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 |
|---|---|---|---|---|
| Lap ing hernia repair init CPT 49650 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Lap ins device for right CPT 49327 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $4,042.00 – $19,505.00 | 4 |
| Lap myotomy heller CPT 43279 | not published | not published | $9,773.00 – $15,575.00 | 2 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $5,530.00 – $15,575.00 | 5 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $6,732.00 – $9,773.00 | 3 |
| Lap place gastr adj device CPT 43770 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $6,732.00 – $19,505.00 | 3 |
| Lap radical hyst CPT 58548 | not published | not published | $11,377.00 – $12,568.00 | 2 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $6,732.00 – $19,505.00 | 3 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $6,732.00 – $19,505.00 | 3 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $2,238.00 – $11,377.00 | 3 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $4,233.00 – $19,505.00 | 4 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $2,995.00 – $15,092.89 | 5 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $4,233.00 – $20,488.00 | 5 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $6,682.00 – $15,575.00 | 3 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $2,238.00 – $20,488.00 | 5 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $2,238.00 – $25,815.00 | 4 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $9,773.00 – $27,307.00 | 2 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $9,773.00 – $27,307.00 | 2 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $2,476.66 – $4,737.00 | 5 |
| Largsc w/removal lesion CPT 31578 | $6,550.95 | $12,845.00 | $2,995.00 – $5,293.73 | 5 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $1,127.61 | $2,211.00 | $544.23 – $4,042.00 | 5 |
| Largsc w/ther injection CPT 31573 | not published | not published | $2,476.66 – $4,737.00 | 5 |
| Laronidase injection HCPCS J1931 | not published | not published | $31.99 – $83.01 | 4 |
| Laryngeal function studies CPT 92520 | not published | not published | $185.13 – $188.91 | 2 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $2,995.00 – $5,293.73 | 5 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $53.81 – $54.91 | 2 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $3,934.65 | $7,715.00 | $2,238.00 – $4,737.00 | 5 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $544.23 – $4,042.00 | 5 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $3,423.00 – $5,293.73 | 5 |
| Laryngoscopy w/fb removal CPT 31530 | $4,780.74 | $9,374.00 | $2,476.66 – $4,737.00 | 5 |
| Laryngoscopy with biopsy CPT 31576 | $4,780.74 | $9,374.00 | $2,476.66 – $4,737.00 | 5 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $2,995.00 – $5,293.73 | 5 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $1,127.61 | $2,211.00 | $544.23 – $4,042.00 | 5 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $4,812.00 – $10,020.61 | 5 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Laser surgery eye strands CPT 67031 | not published | not published | $765.30 – $4,042.00 | 5 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Laser surgery of prostate CPT 52647 | not published | not published | $4,042.00 – $27,307.00 | 5 |
| Laser surgery of prostate CPT 52648 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Laser treatment of retina CPT 67039 | not published | not published | $5,751.51 – $11,377.00 | 5 |
| Laser treatment of retina CPT 67040 | not published | not published | $5,751.51 – $11,377.00 | 5 |
| Lateral canthopexy CPT 21282 | $6,199.05 | $12,155.00 | $4,613.34 – $9,773.00 | 5 |
| Lat retinacular release open CPT 27425 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $329.57 – $4,042.00 | 5 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $8,992.00 – $15,575.00 | 5 |
| Lb with mastopexy 15839 CPT 15839 | $5,628.87 | $11,037.00 | $2,238.00 – $4,737.00 | 5 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $11,704.50 | $22,950.00 | not published | 0 |
| Lead capillary CPT 83655 | $52.02 | $102.00 | $11.87 – $106.24 | 4 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $14,543.93 | $28,517.50 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $14,543.93 | $28,517.50 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,238.00 – $12,568.00 | 5 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $3,423.00 – $12,568.00 | 5 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $19.65 – $170.29 | 4 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $40.92 – $227.07 | 4 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $4,393.52 – $11,377.00 | 5 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,385.27 | $4,677.00 | $332.01 – $1,117.99 | 3 |
| Leishmania antibody CPT 86717 | not published | not published | $12.00 – $107.66 | 4 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Lengthening of palate CPT 42227 | not published | not published | $5,318.00 – $11,377.00 | 5 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $3,423.00 – $11,377.00 | 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.