Visits & medical services prices at Providence Santa Rosa Memorial Hospital
Santa Rosa, CA · every code in this section with a posted price and a Medicare benchmark.
219 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $13,824.57 | $27,107 | 1.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $47.94 | $94 | 0.8× |
| Airway Inhalation Treatment (94640) | $402.90 | $790 | 1.3× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $532.95 | $1,045 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $63.75 | $125 | 4.4× |
| Behavral qualit analys voice (92524) | $266.22 | $522 | 2.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,187.28 | $2,328 | 2.2× |
| Canalith repositioning proc (95992) | $100.47 | $197 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $599.76 | $1,176 | 2.0× |
| Cardiopulmonary resuscitation (92950) | $822.63 | $1,613 | 2.7× |
| Cardioversion (92960) | $3,664.35 | $7,185 | 3.9× |
| Cardioversion elective internal (92961) | $3,271.14 | $6,414 | 3.5× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $40.80 | $80 | 1.6× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $17,792.88 | $34,888 | 3.9× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $17,719.95 | $34,745 | 3.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $130.56 | $256 | 1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $69.36 | $136 | 0.7× |
| Chemo Ia Push (96420) | $491.64 | $964 | 1.0× |
| Chemo IV infusion addl hr (96415) | $397.29 | $779 | 3.9× |
| Chemo IV push addl drug (96411) | $175.95 | $345 | 1.7× |
| Chemother Prolong Infuse W/Pump (96416) | $355.47 | $697 | 0.8× |
| Chemotherapy Into Cns (96450) | $355.47 | $697 | 0.8× |
| Chemotherapy Unspecified (96549) | $44.37 | $87 | 0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $106.59 | $209 | 1.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $748.68 | $1,468 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $614.55 | $1,205 | 1.3× |
| Chest Wall Manipulation (94668) | $389.64 | $764 | 2.1× |
| Color/duplex Doppler, complete (93975) | $1,436.67 | $2,817 | 4.2× |
| Color/duplex Doppler, limited (93976) | $946.56 | $1,856 | 6.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $68.85 | $135 | 2.1× |
| Continuous Pulse Ox (94762) | $655.35 | $1,285 | 3.6× |
| Coronary Art/Grft Angio S&I (93455) | $10,214.79 | $20,029 | 2.2× |
| Coronary Artery Angio S&I (93454) | $10,044.45 | $19,695 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $3,508.80 | $6,880 | 11.3× |
| Cpt initial (94667) | $474.30 | $930 | 2.5× |
| Critical care first hour (99291) | $10,430.52 | $20,452 | 8.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $933.81 | $1,831 | 3.3× |
| Dialysis One Evaluation (90945) | $1,155.66 | $2,266 | 2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,133.22 | $2,222 | 3.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $610.47 | $1,197 | 4.1× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $166.26 | $326 | 1.1× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,371.90 | $2,690 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,025.61 | $2,011 | 6.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,367.31 | $2,681 | 4.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $850.68 | $1,668 | 5.7× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $342.21 | $671 | 1.0× |
| Duplex Scan Hemodialysis Access (93990) | $498.78 | $978 | 3.4× |
| Duplex up extrem art bilat (93930) | $1,289.79 | $2,529 | 3.8× |
| Duplex up extrem art unilat/ltd (93931) | $980.73 | $1,923 | 6.6× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$881.79–$1,102.11 | $1,729–$2,161 | varies |
| Echo transesophageal (93312) | $1,845.18 | $3,618 | 2.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,820.70 | $3,570 | 2.3× |
| Eeg 41-60 Minutes (95812) | $4,091.22 | $8,022 | 13.3× |
| EEG awake and asleep (95819) | $3,909.15 | $7,665 | 12.8× |
| EEG awake drowsy (95816) | $3,909.15 | $7,665 | 12.8× |
| EEG extended monitoring 61-119 minutes (95813) | $1,084.77 | $2,127 | 3.5× |
| Eeg Sleep Only (95822) | $3,909.15 | $7,665 | 12.8× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $1,230.63 | $2,413 | 4.0× |
| EEG w/o vid 2-12hr cont mntr (95707) | $1,230.63 | $2,413 | 4.0× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,564.28 | $5,028 | 4.8× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $2,564.28 | $5,028 | 4.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $1,230.63 | $2,413 | 4.0× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,564.28 | $5,028 | 4.8× |
| Electrical Stimulation Ea 15 Min (97032) | $107.10 | $210 | 7.3× |
| Electrocardiogram Tracing (93005) | $156.57 | $307 | 1.9× |
| Electrophysiology Evaluation (93642) | $26,546.52 | $52,052 | 15.4× |
| Emergency Dept Visit Level 2 (99282) | $1,014.90 | $1,990 | 4.7× |
| Emergency Dept Visit Level 3 (99283) | $1,666.17 | $3,267 | 4.3× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$816.51–$2,822.34 | $1,601–$5,534 | varies |
| Endomyocardial Biopsy (93505) | $3,796.44 | $7,444 | 0.8× |
| Ep & ablate supravent arrhyt (93653) | $23,923.59 | $46,909 | 0.6× |
| Ep & ablate ventric tachy (93654) | $23,923.59 | $46,909 | 0.6× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $21,239.46 | $41,646 | 1.9× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $16,984.53 | $33,303 | 1.5× |
| Er level 1 (99281) | $502.86 | $986 | 4.2× |
| Er level v (99285) | $4,132.02 | $8,102 | 4.9× |
| Evaluate pt use of inhaler (94664) | $385.56 | $756 | 1.2× |
| Evaluate Speech Production (92522) | $266.22 | $522 | 2.4× |
| Evaluate Swallowing Function (92610) | $358.02 | $702 | 4.2× |
| Evaluation of speech fluency (92521) | $266.22 | $522 | 2.0× |
| Extracranial Bilat Study (93880) | $2,174.64 | $4,264 | 6.4× |
| Extracranial Uni/Ltd Study (93882) | $1,169.94 | $2,294 | 7.9× |
| Flexible endoscopic eval swallow c/v rec (92612) | $241.74 | $474 | 1.2× |
| Group Therapeutic Procedures (97150) | $150.45 | $295 | 8.3× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $20,814.63 | $40,813 | 4.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,274.60 | $4,460 | 2.3× |
| Holter monitor recording (93225) | $5,355.51 | $10,501 | 28.3× |
| Icd Device Interrogate (93289) | $86.19 | $169 | 1.6× |
| Icd device progr eval dual (93283) | $430.95 | $845 | 8.1× |
| Icd Device Progr Eval Mult (93284) | $575.28 | $1,128 | 10.9× |
| Immunization administration (90471) | $69.36 | $136 | 0.7× |
| Insert/Place Heart Catheter (93503) | $2,089.98 | $4,098 | 0.9× |
| Intra-atrial recording (93602) | $10,451.94 | $20,494 | 0.9× |
| Iontophoresis 15 min (97033) | $145.86 | $286 | 7.7× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$98.94–$111.18 | $194–$218 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$126.48–$188.70 | $248–$370 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$391.68–$1,095.99 | $768–$2,149 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $118.83 | $233 | 1.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$443.70–$1,054.17 | $870–$2,067 | varies |
| IV push initial (96374) | $391.68 | $768 | 1.3× |
| L Hrt Art/Grft Angio (93459) | $20,996.19 | $41,169 | 4.6× |
| Low frequency non-thermal us (97610) | $268.26 | $526 | 0.9× |
| Lung Function Test (Mbc/Mvv) (94200) | $87.72 | $172 | 1.0× |
| Mechanical chest wall oscillation per session (94669) | $351.90 | $690 | 1.1× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $164.73 | $323 | 5.2× |
| Motion Fluoroscopy/Swallow (92611) | $152.49 | $299 | 1.7× |
| Multiple Sleep Latency Test (95805) | $2,270.52 | $4,452 | 1.9× |
| Nasopharyngoscopy (92511) | $344.76 | $676 | 1.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $770.10 | $1,510 | 1.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $760.92 | $1,492 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $1,166.37 | $2,287 | 4.1× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$760.92–$1,265.31 | $1,492–$2,481 | varies |
| Neuromuscular Reeducation (97112) | $116.28 | $228 | 3.6× |
| Newborn resuscitation (99465) | $795.60 | $1,560 | 0.8× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $234.60 | $460 | 1.2× |
| Oral Function Therapy (92526) | $520.20 | $1,020 | 6.2× |
| Oral Speech Device Eval (92597) | $294.27 | $577 | 4.1× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $73.44 | $144 | 1.5× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $78.03 | $153 | 1.7× |
| Ot eval high complexity (97167) | $321.30 | $630 | 3.2× |
| Ot Eval Low Complex (97165) | $161.16 | $316 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $241.23 | $473 | 2.4× |
| Ot manual therapy 15 min (97140) | $63.75 | $125 | 2.3× |
| Ot paraffin bath (97018) | $215.22 | $422 | 35.8× |
| Ot Prosthetic Training, Each 15 Min (97761) | $103.53 | $203 | 2.6× |
| Ot Re-Eval Est Plan Care (97168) | $185.13 | $363 | 2.7× |
| Oxygen Uptake Rest Indirect (94690) | $111.18 | $218 | 1.3× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $22,529.25 | $44,175 | 0.9× |
| Perq Transcath Cls Aortic (93591) | $23,873.61 | $46,811 | 0.9× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $12,617.40 | $24,740 | 1.6× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $22,529.25 | $44,175 | 1.4× |
| Phlebotomy therapeutic (99195) | $609.96 | $1,196 | 3.2× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $907.80 | $1,780 | 10.8× |
| Physical Performance Test (97750) | $67.83 | $133 | 2.0× |
| Plethysmography (94726) | $801.72 | $1,572 | 1.5× |
| Pm device eval in person (93288) | $86.19 | $169 | 1.6× |
| Pm device progr eval dual (93280) | $223.89 | $439 | 4.2× |
| Pm device progr eval multi (93281) | $298.35 | $585 | 5.6× |
| Pm Device Progr Eval Sngl (93279) | $171.87 | $337 | 3.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $2,726.46 | $5,346 | 2.2× |
| Polysom <6 yrs 4/> paramtrs (95782) | $8,542.50 | $16,750 | 7.0× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $1,973.70 | $3,870 | 1.6× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $184.11 | $361 | 3.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $19,325.94 | $37,894 | 1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $22,529.25 | $44,175 | 1.4× |
| Prq Card Stent/Ath/Angio (92933) | $22,529.25 | $44,175 | 0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $22,529.25 | $44,175 | 1.4× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $25,456.65 | $49,915 | 1.0× |
| Psych diag eval w/med srvcs (90792) | $208.08 | $408 | 0.8× |
| Psychiatric diagnostic evaluation (90791) | $226.44 | $444 | 0.9× |
| Pt Eval High Complex (97163) | $241.23 | $473 | 2.5× |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$102.51–$107.10 | $201–$210 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$154.02–$161.16 | $302–$316 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$69.87–$72.93 | $137–$143 | varies |
| Pt mechanical traction (97012) | $215.22 | $422 | 15.0× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$97.41–$102 | $191–$200 | varies |
| Pulmonary service/procedure (94799) | $277.44 | $544 | 1.5× |
| Pulmonary Stress Testing (94618) | $245.82 | $482 | 1.3× |
| R Hrt Art/Grft Angio (93457) | $16,797.36 | $32,936 | 3.6× |
| R hrt coronary artery angio (93456) | $13,709.31 | $26,881 | 3.0× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $10,822.20 | $21,220 | 2.4× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $555.90 | $1,090 | 1.2× |
| Refill/Maint Portable Pump (96521) | $227.97 | $447 | 0.8× |
| Refill/Maint Pump/Resvr Syst (96522) | $400.86 | $786 | 1.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) | $55.08 | $108 | 1.0× |
| Rem ther mntr dev sply resp (98976) | $214.20 | $420 | 4.0× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) | $234.60 | $460 | 1.2× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $342.21 | $671 | 8.3× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $349.86 | $686 | 6.5× |
| Right Heart Cath (93451) | $3,683.22 | $7,222 | 0.8× |
| Right ventricular recording (93603) | $3,782.67 | $7,417 | 2.2× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $1,178.61 | $2,311 | 4.1× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $401.88 | $788 | 3.3× |
| Self Care Mngment Training (97535) | $123.93 | $243 | 3.8× |
| Sleep study unattended (95806) | $1,663.62 | $3,262 | 5.4× |
| Slp caregiver training 1st 30 min (97550) | $61.71 | $121 | 1.2× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,197.48 | $2,348 | 3.9× |
| Speech sound lang comprehen (92523) | $266.22 | $522 | 1.2× |
| Spin/Brain Pump Refil & Main (95991) | $573.75 | $1,125 | 1.3× |
| Spirometry (94010) | $699.21 | $1,371 | 2.3× |
| Standardized Cognitive Performance Testing (96125) | $266.22 | $522 | 2.6× |
| Stress Tte Only (93350) | $1,269.39 | $2,489 | 1.6× |
| Subcutaneous Infusion Each Additional Hour (96370) | $113.22 | $222 | 1.7× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $551.31 | $1,081 | 1.8× |
| Subq Infusion Additional Pump Infusion Site (96371) | $142.80 | $280 | 1.4× |
| Surfactant Admin Thru Tube (94610) | $221.85 | $435 | 0.7× |
| Temp transcutaneous pacing (92953) | $1,724.31 | $3,381 | 1.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $276.93 | $543 | 12.4× |
| Ther Ivntj Ea Addl 15 Min (97130) | $276.93 | $543 | 13.2× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $161.67 | $317 | 5.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $289.17 | $567 | 2.8× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $113.22 | $222 | 1.7× |
| Ther/Proph/Diag Inj Ia (96373) | $551.31 | $1,081 | 1.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $118.83 | $233 | 1.2× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$836.40–$1,330.59 | $1,640–$2,609 | varies |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$98.94–$103.53 | $194–$203 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,620.27 | $3,177 | 3.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $54.57 | $107 | 1.0× |
| Transcath Closure of Asd (93580) | $30,199.65 | $59,215 | 1.2× |
| Tte w/doppler, complete (93306) | $2,253.18 | $4,418 | 2.9× |
| Tx atrial fib pulm vein isol (93656) | $26,151.27 | $51,277 | 0.7× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $179.01 | $351 | 2.4× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $49.98 | $98 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $196.35 | $385 | 3.0× |
| Unlisted cardiovascular service/procedure (93799) | $5,608.47 | $10,997 | 30.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $290.19 | $569 | 1.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $3,616.41 | $7,091 | 11.8× |
| Valvuloplasty aortic valve (92986) | $5,525.85 | $10,835 | 0.7× |
| Vasopneumatic device (97016) | $82.11 | $161 | 6.8× |
| Veeg 2-12 Hr Cont Mntr (95713) | $2,564.28 | $5,028 | 4.8× |
| Veeg 2-12 hr intmt mntr (95712) | $1,230.63 | $2,413 | 2.3× |
| Veeg 2-12 hr unmonitored (95711) | $1,230.63 | $2,413 | 4.0× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $2,564.28 | $5,028 | 4.8× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,564.28 | $5,028 | 4.8× |
| Veeg ea 12-26hr cont mntr (95716) | $5,128.56 | $10,056 | 4.2× |
| Vent Mgmt Inpat Init Day (94002) | $3,758.19 | $7,369 | 4.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,926.89 | $5,739 | 3.3× |
| Vital capacity, total (94150) | $208.08 | $408 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $83.64 | $164 | 2.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.