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 |
|---|---|---|---|---|
| Pancreas removal/transplant CPT 48160 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Pancreatectomy CPT 48146 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Pancreatectomy CPT 48152 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Pancreatectomy CPT 48154 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $119.26 – $354.58 | 4 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $84.15 | $165.00 | $6.49 – $21.03 | 2 |
| Papaverin hcl injection HCPCS J2440 | $105.72 | $207.30 | $1.95 – $98.77 | 2 |
| Parathormone (pth) intact CPT 83970 | $333.54 | $654.00 | $40.45 – $362.26 | 4 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Parathyrd planar w/spect&ct CPT 78072 | not published | not published | $755.17 – $2,228.70 | 4 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1,716.00 – $19,505.00 | 4 |
| Parathyroid planar imaging CPT 78070 | $1,867.11 | $3,661.00 | $454.67 – $589.01 | 4 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $556.27 – $2,108.28 | 4 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Paricalcitol HCPCS J2501 | $84.15 | $165.00 | $1.62 – $6.68 | 3 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $391.68 | $768.00 | $279.18 – $1,716.00 | 4 |
| Parotid duct diversion CPT 42507 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Parotid duct diversion CPT 42509 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Parotid duct diversion CPT 42510 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $6,160.80 | $12,080.00 | $2,238.00 – $6,732.00 | 5 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Partial excision of lip CPT 40500 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Partial hip replacement CPT 27125 | not published | not published | $2,995.00 – $18,229.15 | 5 |
| Partial hysterectomy CPT 58180 | not published | not published | $2,238.00 – $25,815.00 | 4 |
| Partial proctectomy CPT 45113 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $2,238.00 – $15,575.00 | 3 |
| Partial removal donor liver CPT 47140 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Partial removal donor liver CPT 47141 | not published | not published | $4,812.00 – $9,773.00 | 3 |
| Partial removal donor liver CPT 47142 | not published | not published | $5,530.00 – $9,773.00 | 3 |
| Partial removal finger bone CPT 26235 | $3,107.43 | $6,093.00 | $2,237.46 – $4,737.00 | 5 |
| Partial removal finger bone CPT 26236 | $3,107.43 | $6,093.00 | $2,237.46 – $4,737.00 | 5 |
| Partial removal foot fascia CPT 28060 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Partial removal of bladder CPT 51550 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Partial removal of esophagus CPT 43116 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Partial removal of esophagus CPT 43118 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Partial removal of esophagus CPT 43121 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Partial removal of esophagus CPT 43123 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Partial removal of fibula CPT 27641 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Partial removal of hand bone CPT 26230 | not published | not published | $4,042.00 – $6,682.00 | 5 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Partial removal of larynx CPT 31367 | not published | not published | $4,812.00 – $9,773.00 | 3 |
| Partial removal of larynx CPT 31368 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Partial removal of larynx CPT 31370 | not published | not published | $4,812.00 – $9,773.00 | 3 |
| Partial removal of larynx CPT 31375 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Partial removal of larynx CPT 31380 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Partial removal of larynx CPT 31382 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Partial removal of lip CPT 40530 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Partial removal of liver CPT 47125 | not published | not published | $4,812.00 – $9,773.00 | 3 |
| Partial removal of liver CPT 47130 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Partial removal of nose CPT 30150 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Partial removal of pancreas CPT 48145 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Partial removal of pancreas CPT 48150 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Partial removal of penis CPT 54120 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $5,318.00 – $11,377.00 | 5 |
| Partial removal of radius CPT 25151 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Partial removal of radius CPT 25230 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Partial removal of rectum CPT 45111 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Partial removal of rectum CPT 45114 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Partial removal of rectum CPT 45116 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Partial removal of rib CPT 21600 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Partial removal of sternum CPT 21620 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Partial removal of thyroid CPT 60220 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Partial removal of thyroid CPT 60225 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Partial removal of tibia CPT 27640 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Partial removal of toe CPT 28160 | $6,447.42 | $12,642.00 | $3,423.00 – $6,732.00 | 5 |
| Partial removal of tongue CPT 41120 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Partial removal of tongue CPT 41130 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Partial removal of ulna CPT 25150 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Partial removal of ulna CPT 25240 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,423.00 – $9,773.00 | 5 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Partial thyroid excision CPT 60210 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $6,798.87 | $13,331.11 | $4.58 – $5.48 | 2 |
| Part removal hip bone deep CPT 27071 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Passy muir valve metal trach HCPCS L8501 | $466.79 | $915.28 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $237.06 – $345.90 | 4 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $191.74 – $304.64 | 4 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $86.52 – $247.20 | 3 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $72.51 – $101.50 | 4 |
| Patient recorded spirometry CPT 94014 | not published | not published | $118.29 – $634.29 | 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.