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 |
|---|---|---|---|---|
| Neg press ventilation cnp CPT 94662 | not published | not published | $314.34 – $314.34 | 1 |
| Neg pres wound ther drsg set HCPCS A6550 | $2,976.74 | $5,836.75 | not published | 0 |
| Neisseria meningitidis CPT 86741 | not published | not published | $12.93 – $115.75 | 4 |
| Nelarabine injection HCPCS J9261 | not published | not published | $51.65 – $135.84 | 4 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $173.16 – $381.84 | 3 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $84.15 | $165.00 | $3.57 – $14.93 | 2 |
| Neox 100 or clarix 100 HCPCS Q4156 | $1,354.56 | $2,656.00 | $139.21 – $212.83 | 4 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Nephrectomy partial CPT 50240 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $4,042.00 – $6,732.00 | 3 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | not published | not published | $300.45 – $306.58 | 2 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | not published | not published | $691.00 – $691.00 | 1 |
| Nerve conduction 7-8 studies CPT 95910 | not published | not published | $519.24 – $591.05 | 3 |
| Nerve conduction studies 11-12 CPT 95912 | not published | not published | $519.24 – $773.86 | 3 |
| Nerve conduction studies 1-2 CPT 95907 | not published | not published | $300.45 – $315.17 | 3 |
| Nerve conduction studies 13+ CPT 95913 | not published | not published | $519.24 – $864.86 | 3 |
| Nerve conduction studies 3-4 CPT 95908 | not published | not published | $300.45 – $381.35 | 3 |
| Nerve conduction studies 5-6 CPT 95909 | not published | not published | $300.45 – $457.45 | 3 |
| Nerve conduction studies 9-10 CPT 95911 | not published | not published | $519.24 – $685.35 | 3 |
| Nerve graft add-on CPT 64901 | not published | not published | $1,716.00 – $15,202.00 | 4 |
| Nerve graft add-on CPT 64902 | not published | not published | $1,716.00 – $15,202.00 | 4 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $2,995.00 – $12,460.49 | 5 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $2,995.00 – $12,460.49 | 5 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $2,870.98 – $9,773.00 | 5 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $2,995.00 – $12,460.49 | 5 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $2,238.00 – $12,460.49 | 5 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $4,042.00 – $12,460.49 | 5 |
| Nerve surgery CPT 64859 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Nerve teasing preparations CPT 88362 | not published | not published | $239.66 – $1,256.40 | 4 |
| Nesiritide injection HCPCS J2325 | not published | not published | $40.34 – $62.59 | 2 |
| Neurectomy foot CPT 28055 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Neurectomy hamstring CPT 27325 | not published | not published | $2,717.15 – $4,737.00 | 5 |
| Neurectomy popliteal CPT 27326 | not published | not published | $2,717.15 – $4,737.00 | 5 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $427.11 – $4,042.00 | 5 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Neurolysis celiac plexus CPT 64680 | $2,400.06 | $4,706.00 | $1,230.71 – $4,042.00 | 5 |
| Neurolysis trigeminal nerve CPT 64600 | $1,845.69 | $3,619.00 | $1,230.71 – $4,042.00 | 5 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | not published | not published | $255.63 – $255.63 | 1 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | not published | not published | $98.03 – $182.70 | 3 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $4,233.00 – $12,460.49 | 5 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $41.29 – $176.37 | 4 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $78.02 – $210.66 | 4 |
| Neutron beam tx complex CPT 77423 | not published | not published | $573.26 – $784.53 | 3 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $0.07 – $1,366.03 | 4 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $257.73 – $783.20 | 4 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $2,238.00 – $19,505.00 | 4 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $24.07 – $78.88 | 4 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $41.98 – $227.07 | 4 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $297.23 | $582.80 | $0.18 – $0.19 | 3 |
| Nikaidoh proc CPT 33782 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Nintedanib 150 mg capsule HCPCS J8999 | $13.37 | $26.22 | not published | 0 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,517.76 | $2,976.00 | $1,194.91 – $5,711.35 | 4 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Nipple exploration CPT 19110 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $13.34 – $99.98 | 4 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $858.47 – $1,581.45 | 2 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $145.35 | $285.00 | $2.23 – $2.88 | 3 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $32.95 – $69.55 | 4 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $197.72 – $417.27 | 4 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $1,230.71 – $4,042.00 | 5 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $1,395.87 | $2,737.00 | $982.21 – $4,042.00 | 5 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,845.69 | $3,619.00 | $1,230.71 – $4,042.00 | 5 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $427.11 – $4,042.00 | 5 |
| Njx cath slct p angrph mapca CPT 93575 | not published | not published | $1,716.00 – $1,716.00 | 1 |
| Njx cath slct p-art angrp bi CPT 93573 | not published | not published | $1,716.00 – $1,716.00 | 1 |
| Njx cath slct pulm vn angrph CPT 93574 | not published | not published | $1,716.00 – $1,716.00 | 1 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Njx cth slct p-art angrp uni CPT 93569 | not published | not published | $1,716.00 – $1,716.00 | 1 |
| Njx interlaminar crv/thrc CPT 62324 | $4,160.07 | $8,157.00 | $1,230.71 – $4,042.00 | 5 |
| Njx interlaminar crv/thrc CPT 62325 | $4,160.07 | $8,157.00 | $1,230.71 – $4,042.00 | 5 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $1,230.71 – $4,042.00 | 5 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $1,230.71 – $4,042.00 | 5 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $727.77 | $1,427.00 | $970.26 – $4,042.00 | 5 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Nl removal calculus CPT 50060 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,617.32 | $5,132.00 | $556.27 – $1,106.94 | 4 |
| Nm imaging bone/joint whole body CPT 78306 | $2,617.32 | $5,132.00 | $556.27 – $1,046.90 | 4 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,102.22 | $4,122.00 | $556.27 – $1,207.21 | 4 |
| Nm imaging gastric emptying study CPT 78264 | $2,676.48 | $5,248.00 | $556.27 – $902.91 | 4 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $2,257.26 | $4,426.00 | $556.27 – $1,224.11 | 4 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,699.94 | $5,294.00 | $755.17 – $2,026.09 | 4 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $3,098.76 | $6,076.00 | $755.17 – $1,122.95 | 4 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,639.25 | $5,175.00 | $755.17 – $1,877.73 | 4 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,302.03 | $2,553.00 | $556.27 – $1,510.03 | 4 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $324.68 – $642.98 | 4 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $12,568.00 – $38,219.09 | 4 |
| Non-card vasc flow imaging CPT 78445 | $572.22 | $1,122.00 | $464.01 – $589.01 | 4 |
| Non-cov surg proc,clin trial HCPCS G0293 | not published | not published | $51.97 – $4,042.00 | 3 |
| Non-imaging heart function CPT 78414 | not published | not published | $286.39 – $755.52 | 4 |
| Noninv pace analysis CPT 93724 | not published | not published | $427.37 – $9,773.00 | 3 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $485.45 – $610.96 | 3 |
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.