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.

28 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
"STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC" Inpatient	327 MS-DRG	—	—	$14,435 – $57,942	—
"THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC" Inpatient	627 MS-DRG	—	—	$14,653 – $58,819	—
AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL Inpatient & outpatient	21127 CPT	$25,570	$14,319	$7,148 – $22,386	—
APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25 Inpatient & outpatient	15271 CPT	$8,650	$4,844	$2,210 – $6,922	—
APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC Inpatient & outpatient	15272 CPT	$1,430	$801	—	—
APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM Inpatient & outpatient	15274 CPT	$2,050	$1,148	—	—
APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM Inpatient & outpatient	15273 CPT	$16,910	$9,470	$4,424 – $13,854	—
CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC Inpatient	275 MS-DRG	—	—	$26,606 – $106,798	—
CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR Inpatient	276 MS-DRG	—	—	$26,855 – $107,797	—
CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC Inpatient	277 MS-DRG	—	—	$32,282 – $129,581	—
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC Inpatient	27 MS-DRG	—	—	$25,025 – $100,453	—
DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/> Inpatient & outpatient	17270 CPT	$1,030	$577	$240 – $752	—
DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM Inpatient & outpatient	17271 CPT	$1,030	$577	$240 – $752	—
DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM Inpatient & outpatient	17272 CPT	$840	$470	$240 – $752	—
DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM Inpatient & outpatient	17273 CPT	$1,950	$1,092	$483 – $1,512	—
DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM Inpatient & outpatient	17274 CPT	$1,950	$1,092	$483 – $1,512	—
DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM Inpatient & outpatient	17276 CPT	$3,060	$1,714	$483 – $1,512	—
EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT Inpatient	927 MS-DRG	—	—	$30,220 – $121,307	—
INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC Inpatient	727 MS-DRG	—	—	$5,247 – $21,060	—
INJECTION ENZYME PALMAR FASCIAL CORD Inpatient & outpatient	20527 CPT	$2,030	$1,137	$357 – $1,117	—
MALAR AUGMENTATION PROSTHETIC MATERIAL Inpatient & outpatient	21270 CPT	$21,310	$11,934	$7,148 – $22,386	—
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC Inpatient	427 MS-DRG	—	—	$45,899 – $184,243	—
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC Inpatient	827 MS-DRG	—	—	$13,984 – $56,135	—
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC Inpatient	271 MS-DRG	—	—	$22,061 – $88,554	—
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC Inpatient	270 MS-DRG	—	—	$21,288 – $85,452	—
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC Inpatient	272 MS-DRG	—	—	$24,365 – $97,802	—
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC Inpatient	273 MS-DRG	—	—	$23,806 – $95,560	—
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC Inpatient	274 MS-DRG	—	—	$37,126 – $149,028	—