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 |
|---|---|---|---|---|
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $30,182.82 | $59,182.00 | $4,233.00 – $89,248.00 | 5 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $107,100.00 | $210,000.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $55,444.12 | $108,713.96 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $51,738.40 | $101,447.84 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $11,011.59 | $21,591.36 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $12,362.40 | $24,240.00 | $4,233.00 – $62,607.00 | 5 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $8,242.62 | $16,162.00 | $4,042.00 – $15,575.00 | 4 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $691.00 – $19,505.00 | 4 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $17,905.08 | $35,108.00 | $4,233.00 – $89,248.00 | 5 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $384.40 – $659.71 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $2,603.43 – $2,603.43 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $2,995.00 – $15,575.00 | 5 |
| St evaluate speech sound production CPT 92522 | $348.84 | $684.00 | $114.96 – $117.31 | 2 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $348.84 | $684.00 | $260.19 – $265.50 | 2 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $152.49 | $299.00 | $93.99 – $95.91 | 2 |
| St evaluation swallow function CPT 92610 | $848.64 | $1,664.00 | $66.13 – $67.48 | 2 |
| Stimulants synthetic CPT 80371 | not published | not published | $0.07 – $125.26 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $237.06 – $1,181.74 | 4 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $237.06 – $1,181.74 | 4 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $237.06 – $1,181.74 | 4 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $237.06 – $1,181.74 | 4 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $2,238.00 – $9,773.00 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $315.69 | $619.00 | $226.11 – $4,042.00 | 5 |
| Strapping of chest CPT 29200 | $315.69 | $619.00 | $226.11 – $4,042.00 | 5 |
| Strapping of elbow or wrist 29260 CPT 29260 | $124.95 | $245.00 | $82.09 – $4,042.00 | 5 |
| Strapping of hand or finger CPT 29280 | $141.27 | $277.00 | $82.09 – $4,042.00 | 5 |
| Strapping of hip CPT 29520 | $251.94 | $494.00 | $185.13 – $4,042.00 | 5 |
| Strapping of knee CPT 29530 | $251.94 | $494.00 | $185.13 – $4,042.00 | 5 |
| Strapping of toes 29550 CPT 29550 | $288.15 | $565.00 | $82.09 – $4,042.00 | 5 |
| Strep a ag ia CPT 87430 | not published | not published | $16.47 – $78.88 | 4 |
| Strep a dna dir probe CPT 87650 | not published | not published | $19.65 – $170.29 | 4 |
| Strep a dna quant CPT 87652 | not published | not published | $40.92 – $227.07 | 4 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.48 – $78.88 | 4 |
| Strep b dna amp probe CPT 87653 | not published | not published | $34.39 – $301.34 | 4 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $152.99 – $152.99 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.41 – $96.78 | 4 |
| Streptomycin injection HCPCS J3000 | not published | not published | $7.70 – $55.02 | 3 |
| Streptozocin injection HCPCS J9320 | not published | not published | $159.23 – $365.11 | 2 |
| Stress test pulmonary CPT 94618 | $245.82 | $482.00 | $79.41 – $188.91 | 3 |
| Stress tte complete CPT 93351 | $1,820.70 | $3,570.00 | $760.32 – $1,783.90 | 3 |
| Str markers spec anal addl CPT 81266 | not published | not published | $298.71 – $2,004.35 | 4 |
| Str markers specimen anal CPT 81265 | not published | not published | $228.41 – $2,004.35 | 4 |
| St treatment speech individual CPT 92507 | $215.22 | $422.00 | $82.20 – $83.88 | 2 |
| St treatment swallow dysfunction/oral CPT 92526 | $520.20 | $1,020.00 | $86.76 – $88.53 | 2 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $982.21 – $4,042.00 | 5 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $279.18 – $4,042.00 | 5 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $691.00 – $4,042.00 | 5 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,716.00 – $15,202.00 | 4 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $84.15 | $165.00 | $3.40 – $4.36 | 2 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,870.98 – $4,737.00 | 5 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.30 – $100.63 | 4 |
| Sugars single quant CPT 84378 | not published | not published | $11.30 – $100.63 | 4 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $139.29 | $273.11 | $0.11 – $0.13 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $5.56 | $10.91 | $0.07 – $174.31 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $84.15 | $165.00 | $35.24 – $352.08 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $65.16 – $66.49 | 2 |
| Supply of digital device HCPCS G0552 | not published | not published | $185.25 – $189.04 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | $68.54 | $134.40 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $20,865.60 – $97,205.89 | 4 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $4,042.00 – $19,505.00 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $6,682.00 – $25,242.00 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,238.00 – $12,568.00 | 5 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $2,995.00 – $7,613.01 | 5 |
| Surgical opening esophagus CPT 43351 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,262.04 – $4,737.00 | 5 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $2,158.97 – $4,737.00 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $90.27 | $177.00 | $24.88 – $45.98 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $128.52 | $252.00 | $45.98 – $61.33 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $184.62 | $362.00 | $72.51 – $98.94 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $339.15 | $665.00 | $72.51 – $118.41 | 4 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $419.22 | $822.00 | $175.96 – $566.82 | 4 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $913.92 | $1,792.00 | $240.13 – $1,256.40 | 4 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $173.16 – $691.00 | 4 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,238.00 – $6,732.00 | 5 |
| Susceptibility agar dilution per agent CPT 87181 | $68.34 | $134.00 | $4.66 – $19.79 | 4 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $221.85 | $435.00 | $4.66 – $25.29 | 4 |
| Susceptibility mic per plate CPT 87186 | $242.25 | $475.00 | $8.48 – $75.87 | 4 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.51 – $58.20 | 4 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $2,238.00 – $6,732.00 | 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.