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 |
|---|---|---|---|---|
| Hematocrit CPT 85014 | $104.04 | $204.00 | $2.32 – $20.74 | 4 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $324.68 – $1,057.13 | 4 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $9.55 – $71.10 | 4 |
| Hemodialysis access study CPT 90940 | not published | not published | $343.30 – $343.30 | 1 |
| Hemodialysis one evaluation CPT 90935 | $2,274.60 | $4,460.00 | $954.98 – $974.47 | 2 |
| Hemoglobin CPT 85018 | $104.04 | $204.00 | $2.32 – $20.74 | 4 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.93 – $17.61 | 4 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $7.84 – $52.29 | 4 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $10.53 – $72.56 | 4 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $199.92 | $392.00 | $8.04 – $64.29 | 4 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $13.07 – $88.10 | 4 |
| Hemoglobin plasma CPT 83051 | $37.77 | $74.05 | $7.16 – $64.11 | 4 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $8.82 – $58.50 | 4 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.87 – $34.62 | 4 |
| Hemolysin acid CPT 85475 | not published | not published | $8.69 – $77.82 | 4 |
| Hemolysins/agglutinins auto CPT 86940 | not published | not published | $8.59 – $71.85 | 4 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $11.87 – $106.30 | 4 |
| Hemophilus influenza antibdy CPT 86684 | $33.15 | $65.00 | $15.52 – $136.25 | 4 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $3,862.23 – $6,732.00 | 5 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,799.79 | $3,529.00 | $1,294.00 – $4,042.00 | 5 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $5,565.63 | $10,913.00 | $3,862.23 – $11,377.00 | 5 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $68.83 – $140.07 | 4 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $68.83 – $140.07 | 4 |
| Heparin assay CPT 85520 | $517.65 | $1,015.00 | $12.83 – $97.61 | 4 |
| Heparin bolus from bag HCPCS J1644 | $145.35 | $285.00 | $0.44 – $1.02 | 3 |
| Heparin neutralization CPT 85525 | not published | not published | $11.60 – $75.40 | 4 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $84.15 | $165.00 | $0.04 – $0.65 | 3 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $12.83 – $105.65 | 4 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Hepatitis a antibody igm CPT 86709 | $189.72 | $372.00 | $11.03 – $95.54 | 4 |
| Hepatitis b core antibody igm CPT 86705 | $205.02 | $402.00 | $11.53 – $99.98 | 4 |
| Hepatitis b core antibody total CPT 86704 | $137.19 | $269.00 | $11.81 – $102.40 | 4 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,982.18 | $3,886.62 | $137.40 – $307.92 | 4 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $24.81 – $79.89 | 4 |
| Hepatitis b surface antibody CPT 86706 | $189.21 | $371.00 | $10.53 – $91.17 | 4 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $274.78 – $302.61 | 2 |
| Hepatitis c antibody CPT 86803 | $200.43 | $393.00 | $13.98 – $121.25 | 4 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $30.60 – $170.29 | 4 |
| Hepatitis d quantification CPT 87523 | not published | not published | $41.98 – $101.28 | 4 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $38.47 – $298.03 | 4 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $29.20 – $170.29 | 4 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $40.92 – $227.07 | 4 |
| Hepatobiliary system imaging CPT 78226 | $2,699.94 | $5,294.00 | $556.27 – $2,026.09 | 4 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $92.64 – $158.71 | 2 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $274.78 – $353.50 | 2 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $1,169.80 – $18,093.86 | 4 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $18,093.86 – $18,093.86 | 1 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $877.86 – $2,328.97 | 4 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $585.95 – $3,172.50 | 4 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $2,328.97 – $2,328.97 | 1 |
| Hernia Repair (Inguinal) CPT 49505 | $7,671.42 | $15,042.00 | $4,233.00 – $11,377.00 | 5 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $11.74 – $78.88 | 4 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $11.74 – $81.48 | 4 |
| Herpes simplex type 1 antibody igg CPT 86695 | $43.86 | $86.00 | $12.93 – $115.75 | 4 |
| Herpes simplex type 2 antibody igg CPT 86696 | $43.86 | $86.00 | $18.96 – $169.76 | 4 |
| Herpes simplex virus isolation CPT 87255 | $34.17 | $67.00 | $33.18 – $297.15 | 4 |
| Heterophile antibodies screening CPT 86308 | $264.69 | $519.00 | $5.08 – $45.38 | 4 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.34 – $56.78 | 4 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.22 – $64.70 | 4 |
| Hexa gene CPT 81255 | not published | not published | $50.42 – $1,240.89 | 4 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.36 – $43.55 | 4 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $56.84 – $170.29 | 4 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $40.92 – $227.07 | 4 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $65.84 – $99.46 | 2 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $47.30 – $148.38 | 2 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $2,237.46 – $11,377.00 | 4 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $141.36 – $144.24 | 2 |
| Hip adj flex ext abduct cont HCPCS L2624 | $1,065.47 | $2,089.15 | not published | 0 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Hip X-ray CPT 73502 | $558.96 | $1,096.00 | $121.09 – $290.35 | 4 |
| Histamine CPT 83088 | $69.87 | $137.00 | $28.94 – $259.16 | 4 |
| Histochemical stains add-on CPT 88314 | not published | not published | $72.38 – $405.07 | 3 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $37.79 – $110.02 | 4 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $23.58 – $149.84 | 4 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $21.48 – $170.29 | 4 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $21.46 – $149.84 | 4 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $21.48 – $170.29 | 4 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $57.45 – $227.07 | 4 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $70.01 – $153.23 | 4 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $0.48 – $2.75 | 4 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.00 – $14.81 | 4 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.22 – $29.33 | 4 |
| Hla class i high defin qual CPT 86832 | not published | not published | $317.27 – $679.21 | 4 |
| Hla class ii high defin qual CPT 86833 | not published | not published | $319.28 – $651.60 | 4 |
| Hla class i&ii antibody qual CPT 86828 | not published | not published | $62.91 – $263.23 | 4 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $62.91 – $197.47 | 4 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $80.24 – $370.48 | 4 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $316.50 – $1,728.94 | 4 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $93.61 – $432.22 | 4 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $350.41 – $1,914.18 | 4 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $396.43 – $1,388.90 | 4 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $338.66 – $3,825.59 | 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.