Santa Rosa Medical Center — price list
← Hospital overviewVerified from Santa Rosa Medical Center’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
48 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| "FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 2" Inpatient & outpatient | 6613 CDM | $9,156 | $5,127 | — | — | |
| "FACILITY USE-RECOVERY ROOM, FIRST 60 MIN" Inpatient & outpatient | 6513 CDM | $2,719 | $1,523 | — | — | |
| "HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC" Inpatient | 513 MS-DRG | — | — | $9,522 – $38,221 | — | |
| "LASER DESTR PULSES, HAIR, 51 - 100" Inpatient & outpatient | 17999.0013 CDM | $9,030 | $5,057 | $240 – $752 | — | |
| "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC" Inpatient | 13 MS-DRG | — | — | $14,152 – $56,806 | — | |
| CHEST PAIN Inpatient | 313 MS-DRG | — | — | $5,763 – $23,133 | — | |
| CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC Inpatient | 413 MS-DRG | — | — | $13,071 – $52,470 | — | |
| CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION Inpatient & outpatient | 21315 CPT | $8,860 | $4,962 | $1,790 – $5,606 | — | |
| CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION Inpatient & outpatient | 21320 CPT | $14,090 | $7,890 | $3,919 – $12,272 | — | |
| CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION Inpatient & outpatient | 21337 CPT | $12,580 | $7,045 | $3,919 – $12,272 | — | |
| CLOSED TX NASOMAXILLARY COMPLEX FRACTURE Inpatient & outpatient | 21345 CPT | $7,240 | $4,054 | $1,790 – $5,606 | — | |
| COAGULATION DISORDERS Inpatient | 813 MS-DRG | — | — | $6,639 – $26,648 | — | |
| DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA Inpatient & outpatient | 15136 CPT | $6,800 | $3,808 | — | — | |
| DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100 Inpatient & outpatient | 15135 CPT | $16,910 | $9,470 | $4,424 – $13,854 | — | |
| DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM Inpatient & outpatient | 15130 CPT | $13,760 | $7,706 | $2,210 – $6,922 | — | |
| DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA Inpatient & outpatient | 15131 CPT | $6,800 | $3,808 | — | — | |
| ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES Inpatient | 213 MS-DRG | — | — | $48,002 – $192,685 | — | |
| EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/> Inpatient & outpatient | 26113 CPT | $11,050 | $6,188 | $1,958 – $6,131 | — | |
| EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM Inpatient & outpatient | 21013 CPT | $7,410 | $4,150 | $1,958 – $6,131 | — | |
| EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT Inpatient & outpatient | 25136 CPT | $17,920 | $10,035 | $8,633 – $27,033 | — | |
| EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT Inpatient & outpatient | 25135 CPT | $17,080 | $9,565 | $8,633 – $27,033 | — | |
| EXCISION RADIAL HEAD Inpatient & outpatient | 24130 CPT | $16,570 | $9,279 | $3,921 – $12,278 | — | |
| EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES Inpatient & outpatient | 25130 CPT | $5,350 | $2,996 | $3,921 – $12,278 | — | |
| MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS Inpatient & outpatient | 17313 CPT | $2,960 | $1,658 | $740 – $2,316 | — | |
| MOUTH PROCEDURES WITH CC/MCC Inpatient | 137 MS-DRG | — | — | $9,371 – $37,616 | — | |
| MOUTH PROCEDURES WITHOUT CC/MCC Inpatient | 138 MS-DRG | — | — | $8,787 – $35,273 | — | |
| OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED Inpatient & outpatient | 21325 CPT | $4,000 | $2,240 | $3,919 – $12,272 | — | |
| OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG Inpatient & outpatient | 21365 CPT | $15,340 | $8,590 | $7,148 – $22,386 | — | |
| OPEN TX DEPRESSED MALAR FRACTURE Inpatient & outpatient | 21360 CPT | $25,570 | $14,319 | $7,148 – $22,386 | — | |
| OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE Inpatient & outpatient | 21356 CPT | $18,990 | $10,634 | $7,148 – $22,386 | — |