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 |
|---|---|---|---|---|
| Rem/biv cast shldr/hip spica CPT 29710 | $519.69 | $1,019.00 | $389.18 – $4,042.00 | 5 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,775.42 | $3,481.21 | $6.76 – $13.65 | 4 |
| Rem endovas vena cava filter CPT 37193 | $13,562.43 | $26,593.00 | $2,995.00 – $11,377.00 | 5 |
| Rem interrog dev eval icpms CPT 93297 | not published | not published | $51.93 – $160.07 | 3 |
| Rem interrog dev eval scrms CPT 93298 | not published | not published | $51.93 – $189.02 | 3 |
| Rem interrog evl pm/ids CPT 93296 | not published | not published | $51.93 – $266.36 | 3 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $201.93 – $234.52 | 2 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $185.25 – $189.04 | 2 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $51.93 – $691.00 | 4 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $150.04 – $186.12 | 2 |
| Remote 30 day ecg tech supp CPT 93229 | not published | not published | $519.24 – $3,859.39 | 3 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $7.96 – $8.12 | 2 |
| Removable soft interface le HCPCS K0672 | not published | not published | $99.67 – $101.70 | 2 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Removal allograft pancreas CPT 48556 | not published | not published | $2,238.00 – $9,773.00 | 2 |
| Removal anal seton other marker 46030 CPT 46030 | $2,346.00 | $4,600.00 | $1,665.08 – $4,737.00 | 5 |
| Removal biliary drg cath CPT 47537 | $2,675.97 | $5,247.00 | $1,262.04 – $4,737.00 | 5 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,775.31 | $3,481.00 | $872.87 – $4,042.00 | 5 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,222.69 | $6,319.00 | $2,190.38 – $4,737.00 | 5 |
| Removal cerclage w/anes CPT 59871 | $9,515.58 | $18,658.00 | $4,042.00 – $11,377.00 | 5 |
| Removal cerclage without anes CPT 59899 | not published | not published | $281.31 – $1,716.00 | 4 |
| Removal cerumen impacted (both sides) CPT 69210 | $642.09 | $1,259.00 | $82.09 – $4,042.00 | 5 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $7,742.78 – $15,575.00 | 5 |
| Removal clot in graft xcp 35876 CPT 35876 | $9,974.07 | $19,557.00 | $7,742.78 – $15,575.00 | 5 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $1,716.00 – $12,908.00 | 2 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $1,178.61 | $2,311.00 | $279.18 – $284.87 | 2 |
| Removal duct glbldr calculi CPT 47544 | not published | not published | $1,621.32 – $5,318.00 | 4 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,067.94 | $2,094.00 | $691.00 – $4,737.00 | 5 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $3,247.68 | $6,368.00 | $2,238.00 – $4,737.00 | 5 |
| Removal foreign body foot cmplx CPT 28193 | $3,247.68 | $6,368.00 | $2,298.14 – $4,233.00 | 5 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,707.48 | $3,348.00 | $985.34 – $4,042.00 | 5 |
| Removal foreign body gum 41805 CPT 41805 | $3,006.96 | $5,896.00 | $2,158.97 – $4,737.00 | 5 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Removal foreign body mouth CPT 40805 | $1,067.94 | $2,094.00 | $750.46 – $4,042.00 | 5 |
| Removal implant from finger/hand 26320 CPT 26320 | $3,247.68 | $6,368.00 | $2,298.14 – $4,737.00 | 5 |
| Removal implant superficial separate procedure CPT 20670 | $3,301.74 | $6,474.00 | $2,238.00 – $4,737.00 | 5 |
| Removal kidney open complex CPT 50225 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Removal kidney open radical CPT 50230 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Removal of adenoids CPT 42830 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Removal of adenoids CPT 42831 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Removal of adenoids CPT 42836 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Removal of anal fissure CPT 46200 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Removal of anal tags CPT 46230 | $5,565.63 | $10,913.00 | $2,995.00 – $4,737.00 | 5 |
| Removal of ankle bone CPT 28130 | not published | not published | $3,423.00 – $10,302.82 | 5 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Removal of ankle implant CPT 27704 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Removal of artery clot CPT 34051 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $5,318.00 – $6,732.00 | 2 |
| Removal of bladder CPT 51570 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Removal of bladder lesion CPT 51520 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Removal of bladder lesion CPT 51525 | not published | not published | $2,238.00 – $11,377.00 | 3 |
| Removal of bladder lesion CPT 51530 | not published | not published | $2,238.00 – $11,377.00 | 3 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of bladder stone CPT 51050 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Removal of bone for graft CPT 20900 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of bone for graft CPT 20902 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of bone lesion CPT 23140 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Removal of bone lesion CPT 23145 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Removal of bone lesion CPT 23146 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Removal of brain abscess CPT 61522 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of brain lesion CPT 61520 | not published | not published | $6,682.00 – $12,568.00 | 3 |
| Removal of brain lesion CPT 61521 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Removal of brain lesion CPT 61524 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of brain lesion CPT 61526 | not published | not published | $6,682.00 – $12,568.00 | 3 |
| Removal of brain lesion CPT 61530 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Removal of brain lesion CPT 61534 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Removal of brain lesion CPT 61536 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of brain tissue CPT 61537 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Removal of brain tissue CPT 61538 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of brain tissue CPT 61539 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Removal of brain tissue CPT 61540 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of brain tissue CPT 61543 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of brain tissue CPT 61566 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of breast lesion CPT 19120 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of calcium deposits CPT 23000 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Removal of cervix radical CPT 57531 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Removal of colon/ileostomy CPT 44156 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of donor liver CPT 47133 | not published | not published | $4,812.00 – $9,773.00 | 3 |
| Removal of epididymis CPT 54860 | not published | not published | $3,423.00 – $9,773.00 | 5 |
| Removal of epididymis CPT 54861 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Removal of esophagus CPT 43108 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of esophagus CPT 43113 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of esophagus CPT 43124 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Removal of esophagus pouch CPT 43135 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Removal of ethmoid sinus CPT 31200 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Removal of ethmoid sinus CPT 31201 | not published | not published | $2,158.97 – $9,773.00 | 5 |
| Removal of external ear CPT 69120 | not published | not published | $2,995.00 – $8,405.34 | 5 |
| Removal of eye CPT 65101 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of eye CPT 65110 | not published | not published | $4,812.00 – $11,377.00 | 5 |
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.