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 |
|---|---|---|---|---|
| Kras gene addl variants CPT 81276 | not published | not published | $189.38 – $1,292.11 | 4 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $189.38 – $947.70 | 4 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,228.10 – $3,133.75 | 2 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $4,812.00 – $24,397.68 | 5 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $4,812.00 – $24,397.68 | 5 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $168.81 | $331.00 | not published | 0 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $74.97 | $147.00 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $84.15 | $165.00 | $0.37 – $0.90 | 3 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Lab pathology consultation CPT 80500 | not published | not published | $137.67 – $137.67 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $328.76 – $328.76 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $132.74 | $260.27 | $0.25 – $0.25 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $143.31 | $281.00 | $5.92 – $52.82 | 4 |
| Lactated ringers intravenous solution HCPCS J7120 | $65.33 | $128.10 | $4.61 – $15.58 | 3 |
| Lactic acid CPT 83605 | $163.71 | $321.00 | $11.34 – $93.71 | 4 |
| Lactoferrin fecal qualitative CPT 83630 | $107.61 | $211.00 | $19.31 – $79.89 | 4 |
| Lactoferrin fecal quant CPT 83631 | $171.36 | $336.00 | $19.24 – $168.52 | 4 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $691.00 – $12,908.00 | 4 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $691.00 – $12,908.00 | 4 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $3,423.00 – $20,488.00 | 3 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Laminotomy single cervical CPT 63040 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $2,238.00 – $12,908.00 | 4 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $35.01 – $85.03 | 4 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.09 – $0.19 | 2 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $6,682.00 – $20,488.00 | 5 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $5,530.00 – $15,092.89 | 5 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $6,682.00 – $20,488.00 | 5 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $8,412.13 – $15,575.00 | 5 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Laparo cholecystectomy/graph CPT 47563 | $11,357.19 | $22,269.00 | $6,682.00 – $15,575.00 | 5 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $2,238.00 – $25,815.00 | 4 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $5,530.00 – $11,377.00 | 5 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $2,238.00 – $11,377.00 | 3 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $5,530.00 – $11,377.00 | 4 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $3,423.00 – $11,377.00 | 4 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $8,412.13 – $11,377.00 | 5 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Laparoscopic proc CPT 45400 | not published | not published | $9,773.00 – $19,505.00 | 3 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $2,238.00 – $25,242.00 | 4 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $4,233.00 – $12,568.00 | 5 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $5,530.00 – $11,377.00 | 4 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $8,412.13 – $15,575.00 | 5 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Laparoscopy lysis CPT 58660 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $8,412.13 – $15,575.00 | 5 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $5,530.00 – $15,575.00 | 5 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $5,530.00 – $15,575.00 | 5 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $8,412.13 – $15,575.00 | 5 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $8,412.13 – $15,575.00 | 5 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $8,412.13 – $15,575.00 | 5 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Laparo urethral suspension CPT 51990 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $6,682.00 – $20,488.00 | 5 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $4,812.00 – $19,505.00 | 4 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $6,732.00 – $9,773.00 | 3 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $6,732.00 – $9,773.00 | 3 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $2,238.00 – $6,732.00 | 2 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $6,732.00 – $19,505.00 | 3 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Lap enterolysis CPT 44180 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $9,773.00 – $15,575.00 | 2 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $15,575.00 – $15,575.00 | 1 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $3,423.00 – $19,505.00 | 4 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $2,995.00 – $20,488.00 | 5 |
| Lap inc hernia repair 49654 CPT 49654 | not published | not published | $9,773.00 – $46,622.00 | 2 |
| Lap inc hernia repair recurr 49656 CPT 49656 | not published | not published | $9,773.00 – $46,622.00 | 2 |
| Lap inc hern recur comp 49657 CPT 49657 | not published | not published | $9,773.00 – $46,622.00 | 2 |
| Lap inc hern repair comp 49655 CPT 49655 | not published | not published | $9,773.00 – $46,622.00 | 2 |
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.