Roseville Medical Center — price list

← Hospital overviewVerified from Roseville 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.

49 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 1" Inpatient & outpatient	6621 CDM	$2,393	$1,340	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 2" Inpatient & outpatient	6622 CDM	$3,121	$1,748	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 3" Inpatient & outpatient	6623 CDM	$4,162	$2,331	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 4" Inpatient & outpatient	6624 CDM	$5,202	$2,913	—	—
"FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 5" Inpatient & outpatient	6625 CDM	$7,073	$3,961	—	—
"FACILITY USE-OPERATING ROOM, FIRST 30 MIN, LEVEL 1" Inpatient & outpatient	6626 CDM	$6,763	$3,787	—	—
"FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC" Inpatient	562 MS-DRG	—	—	$5,699 – $22,875	—
"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC" Inpatient	62 MS-DRG	—	—	$9,473 – $38,025	—
"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC" Inpatient	629 MS-DRG	—	—	$10,709 – $42,986	—
"OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC" Inpatient	628 MS-DRG	—	—	$13,310 – $53,426	—
"ROOM & BOARD-NURSERY, NEWBORN - LEVEL III" Inpatient	6062 CDM	$18,218	$10,202	—	—
"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC" Inpatient	623 MS-DRG	—	—	$9,576 – $38,437	—
"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC" Inpatient	622 MS-DRG	—	—	$12,185 – $48,912	—
"SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC" Inpatient	624 MS-DRG	—	—	$9,139 – $36,685	—
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC" Inpatient	626 MS-DRG	—	—	$13,291 – $53,353	—
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC" Inpatient	625 MS-DRG	—	—	$13,507 – $54,216	—
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC" Inpatient	627 MS-DRG	—	—	$14,653 – $58,819	—
APPLICATION HALO PELVIC INCLUDING REMOVAL Inpatient & outpatient	20662 CPT	$9,130	$5,113	$1,934 – $6,056	—
ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ Inpatient & outpatient	24362 CPT	$29,020	$16,251	$15,548 – $48,690	—
BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC Inpatient	462 MS-DRG	—	—	$23,145 – $92,905	—
CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR Inpatient & outpatient	23462 CPT	$30,340	$16,990	$8,633 – $27,033	—
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC Inpatient	262 MS-DRG	—	—	$14,979 – $60,127	—
CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ Inpatient & outpatient	25624 CPT	$5,950	$3,332	$1,934 – $6,056	—
CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ Inpatient & outpatient	25622 CPT	$2,010	$1,126	$290 – $908	—
CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ Inpatient & outpatient	24620 CPT	$10,380	$5,813	$1,934 – $6,056	—
CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ Inpatient & outpatient	23620 CPT	$2,010	$1,126	$290 – $908	—
CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION Inpatient & outpatient	23625 CPT	$10,180	$5,701	$1,934 – $6,056	—
DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F Inpatient & outpatient	15620 CPT	$10,940	$6,126	$2,210 – $6,922	—
DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM Inpatient & outpatient	17262 CPT	$1,140	$638	$240 – $752	—
EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT Inpatient & outpatient	26205 CPT	$17,920	$10,035	$8,633 – $27,033	—