Providence Santa Rosa Memorial Hospital

1165 Montgomery Dr, Santa Rosa, CA 95405 · (707) 525-5300

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Santa Rosa, CA metro Website ↗

Price file

Prices published

File dated 2026-04-01

1,054 price rows for 63 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $77

$77

cash

$8 to $107

8 negotiated rates

$150

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,564

$3,564

cash

$485 to $2,402

8 negotiated rates

$6,989

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,650

$1,650

cash

$145 to $1,688

8 negotiated rates

$3,235

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $2,230

$2,230

cash

$244 to $2,440

8 negotiated rates

$4,373

list

Cataract surgery with lens implant

CPT 66984

—

cash

$3,211 to $24,668

11 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$3,423 to $14,021

5 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$10,949 to $29,780

20 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 14 lines · metro median $6

cash

$34 to $428

8 negotiated rates

$13

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $1,613

$1,613

cash

$1,294 to $15,202

11 negotiated rates

$3,162

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,665 to $15,202

11 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,665 to $15,202

11 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 9 lines · metro median $2

cash

$8 to $98

8 negotiated rates

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $15

$15

cash

$10 to $133

8 negotiated rates

$30

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $506

$684

cash

$193 to $1,176

6 negotiated rates

$1,342

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$118 to $337

4 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $594

$672

cash

$247 to $252

2 negotiated rates

$1,317

list

Family psychotherapy without the patient

CPT 90846

—

cash

$247 to $252

2 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$6,682 to $27,307

11 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 11 lines · metro median $6

cash

$34 to $428

8 negotiated rates

$13

list

Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $372

$372

cash

$141 to $144

2 negotiated rates

$729

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$21,270 to $62,044

20 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$9,042 to $25,677

20 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$11,964 to $39,441

23 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $7,671

$7,671

cash

$4,233 to $25,242

11 negotiated rates

$15,042

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$4,233 to $25,242

11 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$765 to $15,202

11 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $10,594

$10,594

cash

$4,511 to $25,815

11 negotiated rates

$20,773

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 19 lines · metro median $7

cash

$13 to $169

8 negotiated rates

$13

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $73

$73

cash

$8 to $103

8 negotiated rates

$144

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $3,763

$3,763

cash

$485 to $7,853

8 negotiated rates

$7,379

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 3 lines · metro median $2,337

$2,337

cash

$332 to $3,973

8 negotiated rates

$4,583

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $2,468

$2,468

cash

$332 to $4,421

8 negotiated rates

$4,840

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $2,350

$2,350

cash

$332 to $3,990

8 negotiated rates

$4,607

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$15,184 to $81,170

23 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $2,985

$2,985

cash

$1,231 to $12,908

11 negotiated rates

$5,852

list

PSA test (prostate)

CPT 84153 · lowest of 12 lines · metro median $4

cash

$18 to $232

8 negotiated rates

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 14 lines · metro median $10

$10

cash

$6 to $76

8 negotiated rates

$19

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 5 lines · metro median $85

$76

cash

$30 to $30

2 negotiated rates

$149

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $485

$485

cash

$145 to $738

8 negotiated rates

$950

list

Prostate biopsy

CPT 55700

—

cash

$2,995 to $15,202

9 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$2,238 to $46,622

11 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 7 lines · metro median $33

$33

cash

$4 to $50

8 negotiated rates

$64

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 3 lines · metro median $323

$323

cash

$247 to $252

2 negotiated rates

$633

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 3 lines · metro median $513

$513

cash

$247 to $252

2 negotiated rates

$1,005

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 3 lines · metro median $403

$704

cash

$247 to $252

2 negotiated rates

$1,381

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,423 to $19,505

11 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 3 lines · metro median $281

$281

cash

$160 to $972

6 negotiated rates

$550

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$1,716 to $19,505

8 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines · metro median $2,083

$2,083

cash

$1,195 to $2,327

6 negotiated rates

$4,085

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$15,184 to $125,666

7 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $2,402

$2,985

cash

$1,231 to $12,908

11 negotiated rates

$5,852

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $2,985

$2,985

cash

$982 to $12,908

11 negotiated rates

$5,852

list

TSH test (thyroid)

CPT 84443 · lowest of 15 lines · metro median $4

cash

$16 to $212

8 negotiated rates

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$3,423 to $27,307

11 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $449

$449

cash

$145 to $640

8 negotiated rates

$881

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $704

$704

cash

$145 to $712

8 negotiated rates

$1,381

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,602

$1,602

cash

$1,262 to $12,908

11 negotiated rates

$3,141

list

Upper endoscopy with biopsy

CPT 43239 · metro median $1,602

$1,602

cash

$1,262 to $15,202

11 negotiated rates

$3,141

list

Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $24

$24

cash

$3 to $38

8 negotiated rates

$47

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$2,995 to $14,021

5 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$7,921 to $20,968

20 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$2,995 to $14,021

5 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $425

$425

cash

$145 to $330

8 negotiated rates

$834

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://pricetransparency.providence.org/norcal/live/814791043_providence-santa-rosa-memorial-hospital_standardcharges.json
Santa Rosa Memorial Hospital · parsed · json v3.0.0 · file dated 2026-04-01 · 180.2 MB · 1054 price rows read · read Nov 2026
https://pricetransparency.providence.org/alaska/live/260115489_st-elias-specialty-hospital_standardcharges.json
St Elias Specialty Hospital · unmatched · json v3.0.0 · file dated 2026-04-01 · 155.8 MB · read Oct 2026
https://pricetransparency.providence.org/txnm/live/822913146_covenant-medical-center_standardcharges.json
Covenant Medical Center · unmatched · json v3.0.0 · file dated 2026-04-01 · 195.6 MB · read Oct 2026
https://pricetransparency.providence.org/txnm/live/205033419_covenant-specialty-hospital_standardcharges.json
Covenant Specialty Hospital · unmatched · json v3.0.0 · file dated 2026-04-01 · 141.5 MB · read Oct 2026
https://pricetransparency.providence.org/wamt/live/364640211_providence-sacred-hrt-med-center-and-childs-hosp_standardcharges.json
Providence Sacred Heart Medical Center and Children's Hospital · unmatched · json v3.0.0 · file dated 2026-04-01 · 209.2 MB · read Oct 2026
https://pricetransparency.providence.org/wamt/live/352347032_providence-st-lukes-rehabilitation-medical-center_standardcharges.json
Providence St Luke's Rehabilitation Medical Center · unmatched · json v3.0.0 · file dated 2026-04-01 · 23.3 MB · read Oct 2026
https://pricetransparency.providence.org/swedish/live/910433740_swedish-medical-center_standardcharges.json
Swedish Medical Center - First Hill Campus · failed · read Oct 2026
https://pricetransparency.providence.org/wamt/live/810231793_st-patrick-hospital_standardcharges.json
St Patrick Hospital - Broadway Campus · discovered
https://pricetransparency.providence.org/wamt/live/910655392_kadlec-regional-medical-center_standardcharges.json
Kadlec Regional Medical Center · discovered
https://pricetransparency.providence.org/wamt/live/352346161_providence-regional-medical-center-everett_standardcharges.json
Providence Regional Medical Center Everett - Colby Campus · discovered