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 |
|---|---|---|---|---|
| Exploration of ureter CPT 50600 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Exploration/repair of rectum CPT 45562 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $2,238.00 – $12,568.00 | 5 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Expl orbit w/removal lesion CPT 61333 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $2,238.00 – $25,815.00 | 4 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Explore/drain eye socket CPT 67405 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Explore/drain eye socket CPT 67440 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Explore epididymis CPT 54865 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Explore inner ear CPT 69805 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Explore inner ear CPT 69806 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Explore/irrigate tear ducts CPT 68840 | $803.25 | $1,575.00 | $441.66 – $4,042.00 | 5 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Explore parathyroid glands CPT 60500 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $2,516.85 | $4,935.00 | $2,238.00 – $4,042.00 | 5 |
| Explore/repair chest 32110 CPT 32110 | $4,261.56 | $8,356.00 | $2,995.00 – $12,568.00 | 3 |
| Explore scrotum CPT 55110 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $2,238.00 – $20,652.00 | 4 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Explore/treat eye socket CPT 67412 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Explore/treat eye socket CPT 67420 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Explore/treat eye socket CPT 67430 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Explore/treat finger joint CPT 26075 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Explore/treat finger joint CPT 26080 | $3,107.43 | $6,093.00 | $2,237.46 – $9,773.00 | 5 |
| Explore/treat knee joint CPT 27331 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Explore wound abdomen 20102 CPT 20102 | $5,277.48 | $10,348.00 | $2,870.98 – $5,318.00 | 5 |
| Explore woundchest 20101 CPT 20101 | $5,277.48 | $10,348.00 | $2,870.98 – $9,773.00 | 5 |
| Explore wound neck 20100 CPT 20100 | $2,516.85 | $4,935.00 | $750.46 – $4,042.00 | 5 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $691.00 – $15,202.00 | 4 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $691.00 – $15,202.00 | 4 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $5,470.40 – $11,377.00 | 5 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $5,470.40 – $11,377.00 | 5 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $6,732.00 – $24,401.00 | 3 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $3,107.43 | $6,093.00 | $2,237.46 – $6,732.00 | 5 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $2,298.14 – $4,042.00 | 5 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $2,298.14 – $4,042.00 | 5 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $255.28 – $260.49 | 2 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $145.42 – $191.09 | 2 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $185.13 – $188.91 | 2 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $457.55 – $457.55 | 1 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $159.94 – $210.53 | 2 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $185.13 – $188.91 | 2 |
| Extended culture of oocytes CPT 89272 | not published | not published | $1,121.07 – $5,022.40 | 4 |
| Extended visual field xm CPT 92083 | not published | not published | $185.13 – $188.91 | 2 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $3,423.00 – $8,405.34 | 5 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Extensive hysterectomy CPT 58285 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Extensive jaw surgery CPT 21045 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Extensive prostate surgery CPT 55810 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Extensive prostate surgery CPT 55812 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Extensive prostate surgery CPT 55815 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Extensive prostate surgery CPT 55840 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Extensive prostate surgery CPT 55842 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Extensive prostate surgery CPT 55845 | not published | not published | $2,995.00 – $25,815.00 | 4 |
| Extensive prostate surgery CPT 55862 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Extensive prostate surgery CPT 55865 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Extensive removal of liver CPT 47122 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Extensive sternum surgery CPT 21632 | not published | not published | $9,773.00 – $24,668.00 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Extensive surgery of throat CPT 42844 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Extensive surgery of throat CPT 42845 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $3,423.00 – $25,815.00 | 4 |
| Extensive vulva surgery CPT 56632 | not published | not published | $2,995.00 – $20,488.00 | 3 |
| External cannula declotting CPT 36860 | $2,887.62 | $5,662.00 | $2,190.38 – $4,042.00 | 5 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $141.72 – $1,089.03 | 4 |
| External newborn metabolic screening panel HCPCS S3620 | $114.75 | $225.00 | $268.48 – $268.48 | 1 |
| External ocular photography CPT 92285 | not published | not published | $33.92 – $53.03 | 3 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $40.25 – $126.39 | 4 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,795.54 – $18,093.86 | 4 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | not published | not published | $140.88 – $941.08 | 4 |
| Extnd color vision xm CPT 92283 | not published | not published | $37.22 – $83.76 | 3 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $56.56 | $110.91 | $17.57 – $133.65 | 4 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $899.56 – $917.92 | 2 |
| Extraction of lens CPT 66930 | not published | not published | $4,812.00 – $9,773.00 | 5 |
| Extraction of lens CPT 66940 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $185.13 – $188.91 | 2 |
| Eye allergy tests CPT 95060 | not published | not published | $140.21 – $188.91 | 3 |
| Eye implant band 40 HCPCS C1784 | $125.00 | $245.10 | not published | 0 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1,716.00 – $25,242.00 | 4 |
| Eye suture during surgery CPT 67335 | not published | not published | $1,716.00 – $25,242.00 | 4 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $171.89 – $916.14 | 4 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $277.22 – $1,477.59 | 4 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $596.16 – $897.82 | 2 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1,789.13 – $4,718.43 | 4 |
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.