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 of skull & brain CPT 62145 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair of sperm duct CPT 55400 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Repair of spinal herniation CPT 63702 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair of spinal herniation CPT 63704 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Repair of spinal herniation CPT 63706 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Repair of thigh CPT 27470 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Repair of thigh muscle CPT 27385 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair of tibia CPT 27720 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Repair of toe dislocation CPT 28675 | $6,486.18 | $12,718.00 | $3,423.00 – $6,732.00 | 5 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair of ureter CPT 50900 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair of urethra defect CPT 53275 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Repair of urethra defect CPT 53520 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Repair of urethra injury CPT 53505 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Repair of urethra injury CPT 53510 | not published | not published | $2,995.00 – $7,613.01 | 5 |
| Repair of urethra injury CPT 53515 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Repair of urethral lesion CPT 57230 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Repair of web finger CPT 26560 | not published | not published | $2,237.46 – $4,737.00 | 5 |
| Repair of web finger CPT 26561 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair of web finger CPT 26562 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair of windpipe CPT 31750 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair of windpipe CPT 31755 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Repair of windpipe defect CPT 31825 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Repair of windpipe injury CPT 31800 | not published | not published | $2,238.00 – $15,202.00 | 4 |
| Repair of windpipe injury CPT 31805 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair palate CPT 42182 | $11,565.78 | $22,678.00 | $2,995.00 – $8,405.34 | 5 |
| Repair palate CPT 42235 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $4,812.00 – $9,773.00 | 5 |
| Repair paravag defect lap CPT 57423 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair pda by ligation CPT 33820 | not published | not published | $12,568.00 – $20,488.00 | 2 |
| Repair pda div<18 years CPT 33822 | not published | not published | $12,568.00 – $20,488.00 | 2 |
| Repair pda div 18 yrs&older CPT 33824 | not published | not published | $12,568.00 – $20,488.00 | 2 |
| Repair penis CPT 54380 | not published | not published | $2,908.69 – $11,377.00 | 5 |
| Repair penis CPT 54385 | not published | not published | $2,908.69 – $11,377.00 | 5 |
| Repair penis and bladder CPT 54390 | not published | not published | $2,995.00 – $11,377.00 | 3 |
| Repair pm/icd lead dual CPT 33220 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Repair pm/icd lead sgl CPT 33218 | $5,202.00 | $10,200.00 | $4,042.00 – $11,377.00 | 5 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair radius or ulna CPT 25400 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair radius & ulna CPT 25415 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Repair rect/bladder fistula CPT 45800 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair rectourethral fistula CPT 45820 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair rectum & vagina CPT 57250 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $3,423.00 – $24,668.00 | 4 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $9,773.00 – $27,307.00 | 2 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $9,773.00 – $27,307.00 | 2 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Repair & revise nerve add-on CPT 64874 | not published | not published | $1,716.00 – $19,505.00 | 4 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,197.99 | $2,349.00 | $329.57 – $4,042.00 | 5 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $2,984.01 | $5,851.00 | $750.46 – $5,318.00 | 5 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair salivary duct CPT 42500 | not published | not published | $3,423.00 – $8,405.34 | 5 |
| Repair salivary duct CPT 42505 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair sciatic nerve CPT 64858 | not published | not published | $2,717.15 – $11,377.00 | 5 |
| Repair septal defect CPT 33813 | not published | not published | $12,568.00 – $12,568.00 | 1 |
| Repair shoulder capsule CPT 23450 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Repair shoulder capsule CPT 23455 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Repair shoulder capsule CPT 23460 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Repair shoulder capsule CPT 23462 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Repair shoulder capsule CPT 23465 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Repair shoulder capsule CPT 23466 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Repair single ventricle CPT 33617 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair single ventricle CPT 33619 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $5,318.00 – $16,652.00 | 2 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $4,552.87 – $12,568.00 | 5 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair stomach opening CPT 43870 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Repair tear ducts CPT 68700 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $6,447.42 | $12,642.00 | $3,423.00 – $6,732.00 | 5 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $6,366.84 | $12,484.00 | $4,233.00 – $11,377.00 | 5 |
| Repair testis injury CPT 54670 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair throat wound CPT 42900 | $3,006.96 | $5,896.00 | $2,158.97 – $4,737.00 | 5 |
| Repair toe dislocation CPT 28645 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $450.33 | $883.00 | $329.57 – $4,042.00 | 5 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $2,995.00 – $12,460.49 | 5 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $9,773.00 – $16,652.00 | 2 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $9,773.00 – $16,652.00 | 2 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $9,773.00 – $16,652.00 | 2 |
| Repair umbilical lesion CPT 49600 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Repair umbilical lesion CPT 49606 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Repair umbilical lesion CPT 49605 | not published | not published | $6,682.00 – $25,242.00 | 4 |
| Repair umbilical lesion CPT 49610 | not published | not published | $2,238.00 – $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.