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.
111 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| "FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 3" Inpatient & outpatient | 6623 CDM | $4,162 | $2,331 | — | — | |
| "IMPLANT, LIP" Inpatient & outpatient | 17999.0023 CDM | $9,030 | $5,057 | $240 – $752 | — | |
| "MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC" Inpatient | 723 MS-DRG | — | — | $4,965 – $19,930 | — | |
| "OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC" Inpatient | 923 MS-DRG | — | — | $4,679 – $18,783 | — | |
| "SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC" Inpatient | 623 MS-DRG | — | — | $9,576 – $38,437 | — | |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC Inpatient | 239 MS-DRG | — | — | $14,539 – $58,359 | — | |
| ARTHRODESIS GLENOHUMERAL JOINT Inpatient & outpatient | 23800 CPT | $34,760 | $19,466 | $8,633 – $27,033 | — | |
| ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT Inpatient & outpatient | 23802 CPT | $36,860 | $20,642 | $15,548 – $48,690 | — | |
| ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER Inpatient & outpatient | 23472 CPT | $20,250 | $11,340 | $22,222 – $69,590 | — | |
| ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY Inpatient & outpatient | 23470 CPT | $34,900 | $19,544 | $15,548 – $48,690 | — | |
| ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY Inpatient & outpatient | 23100 CPT | $9,310 | $5,214 | $3,921 – $12,278 | — | |
| ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB Inpatient & outpatient | 23040 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB Inpatient & outpatient | 23044 CPT | $14,340 | $8,030 | $3,921 – $12,278 | — | |
| ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG Inpatient & outpatient | 23101 CPT | $16,260 | $9,106 | $3,921 – $12,278 | — | |
| ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB Inpatient & outpatient | 23107 CPT | $17,920 | $10,035 | $8,633 – $27,033 | — | |
| ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX Inpatient & outpatient | 23106 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY Inpatient & outpatient | 23105 CPT | $17,920 | $10,035 | $8,633 – $27,033 | — | |
| BIOPSY SOFT TISSUE SHOULDER DEEP Inpatient & outpatient | 23066 CPT | $17,540 | $9,822 | $3,458 – $10,830 | — | |
| BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL Inpatient & outpatient | 23065 CPT | $5,840 | $3,270 | $1,958 – $6,131 | — | |
| BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN Inpatient & outpatient | 15823 CPT | $10,700 | $5,992 | $2,210 – $6,922 | — | |
| CAPSULAR CONTRACTURE RELEASE Inpatient & outpatient | 23020 CPT | $12,320 | $6,899 | $3,921 – $12,278 | — | |
| CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON Inpatient & outpatient | 23450 CPT | $26,540 | $14,862 | $8,633 – $27,033 | — | |
| CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR Inpatient & outpatient | 23462 CPT | $30,340 | $16,990 | $8,633 – $27,033 | — | |
| CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR Inpatient & outpatient | 23455 CPT | $30,060 | $16,834 | $8,633 – $27,033 | — | |
| CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK Inpatient & outpatient | 23460 CPT | $27,070 | $15,159 | $8,633 – $27,033 | — | |
| CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK Inpatient & outpatient | 23465 CPT | $30,340 | $16,990 | $8,633 – $27,033 | — | |
| CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS Inpatient & outpatient | 23466 CPT | $30,340 | $16,990 | $8,633 – $27,033 | — | |
| CLAVICULECTOMY PARTIAL Inpatient & outpatient | 23120 CPT | $23,050 | $12,908 | $3,921 – $12,278 | — | |
| CLAVICULECTOMY TOTAL Inpatient & outpatient | 23125 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION Inpatient & outpatient | 23570 CPT | $2,010 | $1,126 | $290 – $908 | — |