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 |
|---|---|---|---|---|
| Implant cochlear osia osi300 HCPCS L8690 | $32,360.40 | $63,451.77 | not published | 0 |
| Implant eye drug system CPT 67027 | not published | not published | $4,233.00 – $19,811.27 | 5 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $621.60 – $4,042.00 | 5 |
| Implant nerve end CPT 64787 | not published | not published | $1,716.00 – $15,202.00 | 4 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Implant neuroelectrode CPT 61863 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $4,042.00 – $26,994.56 | 5 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Implant neurostim arrays CPT 61886 | not published | not published | $3,423.00 – $42,937.38 | 5 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $9,773.00 – $9,773.00 | 1 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $4,233.00 – $19,505.00 | 4 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Implant spine infusion pump CPT 62361 | not published | not published | $2,995.00 – $25,079.55 | 5 |
| Implant spine infusion pump CPT 62362 | $36,318.12 | $71,212.00 | $2,995.00 – $25,079.55 | 5 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $691.00 – $12,568.00 | 3 |
| Implant ureter in bowel CPT 50800 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Implant ureth bulk agent HCPCS L8606 | $3,362.94 | $6,594.00 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,785.93 – $1,822.38 | 2 |
| Impl neurostim electr perc CPT 63650 | $16,565.82 | $32,482.00 | $2,995.00 – $15,575.00 | 5 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Implnt spinl canal catheter 62350 CPT 62350 | $10,223.46 | $20,046.00 | $2,995.00 – $12,460.49 | 5 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $691.00 – $18,229.15 | 5 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $2,238.00 – $18,229.15 | 5 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $8,992.00 – $20,488.00 | 5 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $292.77 – $1,137.05 | 4 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $329.57 – $4,042.00 | 5 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $41.97 – $92.75 | 4 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $5,116.84 – $9,988.75 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,081.13 – $5,116.84 | 4 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $1,695.68 – $2,824.22 | 4 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $1,715.74 – $3,669.21 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $386.32 – $1,661.18 | 4 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $360.62 – $1,537.87 | 4 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $1,960.92 – $12,887.87 | 4 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $3,490.46 – $3,490.46 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $279.04 – $657.28 | 2 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $2,995.00 – $10,302.82 | 5 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Incis addl spine segment CPT 22216 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $2,717.15 – $4,737.00 | 5 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $1,387.12 – $4,737.00 | 5 |
| Incise flexor carpi radialis CPT 25001 | $6,447.42 | $12,642.00 | $3,423.00 – $6,732.00 | 5 |
| Incise hand/finger tendon CPT 26460 | $3,107.43 | $6,093.00 | $2,237.46 – $5,318.00 | 5 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $2,717.15 – $5,318.00 | 5 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $2,717.15 – $11,377.00 | 5 |
| Incise inner ear CPT 69801 | not published | not published | $2,158.97 – $9,773.00 | 5 |
| Incise inner ear nerve CPT 69915 | not published | not published | $4,613.34 – $12,568.00 | 5 |
| Incise inner ear nerve CPT 69950 | not published | not published | $6,682.00 – $12,568.00 | 3 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $765.30 – $4,042.00 | 5 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $3,211.25 – $6,732.00 | 5 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Incise inner eye strands CPT 67030 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Incise nerve back of head CPT 64744 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $2,237.46 – $4,737.00 | 5 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $2,238.00 – $12,460.49 | 5 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Incise skull for treatment CPT 61770 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Incise skull repair CPT 62121 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Incise skull/sutures CPT 61556 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Incise skull/sutures CPT 61557 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $441.66 – $4,042.00 | 5 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Incise & treat bladder CPT 51030 | not published | not published | $9,773.00 – $25,242.00 | 3 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Incision anal septum infant CPT 46070 | not published | not published | $2,238.00 – $4,737.00 | 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.