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 |
|---|---|---|---|---|
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.48 – $68.72 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Tendon shortening CPT 26477 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $16,531.64 | $32,414.98 | $71.68 – $349.29 | 4 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $302.04 – $6,439.55 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,423.00 – $5,318.00 | 5 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $2,237.46 – $5,318.00 | 5 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $2,238.00 – $15,575.00 | 5 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $6,447.42 | $12,642.00 | $2,995.00 – $6,732.00 | 5 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $2,237.46 – $6,732.00 | 5 |
| Tension based scoliosis orth HCPCS L1005 | $3,843.36 | $7,536.00 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $84.15 | $165.00 | $2.83 – $7.05 | 3 |
| Teriparatide injection HCPCS J3110 | not published | not published | $10.48 – $159.72 | 2 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $181.50 – $967.37 | 4 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.89 – $52.71 | 4 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.70 – $37.58 | 4 |
| Test for urine cystines CPT 82615 | not published | not published | $9.36 – $71.67 | 4 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $556.27 – $797.62 | 4 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $2.56 – $2.56 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $50.61 – $384.72 | 4 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.58 – $4.34 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $62.22 | $122.00 | $71.00 – $83.76 | 3 |
| Test stress cardiovascular tracing only CPT 93017 | $599.76 | $1,176.00 | $300.45 – $445.87 | 3 |
| Test urine for lactose CPT 83633 | not published | not published | $11.02 – $46.74 | 4 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.09 – $75.51 | 4 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.38 – $28.48 | 4 |
| Tetanus ig im CPT 90389 | not published | not published | $143.09 – $1,674.85 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | $1,440.92 | $2,825.33 | $143.09 – $1,237.88 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.23 – $38.21 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $134.26 – $715.60 | 4 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $744.34 – $4,030.09 | 4 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,861.21 – $15,491.43 | 4 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $585.95 – $3,172.50 | 4 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $49.74 – $709.04 | 4 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $237.06 – $709.04 | 4 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $44.30 – $709.04 | 4 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.74 – $709.04 | 4 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $613.88 – $4,042.00 | 5 |
| Theophylline therapeutic drug level CPT 80198 | not published | not published | $13.86 – $124.20 | 4 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $40.25 – $41.07 | 2 |
| Therapy activation ipnss CPT 93150 | not published | not published | $132.29 – $691.00 | 3 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $27.83 – $28.40 | 2 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $164.73 | $323.00 | $22.33 – $22.79 | 2 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $279.18 – $1,716.00 | 3 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $4,042.00 – $6,732.00 | 5 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $244.06 – $553.47 | 4 |
| Ther/proph/diag inj ia CPT 96373 | $551.31 | $1,081.00 | $295.97 – $302.01 | 2 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $1,132.05 – $1,132.05 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $761.87 – $761.87 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $501.24 – $501.24 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $84.15 | $165.00 | $1.21 – $3.78 | 3 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $6.86 – $9.74 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $146.89 – $526.86 | 3 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,991.26 | $7,826.00 | $872.87 – $4,042.00 | 5 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Thoracic duct procedure CPT 38380 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thoracic duct procedure CPT 38381 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thoracic duct procedure CPT 38382 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $6,732.00 – $12,568.00 | 2 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $5,318.00 – $6,732.00 | 3 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $5,318.00 – $11,377.00 | 5 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $5,318.00 – $6,732.00 | 3 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $691.00 – $6,732.00 | 3 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $5,318.00 – $6,732.00 | 3 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $5,318.00 – $6,732.00 | 3 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $2,238.00 – $15,575.00 | 3 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $2,238.00 – $15,202.00 | 4 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $5,318.00 – $11,377.00 | 5 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $5,318.00 – $15,092.89 | 5 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $2,238.00 – $20,488.00 | 3 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $5,318.00 – $6,732.00 | 3 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $5,318.00 – $6,732.00 | 3 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $691.00 – $6,732.00 | 3 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $691.00 – $6,732.00 | 3 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thoracotomy w/expl CPT 32100 | $5,675.28 | $11,128.00 | $2,238.00 – $12,568.00 | 3 |
| Thoracotomy with cardiac massage CPT 32160 | $5,371.32 | $10,532.00 | $2,238.00 – $9,773.00 | 3 |
| Thorax spine fusion CPT 22610 | not published | not published | $2,995.00 – $24,397.68 | 5 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $4,042.00 – $4,042.00 | 1 |
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.