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 |
|---|---|---|---|---|
| Insert eye socket implant CPT 67550 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Insert hepatic shunt (tips) CPT 37182 | $26,842.32 | $52,632.00 | $2,238.00 – $26,028.38 | 5 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $2,995.00 – $7,102.79 | 5 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Insert intracorporeal device CPT 33979 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Insert intrauterine device iud CPT 58300 | $2,379.15 | $4,665.00 | $691.00 – $12,908.00 | 3 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Insertion catheter bladder non indwelling CPT 51701 | $268.26 | $526.00 | $185.13 – $4,042.00 | 4 |
| Insertion catheter bladder temporary simple CPT 51702 | $286.11 | $561.00 | $185.13 – $4,042.00 | 4 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $12,163.50 | $23,850.00 | $2,238.00 – $11,377.00 | 5 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $4,318.17 | $8,467.00 | $9,773.00 – $20,488.00 | 2 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $10,069.95 | $19,745.00 | $2,995.00 – $15,575.00 | 5 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $4,023.90 | $7,890.00 | $2,238.00 – $4,483.19 | 5 |
| Insertion of cannula CPT 36810 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Insertion of catheter vein CPT 36481 | $1,087.32 | $2,132.00 | $1,716.00 – $12,908.00 | 3 |
| Insertion of catheter vein CPT 36500 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Insertion of heart electrode 33211 CPT 33211 | $15,840.09 | $31,059.00 | $5,318.00 – $15,575.00 | 5 |
| Insertion of infusion pump CPT 36260 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $18,892.44 | $37,044.00 | $8,992.00 – $20,488.00 | 5 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $18,892.44 | $37,044.00 | $5,318.00 – $20,488.00 | 5 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $33,316.77 | $65,327.00 | $3,423.00 – $25,242.00 | 4 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $2,995.00 – $8,405.34 | 5 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,902.52 | $7,652.00 | $2,190.38 – $4,042.00 | 5 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,512.88 | $6,888.00 | $2,190.38 – $4,737.00 | 5 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $59,653.17 | $116,967.00 | $8,992.00 – $43,676.48 | 5 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $9,095.85 | $17,835.00 | $5,318.00 – $15,575.00 | 5 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $11,847.81 | $23,231.00 | $4,042.00 – $15,575.00 | 5 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $11,847.81 | $23,231.00 | $4,233.00 – $20,488.00 | 5 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $6,452.52 | $12,652.00 | $4,042.00 – $11,377.00 | 5 |
| Insertion ureth cath CPT 51045 | $4,041.75 | $7,925.00 | $2,741.00 – $9,773.00 | 5 |
| Insert lens prosthesis CPT 66985 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Insert major vessel graft CPT 33330 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $3,423.00 – $28,839.66 | 5 |
| Insert nasal septal button CPT 30220 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Insert ocular implant CPT 65130 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Insert ocular implant CPT 65135 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Insert palate implants HCPCS C9727 | not published | not published | $2,158.97 – $4,737.00 | 3 |
| Insert pelv fixation device CPT 22848 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Insert pessary/other device CPT 57160 | $385.56 | $756.00 | $281.31 – $4,042.00 | 5 |
| Insert picvad cath CPT 36570 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Insert pm/icd lead dual CPT 33217 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Insert prost urethral stent CPT 53855 | $4,017.78 | $7,878.00 | $2,238.00 – $4,042.00 | 5 |
| Insert/repl sq defib w/eltrd CPT 33270 | $48,827.91 | $95,741.00 | $2,995.00 – $43,676.48 | 5 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $3,423.00 – $28,839.66 | 5 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $3,423.00 – $20,488.00 | 5 |
| Insert spine fixation device CPT 22843 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Insert spine fixation device CPT 22841 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Insert spine fixation device CPT 22844 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Insert spine fixation device CPT 22847 | not published | not published | $2,238.00 – $15,575.00 | 4 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $2,995.00 – $25,079.55 | 5 |
| Insert sq defib electrode CPT 33271 | not published | not published | $8,992.00 – $20,488.00 | 5 |
| Insert swan-ganz cath CPT 93503 | $2,089.98 | $4,098.00 | $2,190.38 – $5,318.00 | 5 |
| Insert tandem cuff CPT 53444 | not published | not published | $2,995.00 – $28,839.66 | 5 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Insert ureteral support CPT 50605 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $2,238.00 – $28,839.66 | 5 |
| Insert uteri tandem/ovoids CPT 57155 | $10,310.16 | $20,216.00 | $2,741.00 – $7,102.79 | 5 |
| Insert vad art access left hrt arterial access CPT 33990 | $6,343.89 | $12,439.00 | $6,511.00 – $12,568.00 | 3 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $6,511.00 – $12,568.00 | 3 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $2,238.00 – $43,676.48 | 5 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $8,992.00 – $30,951.14 | 5 |
| Insitu hybridization auto CPT 88367 | $740.52 | $1,452.00 | $498.77 – $927.13 | 4 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $237.06 – $710.05 | 4 |
| Insitu hybridization manual CPT 88368 | $541.62 | $1,062.00 | $498.77 – $755.49 | 4 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $123.42 | $242.00 | $208.60 – $574.80 | 3 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $277.44 | $544.00 | $84.91 – $287.00 | 4 |
| Insj biomechanical device CPT 22859 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Insj perq vad r hrt venous CPT 33995 | not published | not published | $691.00 – $12,568.00 | 3 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | $691.00 – $61,289.10 | 5 |
| Insj phrnc nrv stim transvns CPT 33277 | not published | not published | $691.00 – $12,908.00 | 3 |
| Insj rx elut implt lac canal CPT 68841 | not published | not published | $691.00 – $6,732.00 | 5 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $2,238.00 – $24,668.00 | 5 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $2,238.00 – $17,864.57 | 5 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $691.00 – $9,773.00 | 3 |
| Ins lv lead exist pm/icd CPT 33224 | $15,113.85 | $29,635.00 | $2,995.00 – $20,488.00 | 5 |
| Ins mark abd/pel for right perq CPT 49411 | $2,393.43 | $4,693.00 | $1,925.97 – $4,737.00 | 4 |
| Ins mark thor for right perq CPT 32553 | $2,081.31 | $4,081.00 | $691.00 – $4,737.00 | 5 |
| Ins picad w subq port 5yr> CPT 36571 | $3,676.08 | $7,208.00 | $2,238.00 – $11,377.00 | 5 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $2,209.83 | $4,333.00 | $872.87 – $4,042.00 | 5 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $2,238.00 – $30,951.14 | 5 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $2,238.00 – $26,801.96 | 5 |
| Ins pq tunnld ip cath w/img CPT 49418 | $13,608.84 | $26,684.00 | $2,995.00 – $11,377.00 | 5 |
| Ins/rplcm prq eltrd ra pn ea CPT 64597 | not published | not published | $691.00 – $12,908.00 | 3 |
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $691.00 – $20,488.00 | 5 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $96,592.47 | $189,397.00 | $2,995.00 – $42,937.38 | 5 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $23,344.74 | $45,774.00 | $4,233.00 – $26,801.96 | 5 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $8,992.00 – $20,488.00 | 5 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $8,992.00 – $20,488.00 | 5 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $15,456.57 | $30,307.00 | $5,318.00 – $20,488.00 | 5 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $2,995.00 – $26,994.56 | 5 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $32,159.07 | $63,057.00 | $4,233.00 – $39,911.86 | 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.