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.
95 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| "FACILITY USE-OPERATING ROOM, ADD'L 15 MINS, LEVEL 4" Inpatient & outpatient | 6624 CDM | $5,202 | $2,913 | — | — | |
| "INSERTION CONTRACEPTIVE, SUBCUTANEOUS" Inpatient & outpatient | 17999.0024 CDM | $9,030 | $5,057 | $240 – $752 | — | |
| "MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC" Inpatient | 724 MS-DRG | — | — | $5,239 – $21,028 | — | |
| "RADIOFREQUENCY MICROTENOTOMY, HUMERUS OR ELBOW" Inpatient & outpatient | 24999.0001 CDM | $2,010 | $1,126 | $290 – $908 | — | |
| "SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC" Inpatient | 624 MS-DRG | — | — | $9,139 – $36,685 | — | |
| AICD GENERATOR PROCEDURES Inpatient | 245 MS-DRG | — | — | $24,610 – $98,788 | — | |
| AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ Inpatient & outpatient | 24925 CPT | $13,550 | $7,588 | $3,921 – $12,278 | — | |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC Inpatient | 240 MS-DRG | — | — | $11,988 – $48,121 | — | |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC Inpatient | 241 MS-DRG | — | — | $8,808 – $35,356 | — | |
| ARTHRODESIS ELBOW JOINT LOCAL Inpatient & outpatient | 24800 CPT | $25,290 | $14,162 | $8,633 – $27,033 | — | |
| ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT Inpatient & outpatient | 24802 CPT | $36,860 | $20,642 | $15,548 – $48,690 | — | |
| ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT Inpatient & outpatient | 24361 CPT | $61,450 | $34,412 | $22,222 – $69,590 | — | |
| ARTHROPLASTY ELBOW W/MEMBRANE Inpatient & outpatient | 24360 CPT | $22,420 | $12,555 | $8,633 – $27,033 | — | |
| ARTHROPLASTY RADIAL HEAD Inpatient & outpatient | 24365 CPT | $27,440 | $15,366 | $15,548 – $48,690 | — | |
| ARTHROPLASTY RADIAL HEAD W/IMPLANT Inpatient & outpatient | 24366 CPT | $17,640 | $9,878 | $15,548 – $48,690 | — | |
| ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT Inpatient & outpatient | 21242 CPT | $21,310 | $11,934 | $7,148 – $22,386 | — | |
| ARTHROTOMY ELBOW W/SYNOVECTOMY Inpatient & outpatient | 24102 CPT | $12,920 | $7,235 | $3,921 – $12,278 | — | |
| ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY Inpatient & outpatient | 24100 CPT | $15,920 | $8,915 | $3,921 – $12,278 | — | |
| ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM Inpatient & outpatient | 24363 CPT | $61,450 | $34,412 | $22,222 – $69,590 | — | |
| ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ Inpatient & outpatient | 24362 CPT | $29,020 | $16,251 | $15,548 – $48,690 | — | |
| ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT Inpatient & outpatient | 21240 CPT | $21,310 | $11,934 | $7,148 – $22,386 | — | |
| ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT Inpatient & outpatient | 21243 CPT | $27,450 | $15,372 | $22,222 – $69,590 | — | |
| ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX Inpatient & outpatient | 24006 CPT | $14,230 | $7,969 | $3,921 – $12,278 | — | |
| ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB Inpatient & outpatient | 24000 CPT | $19,510 | $10,926 | $3,921 – $12,278 | — | |
| ARTHRT ELBOW W/JNT EXPL W/WOBX W/WORMVL LOOSE/FB Inpatient & outpatient | 24101 CPT | $17,420 | $9,755 | $3,921 – $12,278 | — | |
| BIOPSY BONE OPEN DEEP Inpatient & outpatient | 20245 CPT | $17,540 | $9,822 | $3,458 – $10,830 | — | |
| BIOPSY BONE OPEN SUPERFICIAL Inpatient & outpatient | 20240 CPT | — | — | $3,458 – $10,830 | — | |
| BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP Inpatient & outpatient | 24066 CPT | $13,720 | $7,683 | $3,458 – $10,830 | — | |
| BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL Inpatient & outpatient | 24065 CPT | $8,720 | $4,883 | $1,958 – $6,131 | — | |
| CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ Inpatient & outpatient | 25624 CPT | $5,950 | $3,332 | $1,934 – $6,056 | — |