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 |
|---|---|---|---|---|
| Rmvl tv pm lead dual CPT 33235 | $5,202.00 | $10,200.00 | $3,423.00 – $11,377.00 | 5 |
| Rmvl tv pm lead sgl CPT 33234 | $5,202.00 | $10,200.00 | $3,423.00 – $11,377.00 | 5 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $691.00 – $11,377.00 | 3 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $691.00 – $20,488.00 | 5 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $691.00 – $42,937.38 | 5 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $3,331.00 – $4,042.00 | 2 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $11,377.00 – $12,568.00 | 2 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $11,377.00 – $12,568.00 | 2 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $3.58 – $4.17 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $30.18 – $67.81 | 4 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $10.88 – $22.62 | 4 |
| Romiplostim injection HCPCS J2796 | not published | not published | $62.04 – $62.04 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $6,377.92 | $12,505.72 | $11.94 – $24.70 | 4 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $247.73 | $485.75 | $0.11 – $0.28 | 3 |
| Rotavirus antibody CPT 86759 | not published | not published | $17.87 – $115.75 | 4 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $279.18 – $284.87 | 2 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.93 – $49.11 | 4 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $691.00 – $18,229.15 | 5 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $4,812.00 – $12,568.00 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $8,992.00 – $11,377.00 | 5 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $2,238.00 – $18,229.15 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,222.69 | $6,319.00 | $2,190.38 – $4,042.00 | 5 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,006.23 | $1,973.00 | $556.27 – $1,053.93 | 4 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | not published | not published | $1,801.46 – $3,413.28 | 4 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $1,989.72 – $6,690.89 | 4 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $3,902.52 | $7,652.00 | $2,190.38 – $4,042.00 | 5 |
| Rpl tun-cvad w subq port CPT 36582 | $4,023.90 | $7,890.00 | $4,042.00 – $11,377.00 | 5 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $4,042.00 – $15,575.00 | 5 |
| Rpl tun cvc wo subq port CPT 36581 | $6,452.52 | $12,652.00 | $2,238.00 – $11,377.00 | 5 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $2,238.00 – $25,242.00 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $691.00 – $15,575.00 | 5 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $691.00 – $15,575.00 | 5 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $2,238.00 – $25,242.00 | 4 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $691.00 – $15,575.00 | 5 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,530.00 – $15,575.00 | 5 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $2,995.00 – $12,568.00 | 3 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $4,042.00 – $11,377.00 | 5 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $4,982.00 – $11,377.00 | 5 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $4,982.00 – $11,377.00 | 5 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $3,862.23 – $6,732.00 | 3 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $691.00 – $11,377.00 | 5 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $2,238.00 – $25,242.00 | 4 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $2,238.00 – $24,668.00 | 4 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $82.09 – $83.76 | 2 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $9,773.00 – $16,652.00 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $14,326.92 | $28,092.00 | $2,995.00 – $11,377.00 | 5 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $324.68 – $379.84 | 3 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $3,423.00 – $13,441.06 | 5 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $3,423.00 – $15,575.00 | 5 |
| Rsv assay w/optic CPT 87807 | not published | not published | $12.84 – $79.89 | 4 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $414.90 – $748.20 | 2 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $313.65 | $615.00 | $185.25 – $189.04 | 2 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $51.93 – $691.00 | 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.