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 |
|---|---|---|---|---|
| Repair double ventricle CPT 33611 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair double ventricle CPT 33612 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair dura CPT 61618 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Repair dura CPT 61619 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Repair eardrum structures CPT 69631 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair elbow perc CPT 24357 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair epigastric hernia reduce 49570 CPT 49570 | not published | not published | $9,773.00 – $16,652.00 | 2 |
| Repair epigastric hern incar 49572 CPT 49572 | not published | not published | $5,318.00 – $16,652.00 | 2 |
| Repair esophagus and fistula CPT 43305 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Repair esophagus and fistula CPT 43312 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Repair esophagus opening CPT 43420 | not published | not published | $2,238.00 – $9,773.00 | 5 |
| Repair esophagus opening CPT 43425 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Repair esophagus wound 43410 CPT 43410 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair esophagus wound 43415 CPT 43415 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Repair extns tendon finger without grft ea CPT 26418 | $4,299.81 | $8,431.00 | $2,237.46 – $9,773.00 | 5 |
| Repair extra toe(s) CPT 28344 | not published | not published | $4,233.00 – $6,732.00 | 5 |
| Repair eyelid defect CPT 67901 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Repair eyelid defect CPT 67902 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair eyelid defect CPT 67903 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Repair eyelid defect CPT 67904 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Repair eyelid defect CPT 67906 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair eyelid defect CPT 67908 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Repair eyelid defect CPT 67914 | not published | not published | $3,308.19 – $6,732.00 | 5 |
| Repair eyelid defect CPT 67915 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Repair eyelid defect CPT 67916 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Repair eyelid defect CPT 67917 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Repair eyelid defect CPT 67921 | not published | not published | $3,308.19 – $6,732.00 | 5 |
| Repair eyelid defect CPT 67922 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Repair eyelid defect CPT 67923 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Repair eyelid defect CPT 67924 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Repair eyelid wound CPT 67930 | $5,300.94 | $10,394.00 | $2,995.00 – $6,732.00 | 5 |
| Repair eyelid wound CPT 67935 | $4,357.44 | $8,544.00 | $2,995.00 – $6,732.00 | 5 |
| Repair facial nerve CPT 69740 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair facial nerve CPT 69745 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair fibula nonunion CPT 27726 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Repair finger deformity CPT 26590 | not published | not published | $2,237.46 – $9,773.00 | 5 |
| Repair finger/hand tendon CPT 26350 | $6,447.42 | $12,642.00 | $2,238.00 – $11,377.00 | 5 |
| Repair finger/hand tendon CPT 26356 | $6,486.18 | $12,718.00 | $4,233.00 – $11,377.00 | 5 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair finger/hand tendon CPT 26370 | $6,447.42 | $12,642.00 | $4,233.00 – $11,377.00 | 5 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair finger tendon CPT 26433 | $6,447.42 | $12,642.00 | $3,423.00 – $5,318.00 | 5 |
| Repair fistula w/colostomy CPT 45805 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair fistula w/colostomy CPT 45825 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair foot dislocation CPT 28555 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Repair foot dislocation CPT 28585 | not published | not published | $3,423.00 – $10,302.82 | 5 |
| Repair foot dislocation CPT 28615 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | $14,326.92 | $28,092.00 | $2,995.00 – $11,377.00 | 5 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair/graft achilles tendon CPT 27652 | $14,413.11 | $28,261.00 | $3,423.00 – $11,377.00 | 5 |
| Repair/graft eye lesion CPT 66225 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Repair/graft femur head/neck CPT 27170 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Repair/graft finger tendon CPT 26420 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair/graft hand tendon CPT 26352 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair/graft hand tendon CPT 26372 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair/graft hand tendon CPT 26412 | $6,447.42 | $12,642.00 | $3,423.00 – $11,377.00 | 5 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair/graft of bronchus CPT 31770 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $3,423.00 – $10,302.82 | 5 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Repair/graft of thigh CPT 27472 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair/graft of tibia CPT 27722 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Repair/graft of tibia CPT 27724 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Repair/graft radius or ulna CPT 25425 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair/graft radius & ulna CPT 25420 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Repair/graft radius & ulna CPT 25426 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair hand joint CPT 26540 | $6,447.42 | $12,642.00 | $4,233.00 – $9,773.00 | 5 |
| Repair hand joint with graft CPT 26541 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Repair hand joint with graft CPT 26542 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Repair heart septum defect 33681 CPT 33681 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair heart septum defects dir/patch 33647 CPT 33647 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair heart-vein defect 33732 CPT 33732 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Repair heart-vein defect(s) CPT 33730 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair heart vessel fistula CPT 33500 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Repair heart vessel fistula CPT 33501 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Repair heart wound w/bypass 33305 CPT 33305 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Repair humerus with graft CPT 24435 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair iris & ciliary body CPT 66680 | not published | not published | $3,211.25 – $6,732.00 | 5 |
| Repair iris & ciliary body CPT 66682 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Repair lac palate<2 cm CPT 42180 | $989.91 | $1,941.00 | $750.46 – $4,042.00 | 5 |
| Repair laminectomy defect CPT 63295 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Repair leg fascia defect CPT 27656 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $2,132.31 | $4,181.00 | $750.46 – $5,318.00 | 5 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $3,006.96 | $5,896.00 | $2,158.97 – $5,318.00 | 5 |
| Repair liver wound 47350 CPT 47350 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair liver wound 47360 CPT 47360 | not published | not published | $2,995.00 – $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.