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.

24 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC" Inpatient	563 MS-DRG	—	—	$4,935 – $19,809	—
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC" Inpatient	63 MS-DRG	—	—	$9,946 – $39,925	—
"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC" Inpatient	630 MS-DRG	—	—	$12,938 – $51,934	—
APPLICATION HALO FEMORAL INCLUDING REMOVAL Inpatient & outpatient	20663 CPT	$14,230	$7,969	$3,921 – $12,278	—
Arthrd pst tq 1ntrspc lum Inpatient & outpatient	22630 CPT	—	—	$22,222 – $69,590	—
ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL Inpatient & outpatient	22634 CPT	$11,010	$6,166	—	—
ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR Inpatient & outpatient	22633 CPT	$27,450	$15,372	$22,222 – $69,590	—
ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM Inpatient & outpatient	24363 CPT	$61,450	$34,412	$22,222 – $69,590	—
CLTX CARPAL BONE FX W/MANJ EACH BONE Inpatient & outpatient	25635 CPT	$2,040	$1,142	$1,934 – $6,056	—
CLTX CARPAL BONE FX W/O MANJ EACH BONE Inpatient & outpatient	25630 CPT	$1,670	$935	$290 – $908	—
DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS Inpatient & outpatient	15630 CPT	$9,670	$5,415	$2,210 – $6,922	—
DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM Inpatient & outpatient	17263 CPT	$1,730	$969	$240 – $752	—
DIABETES WITH CC Inpatient	638 MS-DRG	—	—	$4,733 – $18,998	—
DIABETES WITH MCC Inpatient	637 MS-DRG	—	—	$5,660 – $22,721	—
DIABETES WITHOUT CC/MCC Inpatient	639 MS-DRG	—	—	$4,535 – $18,204	—
EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR Inpatient & outpatient	11463 CPT	$15,660	$8,770	$3,458 – $10,830	—
MAJOR CHEST PROCEDURES WITH MCC Inpatient	163 MS-DRG	—	—	$19,011 – $76,312	—
MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD Inpatient & outpatient	26341 CPT	$1,990	$1,114	$290 – $908	—
MANIPULATION FINGER JOINT UNDER ANES EACH JOINT Inpatient & outpatient	26340 CPT	$2,000	$1,120	$1,934 – $6,056	—
MINOR BLADDER PROCEDURES WITH CC Inpatient	663 MS-DRG	—	—	$9,797 – $39,327	—
OPEN TREATMENT GRTER HUMERAL TUBEROSITY FRACTURE Inpatient & outpatient	23630 CPT	$34,840	$19,510	$8,633 – $27,033	—
OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW Inpatient & outpatient	24635 CPT	$11,280	$6,317	$8,633 – $27,033	—
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC Inpatient	963 MS-DRG	—	—	$7,530 – $30,225	—
PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD Inpatient & outpatient	21263 CPT	$21,310	$11,934	$7,148 – $22,386	—