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 |
|---|---|---|---|---|
| Noonan spectrum disorders CPT 81442 | not published | not published | $2,100.73 – $11,374.01 | 4 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $40.25 – $41.07 | 2 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $173.16 – $1,546.65 | 4 |
| Npm1 gene CPT 81310 | not published | not published | $167.73 – $493.04 | 4 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $691.00 – $11,377.00 | 5 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $691.00 – $11,377.00 | 5 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $519.24 – $2,238.00 | 3 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $691.00 – $691.00 | 1 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $20.38 – $20.80 | 2 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $28.88 – $29.47 | 2 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $10.33 – $10.54 | 2 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $289.87 – $1,938.23 | 4 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $11,593.83 | $22,733.00 | $2,488.01 – $10,369.65 | 3 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $2,995.00 – $12,460.49 | 5 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $2,995.00 – $12,460.49 | 5 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $2,995.00 – $12,460.49 | 5 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $3,423.00 – $12,460.49 | 5 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $3,423.00 – $12,460.49 | 5 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $3,423.00 – $12,460.49 | 5 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $3,423.00 – $12,460.49 | 5 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $4,042.00 – $12,460.49 | 5 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Nsl/sins ndsc surg max sins CPT 31295 | $18,501.78 | $36,278.00 | $2,238.00 – $11,377.00 | 5 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $2,238.00 – $10,020.61 | 5 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $4,042.00 – $6,732.00 | 5 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $691.00 – $11,377.00 | 5 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $691.00 – $11,377.00 | 5 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $2,476.66 – $6,732.00 | 5 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $1,716.00 – $2,238.00 | 2 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $203.16 – $617.34 | 4 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $203.16 – $617.34 | 4 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $203.16 – $617.34 | 4 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $507.91 – $1,543.41 | 4 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $5,224.44 | $10,244.00 | $3,978.03 – $3,978.03 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $5,224.44 | $10,244.00 | $3,314.37 – $3,314.37 | 1 |
| Nuclear exam of tear flow CPT 78660 | $1,277.04 | $2,504.00 | $532.79 – $589.01 | 4 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $1,516.53 – $1,516.53 | 1 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.34 – $109.43 | 4 |
| Nuclear rx intra-arterial CPT 79445 | $1,020.00 | $2,000.00 | $324.68 – $646.88 | 4 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $324.68 – $660.95 | 4 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $324.68 – $660.95 | 4 |
| Nuclear rx IV admin CPT 79101 | $523.77 | $1,027.00 | $324.68 – $642.98 | 4 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,911.30 | $9,630.00 | $1,801.46 – $2,883.62 | 4 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $324.68 – $2,506.06 | 4 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $285.53 – $1,521.84 | 4 |
| Nushield 1 square cm HCPCS Q4160 | $7,847.98 | $15,388.20 | $173.16 – $199.20 | 3 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,260.07 – $2,684.49 | 4 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $73.82 – $161.70 | 4 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $706.86 | $1,386.00 | $828.66 – $845.57 | 2 |
| Observation per hour HCPCS G0378 | $130.05 | $255.00 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $2,995.00 – $12,908.00 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $73.36 – $870.65 | 4 |
| Obstetrics panel CPT 80055 | not published | not published | $46.85 – $144.53 | 4 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $40.25 – $263.00 | 4 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $424.32 | $832.00 | $145.47 – $444.81 | 4 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $227.52 – $230.08 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $44,557.41 | $87,367.48 | $58.40 – $124.29 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $84.15 | $165.00 | $1.18 – $6.40 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $10,192.97 | $19,986.21 | $116.38 – $439.87 | 4 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $620.41 – $620.41 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $765.30 – $4,042.00 | 5 |
| Ocular reconst transplant CPT 65780 | not published | not published | $5,470.40 – $11,377.00 | 5 |
| Ocular reconst transplant CPT 65781 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Ocular reconst transplant CPT 65782 | not published | not published | $5,470.40 – $11,377.00 | 5 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $60.99 – $133.79 | 4 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $246.98 – $252.02 | 2 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $246.98 – $252.02 | 2 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,649.37 | $3,234.06 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $223.95 | $439.12 | $1.86 – $2.32 | 3 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $3.80 – $6.28 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $22.63 – $86.26 | 4 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,995.00 – $6,732.00 | 3 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $2,238.00 – $11,377.00 | 3 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,795.54 – $11,533.72 | 4 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,460.01 – $19,464.79 | 4 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,795.54 – $24,326.12 | 4 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,795.54 – $20,229.79 | 4 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,795.54 – $9,153.76 | 4 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,049.14 – $21,420.63 | 4 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,151.80 – $16,533.55 | 4 |
| Oncology colorectal scr CPT 81528 | not published | not published | $498.69 – $3,334.52 | 4 |
| Oncology gynecologic CPT 81535 | not published | not published | $567.87 – $3,797.05 | 4 |
| Oncology gynecologic CPT 81536 | not published | not published | $174.01 – $1,163.48 | 4 |
| Oncology lung CPT 81538 | not published | not published | $2,813.58 – $15,233.57 | 4 |
| Oncology prostate prob score CPT 81539 | not published | not published | $744.80 – $3,088.00 | 4 |
| Oncology tissue of origin CPT 81504 | not published | not published | $509.60 – $1,181.74 | 4 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,675.00 – $19,897.55 | 4 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $879.06 – $4,759.52 | 4 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $255.29 – $1,382.22 | 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.