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 part lumbar vertebra CPT 22114 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Remove part of temporal bone CPT 69535 | not published | not published | $5,530.00 – $9,773.00 | 3 |
| Remove part thorax vertebra CPT 22112 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remove penis & nodes CPT 54130 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remove penis & nodes CPT 54135 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Remove pilonidal cyst compl CPT 11772 | $5,595.21 | $10,971.00 | $3,423.00 – $6,732.00 | 5 |
| Remove pilonidal cyst exten CPT 11771 | $5,595.21 | $10,971.00 | $3,423.00 – $6,732.00 | 5 |
| Remove pituit tumor w/scope CPT 62165 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Remove prostate regrowth CPT 52630 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Remove pulmonary shunt CPT 33924 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Remove rectum w/reservoir CPT 45119 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Remove renal tube w/fluoro CPT 50389 | $826.71 | $1,621.00 | $970.26 – $4,042.00 | 5 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $3,423.00 – $28,839.66 | 5 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $2,238.00 – $28,839.66 | 5 |
| Remove/revise male sling CPT 53442 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $2,870.98 – $5,318.00 | 5 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $2,870.98 – $9,773.00 | 5 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Remove shoulder fb deep CPT 23333 | $5,595.21 | $10,971.00 | $2,741.00 – $4,124.29 | 5 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $3,247.68 | $6,368.00 | $2,238.00 – $4,042.00 | 5 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remove sperm duct pouch CPT 55650 | not published | not published | $2,238.00 – $12,908.00 | 4 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Remove spinal canal catheter 62355 CPT 62355 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $1,716.00 – $24,668.00 | 4 |
| Remove spine eltrd perq aray CPT 63661 | $4,371.21 | $8,571.00 | $2,717.15 – $6,732.00 | 5 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Remove spine fixation device CPT 22850 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Remove spine fixation device CPT 22852 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Remove spine infusion device CPT 62365 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Remove stent via transureth CPT 50386 | $4,041.75 | $7,925.00 | $2,908.69 – $6,732.00 | 5 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $2,717.15 – $4,737.00 | 5 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $4,233.00 – $11,377.00 | 4 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $4,233.00 – $11,377.00 | 4 |
| Remove tear gland lesion CPT 68540 | not published | not published | $3,308.19 – $6,732.00 | 5 |
| Remove tear gland lesion CPT 68550 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $3,423.00 – $9,773.00 | 5 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $4,613.34 – $9,773.00 | 5 |
| Remove/transplant tendon CPT 23440 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Remove & treat brain lesion CPT 61544 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Remove ureter calculus CPT 51065 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Remove ureter stent percut CPT 50384 | $6,026.16 | $11,816.00 | $2,908.69 – $6,732.00 | 5 |
| Remove uro sphincter CPT 53446 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Remove vaginal foreign body 57415 CPT 57415 | $6,160.80 | $12,080.00 | $2,995.00 – $6,732.00 | 5 |
| Remove vagina tissue part CPT 57107 | not published | not published | $4,504.34 – $9,773.00 | 5 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $3,423.00 – $9,773.00 | 5 |
| Remove ventilating tube CPT 69424 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Remove ventricular device CPT 33978 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $3,423.00 – $15,575.00 | 3 |
| Remove vert body dcmprn lmbr CPT 63090 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Remove vert body dcmprn lmbr CPT 63102 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Remove vert body dcmprn thrc CPT 63085 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Remove vert body dcmprn thrc CPT 63101 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Remove vertebral body add-on CPT 63086 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Remove vertebral body add-on CPT 63088 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remove vertebral body add-on CPT 63091 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Remove vertebral body add-on CPT 63103 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Remove vertebral body add-on CPT 63308 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Remove vert idrl body crvcl CPT 63304 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Remove vert idrl body thrc CPT 63305 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Remove vert xdrl body crvcl CPT 63300 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Remove vert xdrl body thrc CPT 63301 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Remove vert xdrl body thrlmb CPT 63302 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Remove windpipe lesion CPT 31785 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Remove windpipe lesion CPT 31786 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Remove w insert drug implant HCPCS G0518 | not published | not published | $621.60 – $1,716.00 | 3 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $2,237.46 – $9,773.00 | 5 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Remove wrist joint implant CPT 25449 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Remove wrist joint lining CPT 25105 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Remove wrist joint lining CPT 26130 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Remove wrist tendon lesion CPT 25110 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Remove wrist tendon lesion CPT 25111 | $3,107.43 | $6,093.00 | $2,237.46 – $6,732.00 | 5 |
| Remov/replc penis pros comp CPT 54411 | not published | not published | $1,716.00 – $28,839.66 | 5 |
| Remov/replc ur sphinctr comp CPT 53448 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Remov vertbr dcmprn thrclmbr CPT 63087 | not published | not published | $4,812.00 – $9,773.00 | 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.