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 |
|---|---|---|---|---|
| M.tuberculo dna quant CPT 87557 | not published | not published | $41.98 – $227.07 | 4 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.74 – $51.46 | 4 |
| Mucopolysaccharides CPT 83864 | not published | not published | $27.93 – $169.05 | 4 |
| Mucormycosis antibody CPT 86732 | not published | not published | $14.70 – $115.75 | 4 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $52.14 – $691.00 | 3 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $246.98 – $252.02 | 2 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $179.04 – $357.77 | 3 |
| Multiple sleep latency test CPT 95805 | $2,270.52 | $4,452.00 | $1,030.66 – $1,355.40 | 3 |
| Mumps antibody igg CPT 86735 | $231.54 | $454.00 | $12.79 – $115.75 | 4 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,870.98 – $5,318.00 | 5 |
| Muscle-skin graft leg CPT 15738 | $7,088.49 | $13,899.00 | $3,423.00 – $11,377.00 | 5 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $179.92 – $306.58 | 3 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $58.73 – $182.70 | 3 |
| Muscle test larynx CPT 95865 | not published | not published | $181.57 – $188.91 | 3 |
| Muscle test one fiber CPT 95872 | not published | not published | $211.35 – $306.58 | 3 |
| Muscle transfers CPT 23397 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $47.28 – $298.03 | 4 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $19.65 – $170.29 | 4 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $41.98 – $227.07 | 4 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $28.37 | $55.62 | $0.31 – $0.65 | 3 |
| Mycophenolic acid HCPCS J7518 | $5.61 | $11.00 | $0.76 – $4.08 | 3 |
| Mycoplasma antibody igm CPT 86738 | $26.24 | $51.45 | $12.98 – $115.75 | 4 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $171.89 – $916.14 | 4 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $1,047.13 – $1,523.79 | 4 |
| Myelography l-s spine CPT 72265 | not published | not published | $680.26 – $1,090.80 | 4 |
| Myelography neck spine CPT 72240 | not published | not published | $699.31 – $1,185.88 | 4 |
| Myelography thoracic spine CPT 72255 | not published | not published | $642.07 – $1,090.80 | 4 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,005.72 | $1,972.00 | $1,090.80 – $4,042.00 | 5 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,005.72 | $1,972.00 | $1,090.80 – $4,042.00 | 5 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,005.72 | $1,972.00 | $1,090.80 – $4,042.00 | 5 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,005.72 | $1,972.00 | $1,090.80 – $4,042.00 | 5 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $255.00 | $500.00 | $11.30 – $205.33 | 4 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,989.72 – $3,665.99 | 4 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $494.56 – $2,308.94 | 4 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $580.71 – $4,400.80 | 4 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $634.95 – $4,400.80 | 4 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,989.72 – $4,296.10 | 4 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $545.61 – $3,600.80 | 4 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $469.03 – $2,308.94 | 4 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Myomectomy abdom method CPT 58140 | not published | not published | $4,812.00 – $25,815.00 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $4,504.34 – $9,773.00 | 5 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $1,716.91 – $1,716.91 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Nabilone oral HCPCS J8650 | not published | not published | $23.93 – $32.68 | 2 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $123.39 | $241.95 | $0.28 – $0.60 | 2 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $6.16 – $22.63 | 3 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $84.15 | $165.00 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $2.78 – $8.86 | 4 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $8.34 – $8.81 | 2 |
| Narcosynthesis CPT 90865 | not published | not published | $246.98 – $252.02 | 2 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $654.84 | $1,284.00 | $277.75 – $4,042.00 | 5 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $329.57 – $2,238.00 | 4 |
| Nasal function studies CPT 92512 | not published | not published | $300.45 – $306.58 | 2 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $2,238.00 – $19,505.00 | 4 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $2,238.00 – $19,505.00 | 4 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $3,080.40 | $6,040.00 | $2,476.66 – $4,737.00 | 5 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $2,476.66 – $6,732.00 | 5 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $3,423.00 – $10,020.61 | 5 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $544.23 – $4,042.00 | 5 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Nasal sinus therapy CPT 30210 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $344.76 | $676.00 | $277.75 – $4,042.00 | 3 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $10.85 – $52.40 | 4 |
| Natriuretic peptide CPT 83880 | $274.38 | $538.00 | $38.47 – $297.98 | 4 |
| Natural killer cells total count CPT 86357 | $47.89 | $93.91 | $36.98 – $323.86 | 4 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | not published | not published | $141.36 – $144.24 | 2 |
| N block inj common digit CPT 64632 | not published | not published | $427.11 – $4,042.00 | 5 |
| N block inj hypogas plxs CPT 64517 | $3,313.98 | $6,498.00 | $1,230.71 – $4,042.00 | 5 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $347.66 – $4,042.00 | 5 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | not published | not published | $57.49 – $188.91 | 3 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $54.06 | $106.00 | $40.25 – $1,716.00 | 4 |
| Ndl insj without njx 3+ musc CPT 20561 | $54.06 | $106.00 | $40.25 – $1,716.00 | 4 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $82.09 – $133.18 | 3 |
| Ndl round specialty proguide HCPCS C1715 | $3,057.20 | $5,994.50 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $4,337.04 | $8,504.00 | $244.06 – $2,193.13 | 4 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $3,600.60 | $7,060.00 | $485.45 – $1,760.02 | 4 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $3,471.57 | $6,807.00 | $145.47 – $1,472.15 | 4 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $8,614.92 | $16,892.00 | $485.45 – $5,471.81 | 4 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $5,871.12 | $11,512.00 | $485.45 – $3,337.35 | 4 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $5,336.13 | $10,463.00 | $332.01 – $2,780.99 | 4 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $9,014.25 | $17,675.00 | $485.45 – $5,620.77 | 4 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $8,193.66 | $16,066.00 | $485.45 – $2,858.51 | 4 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $5,480.46 | $10,746.00 | $332.01 – $2,858.51 | 4 |
| Neck spine disk surgery CPT 63020 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $1,716.00 – $25,242.00 | 4 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | not published | not published | $56.25 – $56.25 | 1 |
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.