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 |
|---|---|---|---|---|
| Removal of eye lesion CPT 65400 | not published | not published | $1,387.12 – $4,737.00 | 5 |
| Removal of eye lesion CPT 65420 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Removal of eye lesion CPT 65426 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Removal of face wrinkles CPT 15828 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of fallopian tube 58700 CPT 58700 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Removal of fascia for graft CPT 20920 | not published | not published | $2,870.98 – $9,773.00 | 5 |
| Removal of fascia for graft CPT 20922 | not published | not published | $2,870.98 – $6,732.00 | 5 |
| Removal of finger lesion CPT 26210 | not published | not published | $2,237.46 – $4,737.00 | 5 |
| Removal of finger tendon CPT 26180 | not published | not published | $2,237.46 – $5,318.00 | 5 |
| Removal of foot fascia CPT 28062 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Removal of foot joint lining CPT 28070 | not published | not published | $3,423.00 – $10,302.82 | 5 |
| Removal of foot joint lining CPT 28072 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Removal of foot lesion CPT 28080 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Removal of foot lesion CPT 28090 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Removal of foot lesion CPT 28104 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Removal of forearm lesion CPT 25120 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of forehead wrinkles CPT 15824 | not published | not published | $2,870.98 – $5,318.00 | 5 |
| Removal of foreign body CPT 27372 | $5,595.21 | $10,971.00 | $4,041.81 – $6,732.00 | 5 |
| Removal of frontal sinus CPT 31080 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of frontal sinus CPT 31081 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of frontal sinus CPT 31084 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of frontal sinus CPT 31086 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of frontal sinus CPT 31087 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of frontal sinus 31085 CPT 31085 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of gallbladder 47600 CPT 47600 | not published | not published | $2,238.00 – $25,242.00 | 4 |
| Removal of gallbladder 47610 CPT 47610 | not published | not published | $2,238.00 – $20,652.00 | 4 |
| Removal of gallbladder 47620 CPT 47620 | not published | not published | $2,238.00 – $25,815.00 | 4 |
| Removal of gum tissue CPT 41830 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Removal of head of humerus CPT 23195 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Removal of heel bone CPT 28118 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Removal of heel spur CPT 28119 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Removal of hip foreign body 27087 CPT 27087 | $6,486.18 | $12,718.00 | $3,423.00 – $6,732.00 | 5 |
| Removal of hip joint lining CPT 27054 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Removal of hip prosthesis CPT 27090 | not published | not published | $2,238.00 – $10,302.82 | 5 |
| Removal of hip prosthesis CPT 27091 | not published | not published | $2,995.00 – $18,229.15 | 5 |
| Removal of humerus lesion CPT 23150 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of humerus lesion CPT 23155 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Removal of humerus lesion CPT 23156 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Removal of hydrocele CPT 55040 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of hydrocele CPT 55500 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of hydroceles CPT 55041 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Removal of impacted wax md HCPCS G0268 | not published | not published | $1,716.00 – $1,716.00 | 1 |
| Removal of implant deep CPT 20680 | $5,595.21 | $10,971.00 | $3,423.00 – $6,732.00 | 5 |
| Removal of infusion pump CPT 36262 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Removal of inner eye fluid CPT 67036 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of inner eye lesion CPT 66770 | not published | not published | $765.30 – $4,042.00 | 5 |
| Removal of intranasal lesion CPT 30117 | not published | not published | $3,423.00 – $4,737.00 | 5 |
| Removal of intranasal lesion CPT 30118 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Removal of iris CPT 66605 | not published | not published | $3,211.25 – $11,377.00 | 5 |
| Removal of iris CPT 66625 | not published | not published | $3,211.25 – $5,318.00 | 5 |
| Removal of iris CPT 66630 | not published | not published | $3,211.25 – $5,318.00 | 5 |
| Removal of iris CPT 66635 | not published | not published | $3,211.25 – $6,732.00 | 5 |
| Removal of ischial bursa CPT 27060 | not published | not published | $4,812.00 – $10,302.82 | 5 |
| Removal of jaw bone lesion CPT 21044 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Removal of jaw joint CPT 21050 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of kidney & ureter CPT 50234 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Removal of kidney & ureter CPT 50236 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Removal of kneecap CPT 27350 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of kneecap bursa CPT 27340 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Removal of knee cartilage CPT 27332 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of knee cartilage CPT 27333 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of knee cyst CPT 27345 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Removal of knee prosthesis CPT 27488 | not published | not published | $2,995.00 – $18,229.15 | 5 |
| Removal of larynx CPT 31360 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Removal of larynx CPT 31365 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Removal of larynx lesion CPT 31300 | not published | not published | $4,613.34 – $9,773.00 | 5 |
| Removal of larynx lesion 31512 CPT 31512 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Removal of larynx & pharynx CPT 31390 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Removal of lens lesion CPT 66830 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Removal of lens material CPT 66840 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Removal of lens material CPT 66850 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Removal of lens material CPT 66852 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of lung extrapleural CPT 32445 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Removal of lung lesion 32540 CPT 32540 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Removal of lung lesion(s) CPT 32140 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Removal of lung lesion(s) 32150 CPT 32150 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Removal of lymph nodes neck CPT 38700 | not published | not published | $3,423.00 – $9,428.12 | 5 |
| Removal of lymph nodes neck CPT 38724 | not published | not published | $3,423.00 – $25,242.00 | 4 |
| Removal of metatarsal CPT 28140 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Removal of metatarsal heads CPT 28114 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Removal of neck wrinkles CPT 15825 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of nerve lesion CPT 64790 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Removal of nerve lesion CPT 64792 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Removal of nose CPT 30160 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Removal of nose lesion CPT 30124 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Removal of nose lesion CPT 30125 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Removal of nose polyp(s) 30115 CPT 30115 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Removal of ocular implant CPT 65175 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Removal of omentum 49255 CPT 49255 | not published | not published | $2,238.00 – $9,773.00 | 5 |
| Removal of ovary(s) 58940 CPT 58940 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Removal of ovary/tube(s) CPT 58720 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Removal of palm tendon each CPT 26170 | not published | not published | $2,237.46 – $5,318.00 | 5 |
| Removal of pancreas CPT 48155 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Removal of pancreas lesion CPT 48120 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Removal of pancreatic duct CPT 48148 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Removal of pancreatic stone CPT 48020 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Removal of pelvic structures CPT 51597 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Removal of pelvis contents CPT 58240 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Removal of penis CPT 54125 | not published | not published | $2,238.00 – $15,202.00 | 4 |
| Removal of pituitary gland CPT 61546 | not published | not published | $4,233.00 – $12,568.00 | 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.