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 |
|---|---|---|---|---|
| Beta-2 microglobulin CPT 82232 | $189.72 | $372.00 | $15.86 – $142.05 | 4 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $126.34 – $162.25 | 3 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $126.34 – $162.25 | 3 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $84.15 | $165.00 | $6.31 – $14.73 | 3 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $72.87 – $156.37 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $23.26 – $107.57 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $25.34 – $87.77 | 4 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.82 – $66.24 | 4 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $36.94 – $37.69 | 2 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $20.76 – $21.18 | 2 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.53 – $147.36 | 4 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $2,238.00 – $12,908.00 | 4 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,845.69 | $3,619.00 | $1,230.71 – $4,042.00 | 5 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,877.82 | $3,682.00 | $427.11 – $4,042.00 | 5 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $608.94 | $1,194.00 | $427.11 – $4,042.00 | 5 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $26.05 – $233.28 | 4 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $1,716.00 – $4,042.00 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Bilicheck CPT 88720 | not published | not published | $4.92 – $42.07 | 4 |
| Bilirubin direct CPT 82248 | $162.18 | $318.00 | $4.92 – $43.90 | 4 |
| Bilirubin total CPT 82247 | $162.18 | $318.00 | $4.92 – $43.90 | 4 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $29.02 | $56.90 | not published | 0 |
| Biofeedback, pt CPT 90901 | not published | not published | $16.34 – $16.67 | 2 |
| Biopsy abdominal mass CPT 49180 | $2,729.01 | $5,351.00 | $2,238.00 – $4,737.00 | 5 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,295.00 | $4,500.00 | $2,238.00 – $4,042.00 | 5 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,523.88 | $2,988.00 | $1,281.61 – $4,042.00 | 5 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $2,238.00 – $4,042.00 | 5 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $329.57 – $4,042.00 | 5 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $441.66 – $4,042.00 | 5 |
| Biopsy eye muscle CPT 67346 | not published | not published | $2,238.00 – $11,377.00 | 4 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $2,237.46 – $4,737.00 | 5 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,332.34 | $6,534.00 | $691.00 – $4,737.00 | 5 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $2,238.00 – $4,042.00 | 5 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,481.15 | $4,865.00 | $2,238.00 – $4,737.00 | 5 |
| Biopsy needle liver percutaneous CPT 47000 | $2,756.04 | $5,404.00 | $2,238.00 – $4,737.00 | 5 |
| Biopsy needle lymph node superficial CPT 38505 | $2,275.62 | $4,462.00 | $2,238.00 – $4,737.00 | 5 |
| Biopsy of cornea CPT 65410 | not published | not published | $2,741.00 – $4,042.00 | 5 |
| Biopsy of epididymis CPT 54800 | not published | not published | $2,238.00 – $4,042.00 | 5 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy of heart lining CPT 93505 | $3,796.44 | $7,444.00 | $2,238.00 – $11,377.00 | 5 |
| Biopsy of hip joint CPT 27052 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $1,262.04 – $4,737.00 | 5 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $329.57 – $4,042.00 | 5 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $985.34 – $4,042.00 | 5 |
| Biopsy of nerve CPT 64795 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Biopsy of penis CPT 54105 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Biopsy of prostate CPT 55700 | not published | not published | $2,995.00 – $15,202.00 | 5 |
| Biopsy of prostate CPT 55705 | not published | not published | $2,995.00 – $5,004.98 | 5 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,294.89 | $2,539.00 | $691.00 – $4,042.00 | 5 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Biopsy of tear gland CPT 68510 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Biopsy of tear sac CPT 68525 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Biopsy of testis CPT 54500 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Biopsy of testis CPT 54505 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Biopsy of urethra CPT 53200 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $237.06 – $6,204.14 | 4 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $237.06 – $5,613.27 | 4 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $3,325.20 | $6,520.00 | $2,238.00 – $4,737.00 | 5 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Biopsy skin incisional single lesion CPT 11106 | $1,258.68 | $2,468.00 | $1,028.39 – $4,042.00 | 5 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $3,247.68 | $6,368.00 | $2,238.00 – $4,737.00 | 5 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $750.46 – $4,042.00 | 5 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $750.46 – $4,042.00 | 5 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Biospy of bladder CPT 53899 | $3,857.13 | $7,563.00 | $347.66 – $2,238.00 | 4 |
| Biotinidase - quest CPT 82261 | not published | not published | $16.53 – $147.36 | 4 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $179.04 – $923.18 | 3 |
| Bivalirudin HCPCS J0583 | $344.39 | $675.27 | $0.31 – $2.23 | 3 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $784.38 | $1,538.00 | $347.66 – $4,042.00 | 5 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $613.88 – $5,318.00 | 5 |
| Bld prd mix CPT 86965 | $166.26 | $326.00 | $130.62 – $287.00 | 4 |
| Bld push tfuj 2 yr/< CPT 36440 | $883.32 | $1,732.00 | $613.88 – $4,042.00 | 5 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $277.75 | $544.61 | $43.11 – $387.45 | 3 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $2,870.98 – $4,737.00 | 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.