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 |
|---|---|---|---|---|
| Revise eyelid lining CPT 68330 | not published | not published | $3,211.25 – $9,773.00 | 5 |
| Revise eyelid lining CPT 68360 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Revise eyelid lining CPT 68362 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Revise eye muscle CPT 67311 | not published | not published | $3,308.19 – $6,732.00 | 5 |
| Revise eye muscle CPT 67314 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,716.00 – $25,242.00 | 4 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1,716.00 – $25,242.00 | 4 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1,716.00 – $25,242.00 | 4 |
| Revise eye socket implant CPT 67560 | $10,598.31 | $20,781.00 | $2,995.00 – $11,377.00 | 5 |
| Revise eye sockets CPT 21260 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Revise eye sockets CPT 21261 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Revise eye sockets CPT 21263 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Revise eye sockets CPT 21267 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Revise eye sockets CPT 21268 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Revise eye with implant CPT 65093 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise finger joint each CPT 26135 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise finger joint each CPT 26140 | $3,107.43 | $6,093.00 | $2,237.46 – $4,737.00 | 5 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise graft w/vein CPT 35879 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise head/neck of femur CPT 27179 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Revise hip joint replacement CPT 27134 | not published | not published | $4,812.00 – $20,488.00 | 5 |
| Revise hip joint replacement CPT 27138 | not published | not published | $3,423.00 – $20,488.00 | 5 |
| Revise hip joint replacement CPT 27137 | not published | not published | $3,423.00 – $20,488.00 | 5 |
| Revise/implant finger joint CPT 26536 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Revise kneecap CPT 27437 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise kneecap with implant CPT 27438 | not published | not published | $4,812.00 – $18,229.15 | 5 |
| Revise knuckle joint CPT 26530 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise knuckle with implant CPT 26531 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Revise lower leg tendon CPT 27690 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise lower leg tendon CPT 27691 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise lower leg tendons CPT 27686 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise middle ear bone CPT 69660 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Revise middle ear bone CPT 69661 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Revise middle ear bone CPT 69662 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $6,682.00 – $12,568.00 | 5 |
| Revise ocular implant CPT 65125 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Revise ocular implant CPT 65150 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Revise ovarian tube(s) CPT 58752 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Revise penis/urethra CPT 54328 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise penis/urethra CPT 54332 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Revise penis/urethra CPT 54336 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Revise radius or ulna CPT 25370 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise radius & ulna CPT 25365 | not published | not published | $3,423.00 – $18,229.15 | 5 |
| Revise radius & ulna CPT 25375 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise reconst elbow joint CPT 24370 | not published | not published | $5,530.00 – $20,488.00 | 5 |
| Revise reconst elbow joint CPT 24371 | not published | not published | $6,682.00 – $24,895.59 | 5 |
| Revise/remove neuroelectrode CPT 61880 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise/remove neuroreceiver CPT 61888 | not published | not published | $2,238.00 – $15,504.66 | 5 |
| Revise/remove sling repair CPT 57287 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Revise & repair chest wall CPT 32906 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Revise/repair chest wall 32905 CPT 32905 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Revise/replace knee joint CPT 27486 | not published | not published | $3,423.00 – $20,488.00 | 5 |
| Revise/replace knee joint CPT 27487 | not published | not published | $4,233.00 – $24,397.68 | 5 |
| Revise/repl vagus n eltrd CPT 64569 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Revise spermatic cord veins CPT 55530 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Revise spermatic cord veins CPT 55535 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise spinal cord vsls crvl CPT 63250 | not published | not published | $4,812.00 – $9,773.00 | 3 |
| Revise spinal cord vsls thrc CPT 63251 | not published | not published | $4,812.00 – $9,773.00 | 3 |
| Revise spine cord vsl thrlmb CPT 63252 | not published | not published | $4,812.00 – $20,488.00 | 3 |
| Revise spine eltrd perq aray CPT 63663 | $15,060.30 | $29,530.00 | $2,995.00 – $15,575.00 | 5 |
| Revise spine eltrd plate CPT 63664 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| Revise stomach bowel fusion 43860 CPT 43860 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Revise temple bone implant CPT 69718 | not published | not published | $9,773.00 – $62,607.00 | 2 |
| Revise thigh muscles/tendons CPT 27400 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise thumb tendon CPT 26490 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise thumb tendon CPT 26496 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise two eye muscles CPT 67312 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise two eye muscles CPT 67316 | not published | not published | $3,308.19 – $9,773.00 | 5 |
| Revise ulnar nerve at wrist CPT 64719 | not published | not published | $2,717.15 – $6,732.00 | 5 |
| Revise ureter CPT 50727 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Revise ureter CPT 50728 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Revise urethra stage 1 CPT 53400 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Revise urethra stage 2 CPT 53405 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Revise urine flow CPT 50830 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Revise vag graft open abd CPT 57296 | not published | not published | $5,318.00 – $6,732.00 | 2 |
| Revise vag graft via vagina CPT 57295 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Revise windpipe scar CPT 31830 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Revise wrist/forearm tendon CPT 25280 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Revise wrist joint CPT 25332 | not published | not published | $4,552.87 – $11,377.00 | 5 |
| Revision gastrojejunal anastomosis w/reconstruct-43865 CPT 43865 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Revision of amputation CPT 24935 | not published | not published | $5,318.00 – $15,575.00 | 5 |
| Revision of ankle joint CPT 27700 | not published | not published | $4,812.00 – $11,377.00 | 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.