00 | $2,995.00 – $5,004.98 | 5 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,908.69 – $4,737.00 | 5 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,908.69 – $6,732.00 | 5 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Cystoscopy & ureter catheter CPT 52005 | $5,546.76 | $10,876.00 | $2,908.69 – $6,732.00 | 5 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $7,674.99 | $15,049.00 | $2,908.69 – $9,773.00 | 5 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $2,238.00 – $9,773.00 | 5 |
| Cystouretero & or pyeloscope CPT 52351 | $9,584.94 | $18,794.00 | $3,423.00 – $6,732.00 | 5 |
| Cysto/uretero stricture tx CPT 52344 | $9,584.94 | $18,794.00 | $3,423.00 – $6,732.00 | 5 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $4,233.00 – $7,613.01 | 5 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $3,423.00 – $7,613.01 | 5 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $4,042.00 – $6,732.00 | 5 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $4,042.00 – $6,732.00 | 5 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $8,878.59 | $17,409.00 | $2,908.69 – $4,737.00 | 5 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,908.69 – $6,732.00 | 5 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $691.00 – $12,908.00 | 4 |
| Cystourethro w/implant CPT 52441 | not published | not published | $691.00 – $19,505.00 | 4 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $691.00 – $15,202.00 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $217.93 | $427.31 | $1.63 – $9.27 | 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.