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 |
|---|---|---|---|---|
| Resect/excise cranial lesion CPT 61607 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $5,530.00 – $12,568.00 | 3 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Resect fibula tumor CPT 27646 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Resect hip tumor CPT 27075 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Resect inferior turbinate CPT 30140 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Resection of elbow joint CPT 24155 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $2,238.00 – $11,377.00 | 3 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Resect prox finger tumor CPT 26260 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $5,318.00 – $11,377.00 | 5 |
| Resect recurrent gyn mal CPT 58957 | not published | not published | $9,773.00 – $9,773.00 | 1 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Resect tarsal tumor CPT 28171 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $4,041.81 – $5,318.00 | 5 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Resect tibia tumor CPT 27645 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $11.30 – $22.55 | 4 |
| Respirator motion mgmt simul CPT 77293 | $358.02 | $702.00 | $2,298.90 – $2,298.90 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | $24.48 | $48.00 | $14.14 – $78.88 | 4 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $7.65 | $15.00 | $16.10 – $81.48 | 4 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $213.70 – $1,419.68 | 4 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $173.16 – $2,021.32 | 4 |
| Resuscitation cardiopulmonary CPT 92950 | $822.63 | $1,613.00 | $300.45 – $4,042.00 | 4 |
| Resuscitation delivery/birthing room CPT 99465 | $795.60 | $1,560.00 | $919.68 – $938.45 | 2 |
| Reteplase injection HCPCS J2993 | not published | not published | $1,821.61 – $5,970.85 | 4 |
| Reticulated platelet assay CPT 85055 | $84.15 | $165.00 | $35.03 – $235.88 | 4 |
| Reticulocyte automated CPT 85045 | not published | not published | $3.91 – $35.10 | 4 |
| Reticulocyte direct measurement automated CPT 85046 | $13.77 | $27.00 | $5.46 – $48.81 | 4 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $29.79 – $63.94 | 4 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Retrieval of oocyte CPT 58970 | not published | not published | $1,281.61 – $4,042.00 | 5 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.20 – $171.88 | 4 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $9,462.03 | $18,553.00 | $7,919.61 – $8,081.23 | 2 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $9,462.03 | $18,553.00 | $7,919.61 – $8,081.23 | 2 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $20,079.21 | $39,371.00 | $25,507.82 – $26,028.38 | 2 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $20,079.21 | $39,371.00 | $25,507.82 – $26,028.38 | 2 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $30,182.82 | $59,182.00 | $25,507.82 – $26,028.38 | 2 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $17,340.51 | $34,001.00 | $16,063.33 – $16,391.15 | 2 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $17,340.51 | $34,001.00 | $16,063.33 – $16,391.15 | 2 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | not published | not published | $16,063.33 – $16,391.15 | 2 |
| Revasc evasc imvt angio sf 1st CPT 37296 | not published | not published | $16,063.33 – $16,391.15 | 2 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $11,080.26 | $21,726.00 | $7,919.61 – $8,081.23 | 2 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $12,362.40 | $24,240.00 | $16,063.33 – $16,391.15 | 2 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $12,362.40 | $24,240.00 | $16,063.33 – $16,391.15 | 2 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $11,637.18 | $22,818.00 | $16,063.33 – $16,391.15 | 2 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $11,637.18 | $22,818.00 | $16,063.33 – $16,391.15 | 2 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $20,278.62 | $39,762.00 | $25,507.82 – $26,028.38 | 2 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $20,278.62 | $39,762.00 | $25,507.82 – $26,028.38 | 2 |
| Revasc intra lithotrip-ather HCPCS C9766 | not published | not published | $9,773.00 – $25,507.82 | 4 |
| Revasc intra lithotrip-stent HCPCS C9765 | $17,905.08 | $35,108.00 | $9,773.00 – $25,507.82 | 4 |
| Revasc intravasc lithotripsy HCPCS C9764 | $16,479.12 | $32,312.00 | $9,773.00 – $16,391.15 | 4 |
| Revasc lithotr-ather tib/per HCPCS C9774 | not published | not published | $4,233.00 – $25,507.82 | 5 |
| Revasc lithotrip-stent-ather HCPCS C9767 | not published | not published | $9,773.00 – $25,507.82 | 4 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $14,931.27 | $29,277.00 | $4,233.00 – $20,488.00 | 5 |
| Revasc lithotr-stent tib/per HCPCS C9773 | not published | not published | $4,233.00 – $25,507.82 | 5 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | not published | not published | $4,233.00 – $25,507.82 | 5 |
| Revascularization penis CPT 37788 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.30 – $0.43 | 3 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Revise additional leg tendon CPT 27692 | not published | not published | $1,716.00 – $19,505.00 | 4 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $2,995.00 – $9,773.00 | 5 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Revise circulation to head CPT 61708 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Revise circulation to head CPT 61705 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Revise circulation to head CPT 61710 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Revise eye CPT 65091 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise eyelashes CPT 67825 | not published | not published | $441.66 – $4,042.00 | 5 |
| Revise eyelashes CPT 67835 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Revise eyelid defect CPT 67909 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Revise eyelid defect CPT 67911 | not published | not published | $3,308.19 – $6,732.00 | 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.