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 |
|---|---|---|---|---|
| Arthrodesis subtalar CPT 28725 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Arthrodesis triple CPT 28715 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Arthroplasty finger joint 26535 CPT 26535 | $6,447.42 | $12,642.00 | $4,552.87 – $11,377.00 | 5 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $4,552.87 – $15,575.00 | 5 |
| Arthro/shoul surg; w/spacer HCPCS C9781 | not published | not published | $15,575.00 – $18,229.15 | 3 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $2,237.46 – $4,737.00 | 5 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $4,812.00 – $20,488.00 | 5 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $4,812.00 – $24,668.00 | 5 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $6,682.00 – $24,895.59 | 5 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $4,812.00 – $18,229.15 | 5 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $4,552.87 – $12,568.00 | 5 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $1,716.00 – $19,505.00 | 4 |
| Artificial insemination CPT 58321 | not published | not published | $424.02 – $4,042.00 | 5 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $281.31 – $4,042.00 | 5 |
| Artiss fibrin sealant HCPCS C9250 | $2,140.53 | $4,197.11 | $140.83 – $286.25 | 4 |
| Art pressure waveform analys CPT 93050 | not published | not published | $40.25 – $691.00 | 4 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $691.00 – $12,568.00 | 3 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $691.00 – $12,568.00 | 3 |
| Ascenda two piece catheter HCPCS C1772 | $38,632.50 | $75,750.00 | not published | 0 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Aspa gene CPT 81200 | not published | not published | $46.30 – $879.57 | 4 |
| Asp core fat pad CPT 17999 | not published | not published | $279.18 – $1,716.00 | 4 |
| Asp & inj bone cyst CPT 20615 | $2,175.15 | $4,265.00 | $691.00 – $4,042.00 | 5 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $872.87 – $2,741.00 | 4 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $5,052.06 | $9,906.00 | $2,238.00 – $6,732.00 | 5 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $1,178.10 | $2,310.00 | $427.11 – $4,042.00 | 5 |
| Aspirate pleura without imaging 32554 CPT 32554 | $3,991.26 | $7,826.00 | $872.87 – $4,042.00 | 5 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,608.54 | $3,154.00 | $691.00 – $4,042.00 | 5 |
| Aspiration orbital contents CPT 67415 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $329.57 – $2,238.00 | 4 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,804.38 | $3,538.00 | $691.00 – $4,042.00 | 5 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $1,230.71 – $4,042.00 | 5 |
| Assay acid phosphatase CPT 84060 | not published | not published | $7.49 – $65.53 | 4 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $8.09 – $63.16 | 4 |
| Assay blood catecholamines CPT 82383 | not published | not published | $28.50 – $219.92 | 4 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $20.24 – $153.92 | 4 |
| Assay dir meas fr estradiol CPT 82681 | $47.97 | $94.06 | $27.38 – $83.19 | 4 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $7.06 – $65.88 | 4 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $22.20 – $198.83 | 4 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $7.22 – $64.70 | 4 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $49.84 – $108.48 | 4 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | $24.52 – $116.23 | 3 |
| Assay of adp & amp CPT 82030 | not published | not published | $25.28 – $226.36 | 4 |
| Assay of androsterone CPT 82160 | not published | not published | $25.04 – $212.42 | 4 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $12.50 – $84.61 | 4 |
| Assay of bradykinin CPT 82286 | not published | not published | $5.06 – $58.50 | 4 |
| Assay of breath ethanol CPT 82075 | not published | not published | $0.07 – $102.40 | 4 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $17.70 – $182.58 | 4 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $12.42 – $111.20 | 4 |
| Assay of corticosterone CPT 82528 | not published | not published | $22.07 – $191.15 | 4 |
| Assay of digoxin free CPT 80163 | not published | not published | $13.01 – $83.73 | 4 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $69.81 – $444.33 | 4 |
| Assay of estrogen CPT 84233 | not published | not published | $86.12 – $479.85 | 4 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $25.72 – $200.30 | 4 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $9.73 – $66.77 | 4 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $38.33 – $223.59 | 4 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $16.46 – $105.94 | 4 |
| Assay of fluoride CPT 82735 | not published | not published | $18.17 – $162.73 | 4 |
| Assay of galactose CPT 82760 | not published | not published | $10.98 – $98.32 | 4 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $12.89 – $67.83 | 4 |
| Assay of glucosidase CPT 82963 | not published | not published | $21.05 – $160.07 | 4 |
| Assay of glutathione CPT 82978 | not published | not published | $15.14 – $125.09 | 4 |
| Assay of haptoglobins CPT 83012 | not published | not published | $26.35 – $150.97 | 4 |
| Assay of idh enzyme CPT 83570 | not published | not published | $8.67 – $77.64 | 4 |
| Assay of interleukin-6 (il-6) CPT 83529 | $106.03 | $207.90 | $16.92 – $40.83 | 4 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $19.42 – $135.07 | 4 |
| Assay of lap enzyme CPT 83670 | not published | not published | $9.61 – $80.12 | 4 |
| Assay of leflunomide CPT 80193 | $71.40 | $140.00 | $37.80 – $114.87 | 4 |
| Assay of lrh hormone CPT 83727 | not published | not published | $16.85 – $146.00 | 4 |
| Assay of methemalbumin CPT 83857 | not published | not published | $10.53 – $94.24 | 4 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $6.34 – $56.78 | 4 |
| Assay of osteocalcin CPT 83937 | $73.95 | $145.00 | $29.25 – $102.75 | 4 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.90 – $32.14 | 4 |
| Assay of pregnanediol CPT 84135 | not published | not published | $20.84 – $142.46 | 4 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $20.63 – $166.09 | 4 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $16.42 – $146.54 | 4 |
| Assay of progesterone CPT 84234 | not published | not published | $63.58 – $483.33 | 4 |
| Assay of prostaglandin CPT 84150 | not published | not published | $40.93 – $219.04 | 4 |
| Assay of PSA complexed CPT 84152 | not published | not published | $18.02 – $161.31 | 4 |
| Assay of quinine CPT 84228 | not published | not published | $11.40 – $98.79 | 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.