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 |
|---|---|---|---|---|
| Remove cranial cavity fluid CPT 61001 | not published | not published | $982.21 – $4,042.00 | 5 |
| Remove cva lumen obstruct CPT 75902 | not published | not published | $403.84 – $459.17 | 2 |
| Remove digit nerve lesion 64776 CPT 64776 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Remove drug implant HCPCS G0517 | not published | not published | $621.60 – $1,716.00 | 3 |
| Remove ear canal lesion(s) CPT 69145 | $5,595.21 | $10,971.00 | $2,995.00 – $4,737.00 | 5 |
| Remove ear canal lesion(s) 69140 CPT 69140 | not published | not published | $2,995.00 – $8,405.34 | 5 |
| Remove electrode/thoracotomy CPT 33237 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remove electrode/thoracotomy CPT 33238 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remove electrode/thoracotomy 33236 CPT 33236 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remove eltrd/thoracotomy 33243 CPT 33243 | not published | not published | $2,238.00 – $11,377.00 | 3 |
| Remove epididymis lesion CPT 54830 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Remove epididymis lesion CPT 54840 | not published | not published | $2,908.69 – $9,773.00 | 5 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $660.95 – $829.41 | 2 |
| Remove exostosis maxilla CPT 21032 | not published | not published | $4,042.00 – $6,732.00 | 5 |
| Remove ext hem groups 2+ CPT 46250 | $5,565.63 | $10,913.00 | $3,423.00 – $6,732.00 | 5 |
| Remove extra spine segment CPT 22103 | not published | not published | $1,716.00 – $19,505.00 | 4 |
| Remove extra spine segment CPT 22116 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Remove eye/attach implant CPT 65105 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Remove eye implant material CPT 67120 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Remove eye implant material CPT 67121 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Remove eye/insert implant CPT 65103 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove eye lesion CPT 65900 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Remove eye lesion CPT 66130 | not published | not published | $3,308.19 – $12,568.00 | 5 |
| Remove eyelid lesion CPT 67800 | $803.25 | $1,575.00 | $441.66 – $4,042.00 | 5 |
| Remove eyelid lesion CPT 67840 | not published | not published | $1,387.12 – $4,737.00 | 5 |
| Remove eyelid lesion(s) CPT 67808 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Remove eyelid lesions CPT 67801 | not published | not published | $1,387.12 – $4,737.00 | 5 |
| Remove eyelid lesions CPT 67805 | not published | not published | $441.66 – $4,042.00 | 5 |
| Remove eye/revise socket CPT 65112 | not published | not published | $5,470.40 – $12,568.00 | 5 |
| Remove eye/revise socket CPT 65114 | not published | not published | $5,470.40 – $12,568.00 | 5 |
| Remove femur lesion CPT 27355 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove femur lesion/bursa CPT 27062 | not published | not published | $4,552.87 – $9,773.00 | 5 |
| Remove femur lesion/fixation CPT 27358 | not published | not published | $1,716.00 – $24,668.00 | 4 |
| Remove femur lesion/graft CPT 27356 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Remove femur lesion/graft CPT 27357 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Remove finger bone CPT 26185 | not published | not published | $2,237.46 – $4,737.00 | 5 |
| Remove forearm bone lesion CPT 25145 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Remove foreign body brain CPT 61570 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Remove foreign body from eye CPT 65235 | $9,044.85 | $17,735.00 | $2,995.00 – $6,732.00 | 5 |
| Remove foreign body from eye CPT 65260 | not published | not published | $1,716.00 – $5,318.00 | 5 |
| Remove foreign body from eye CPT 65265 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Remove gastric port open 43887 CPT 43887 | not published | not published | $2,238.00 – $5,318.00 | 5 |
| Remove/graft bone lesion CPT 26205 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove/graft finger lesion CPT 26215 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Remove/graft foot lesion CPT 28102 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Remove/graft foot lesion CPT 28103 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Remove/graft foot lesion CPT 28107 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Remove/graft forearm lesion CPT 25125 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Remove/graft forearm lesion CPT 25126 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove/graft hip bone lesion CPT 27067 | not published | not published | $4,812.00 – $12,568.00 | 5 |
| Remove/graft leg bone lesion CPT 27637 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove/graft leg bone lesion CPT 27638 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove & graft wrist lesion CPT 25135 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove & graft wrist lesion CPT 25136 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove groin lymph nodes CPT 38760 | not published | not published | $2,995.00 – $9,428.12 | 5 |
| Remove hand bone lesion CPT 26200 | $3,107.43 | $6,093.00 | $2,237.46 – $4,737.00 | 5 |
| Remove hip bone les deep CPT 27066 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Remove hip bone les super CPT 27065 | not published | not published | $4,812.00 – $10,302.82 | 5 |
| Remove hip foreign body 27086 CPT 27086 | $5,595.21 | $10,971.00 | $2,238.00 – $4,737.00 | 5 |
| Remove hip/pelvis lesion 27047 CPT 27047 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Remove humerus lesion CPT 23174 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Remove humerus lesion CPT 23184 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Remove implant of eye CPT 65920 | not published | not published | $3,211.25 – $12,568.00 | 5 |
| Remove in/ex hem groups 2+ CPT 46260 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Remove in/ex hem grps & fiss CPT 46261 | not published | not published | $3,862.23 – $9,773.00 | 5 |
| Remove in/ex hem grps w/fist CPT 46262 | not published | not published | $3,862.23 – $9,773.00 | 5 |
| Remove in/ex hem grp w/fistu CPT 46258 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Remove inguinofem lymph nodes 38765 CPT 38765 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Remove inner ear CPT 69905 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Remove inner ear lesion CPT 69970 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Remove inner ear & mastoid CPT 69910 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Remove intact mammary implant CPT 19328 | $7,491.39 | $14,689.00 | $2,238.00 – $11,377.00 | 5 |
| Remove intestinal allograft CPT 44137 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Remove int/ext hem 1 group CPT 46255 | $5,565.63 | $10,913.00 | $3,423.00 – $6,732.00 | 5 |
| Remove intra-aortic balloon CPT 33974 | not published | not published | $5,318.00 – $6,732.00 | 2 |
| Remove intracorporeal device CPT 33980 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Remove iris and lesion CPT 66600 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Remove jaw joint cartilage CPT 21060 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Remove kidney living donor CPT 50320 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remove knee cyst CPT 27347 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Remove knee joint lining CPT 27334 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Remove knee joint lining CPT 27335 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Remove lamina/facets lumbar CPT 63012 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Remove limb nerve lesion CPT 64782 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Remove lower leg bone lesion CPT 27635 | $6,486.18 | $12,718.00 | $3,423.00 – $11,377.00 | 5 |
| Remove lung artery emboli 33910 CPT 33910 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Remove lung artery emboli without bypass 33915 CPT 33915 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Remove lung foreign body CPT 32151 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Remove lung pneumonectomy 32440 CPT 32440 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Remove mandible cyst complex CPT 21046 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Remove mastoid air cells CPT 69670 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove mastoid structures CPT 69505 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Remove middle ear nerve CPT 69676 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove nasal foreign body CPT 30310 | $6,161.82 | $12,082.00 | $2,238.00 – $4,737.00 | 5 |
| Remove nasal foreign body CPT 30320 | $3,006.96 | $5,896.00 | $2,158.97 – $4,737.00 | 5 |
| Remove nerve lesion CPT 64784 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $5,318.00 – $15,575.00 | 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.