Visits & medical services prices at Sutter Santa Rosa Regional Hospital

Santa Rosa, CA · every code in this section with a posted price and a Medicare benchmark.

235 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $31,879 $31,879 3.0×
Admn Sarscov2 Vacc 1 Dose (90480) $101 $101 1.8×
Airway Inhalation Treatment (94640) $685 $685 2.3×
Analyze Pacemaker System (93724) $2,314 $2,314 5.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $162 $162 11.3×
Application Modality 1/> Areas Infrared (97026) $101 $101 15.1×
Application on-body injector (96377) $338 $338 5.2×
Arrhythmia Induction (93618) $7,585 $7,585 4.5×
Breathing response to hypoxia (94450) $3,903 $3,903 22.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,449 $1,449 2.8×
Bundle of his recording (93600) $10,506 $10,506 1.0×
C motor evoked uppr limbs (95928) $1,171 $1,171 1.0×
Caloric vestibular test w/rec bi monothermal (92538) $186 $186 0.6×
Caloric Vstblr Test W/Rec (92537) $356 $356 2.0×
Canalith repositioning proc (95992) $236 $236 5.8×
Cardiac Stress Tst,Tracing Only (93017) $2,345 $2,345 7.9×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $1,034–$2,909 $1,034–$2,909 varies
Cardioversion (92960)
range across 3 matching MRF lines		 $2,168–$4,349 $2,168–$4,349 varies
Cardioversion elective internal (92961) $4,959 $4,959 5.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $236 $236 9.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $47,393 $47,393 10.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $39,399 $39,399 8.8×
Cbt 1st hour (94644) $690 $690 3.8×
Chemo Admin Peritoneal Cavity (96446) $691 $691 1.5×
Chemo Anti-Neopl Sq/Im (96401) $715 $715 7.2×
Chemo Hormon Antineopl Sq/Im (96402) $533 $533 5.4×
Chemo Ia Push (96420) $1,789 $1,789 3.9×
Chemo IV infusion addl hr (96415) $684 $684 6.9×
Chemo IV push addl drug (96411) $812 $812 8.2×
Chemother Prolong Infuse W/Pump (96416) $1,821 $1,821 4.0×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,569 $1,569 3.5×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $882 $882 13.7×
Chemotherapy Into Cns (96450) $2,007 $2,007 4.4×
Chemotherapy Intracavitary (96440) $3,403 $3,403 7.5×
Chemotherapy Unspecified (96549) $418 $418 6.5×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,594 $1,594 3.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $842 $842 8.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,768 $1,768 3.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,155 $1,155 2.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,602 $1,602 3.5×
Chest Wall Manipulation (94668) $350 $350 1.9×
Color/duplex Doppler, complete (93975) $3,124 $3,124 9.5×
Color/duplex Doppler, limited (93976) $2,111 $2,111 14.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $148 $148 4.6×
Coronary Art/Grft Angio S&I (93455) $29,893 $29,893 6.7×
Coronary Artery Angio S&I (93454) $27,999 $27,999 6.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,733 $2,733 9.1×
Cpt initial (94667) $418 $418 2.3×
Critical care first hour (99291)
range across 3 matching MRF lines		 $876–$9,840 $876–$9,840 varies
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,636 $1,636 3.2×
Debridement Open Wound 20 Sq Cm< (97597) $900 $900 3.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,413 $2,413 7.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,654 $1,654 11.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $2,069 $2,069 14.4×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,759 $2,759 8.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,845 $1,845 12.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,871 $2,871 8.8×
Dup-scan xtr veins unilateral/limited study (93971) $2,046 $2,046 14.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,407 $1,407 4.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $626 $626 4.4×
Duplex Scan Hemodialysis Access (93990) $1,610 $1,610 11.2×
Duplex up extrem art bilat (93930) $2,842 $2,842 8.7×
Duplex up extrem art unilat/ltd (93931) $1,942 $1,942 13.5×
Echo Congenital Complete (93303) $1,469 $1,469 2.0×
Echo Heart Xthoracic,Limited (93308) $1,923 $1,923 5.9×
Echo r-t 2d w/probe placement only (93313) $1,742 $1,742 2.3×
Echo transesophageal (93312) $5,451 $5,451 7.3×
Echo Transesophageal - Congenital Tee Complete (93315) $5,480 $5,480 7.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,006 $4,006 5.3×
Eeg 41-60 Minutes (95812) $2,466 $2,466 8.3×
EEG awake and asleep (95819) $2,327 $2,327 7.8×
EEG cerebral death evaluation (95824) $2,567 $2,567 5.0×
EEG cont rec w/video by tech min 8 channels (95700) $1,182 $1,182 4.0×
EEG extended monitoring 61-119 minutes (95813) $2,482 $2,482 8.4×
Eeg Sleep Only (95822) $2,785 $2,785 9.4×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $3,674 $3,674 12.4×
EEG w/o vid 2-12hr cont mntr (95707) $1,323 $1,323 4.5×
EEG w/o vid ea 12-26hr intmt (95709) $7,774 $7,774 15.2×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $6,836 $6,836 13.3×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $4,064 $4,064 13.7×
EEG wo vid ea 12-26hr unmntr (95708) $3,408 $3,408 6.6×
Electrical Stimulation Ea 15 Min (97032) $186 $186 12.7×
Electrocardiogram Tracing (93005) $614 $614 7.6×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,600 $7,600 0.7×
Electrophysiology Evaluation (93642) $5,803 $5,803 3.5×
Emergency Dept Visit Level 2 (99282) $1,527 $1,527 7.2×
Emergency Dept Visit Level 3 (99283) $3,093 $3,093 8.2×
Emergency Dept Visit Level 4 (99284) $5,214 $5,214 9.1×
Endomyocardial Biopsy (93505) $9,444 $9,444 2.2×
Ep & ablate supravent arrhyt (93653) $78,332 $78,332 2.2×
Ep & ablate ventric tachy (93654) $84,918 $84,918 2.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $29,957 $29,957 2.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $26,865 $26,865 2.5×
Er level 1 (99281) $603 $603 5.2×
Er level v (99285) $8,003 $8,003 9.8×
Ergonovine provocation test (93024) $1,405 $1,405 2.3×
Esoph Atrial Electrogram (93615) $744 $744 0.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $3,649 $3,649 7.1×
Evaluate pt use of inhaler (94664) $555 $555 1.8×
Evaluate Speech Production (92522) $607 $607 5.4×
Evaluate Swallowing Function (92610) $826 $826 9.7×
Exercise test for bronchospasm (94617) $632 $632 3.5×
External ECG rec>48hr<7d recording (93242) $892 $892 17.4×
External ECG rec>7d<15d recording (93246) $402 $402 7.8×
External Ecg Scanning Analysis Report (93226) $947 $947 11.7×
Extracranial Bilat Study (93880) $2,747 $2,747 8.4×
Extracranial Uni/Ltd Study (93882)
range across 2 matching MRF lines		 $1,468–$1,554 $1,468–$1,554 varies
F-up/limited tthrc echo congenital car anomaly (93304) $979 $979 1.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $2,467 $2,467 8.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,849 $4,849 4.1×
Gi tract capsule endoscopy (91110) $6,187 $6,187 5.0×
Group Therapeutic Procedures (97150) $211 $211 11.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $45,969 $45,969 10.3×
High altitude simulation test (94452) $788 $788 4.3×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $804 $804 4.4×
Holter monitor recording (93225) $749 $749 4.1×
Icd Device Interrogate (93289) $284 $284 5.5×
Icd device progr eval dual (93283) $292 $292 5.7×
Immunization administration (90471) $204 $204 2.1×
Insert/Place Heart Catheter (93503) $6,433 $6,433 3.0×
Intra-atrial recording (93602)
likely a partial charge, not the full procedure		 $2,874 $2,874 0.3×
Intracranial Complete Study (93886) $2,556 $2,556 7.8×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure		 $4,301 $4,301 0.4×
Iontophoresis 15 min (97033) $158 $158 8.3×
Irrig Drug Delivery Device (96523) $380 $380 4.7×
IV infusion hydration each additional hour (96361) $490 $490 7.6×
IV infusion hydration initial 31 min-1 hour (96360) $1,160 $1,160 4.0×
IV infusion ther proph addl sequential to 1 hr (96367) $549 $549 5.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $589 $589 9.1×
IV push initial (96374) $647 $647 2.2×
L Hrt Art/Grft Angio (93459) $46,421 $46,421 10.4×
Low frequency non-thermal us (97610) $879 $879 3.2×
Lung Function Test (Mbc/Mvv) (94200) $312 $312 3.8×
Mechanical chest wall oscillation per session (94669) $502 $502 1.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $145 $145 4.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $149 $149 4.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $38 $38 2.2×
Methacholine challenge (94070) $1,666 $1,666 3.2×
Motility study esophagus (91010) $5,960 $5,960 11.6×
Motion Fluoroscopy/Swallow (92611) $1,137 $1,137 12.4×
Multiple Sleep Latency Test (95805) $4,348 $4,348 3.7×
Muscle Test Nonparaspinal (95870) $423 $423 2.3×
Neuromuscular Reeducation (97112) $236 $236 7.2×
Nitric oxide expired gas determination (95012) $340 $340 6.6×
Oral Function Therapy (92526) $539 $539 6.4×
Oral Speech Device Eval (92597) $670 $670 9.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $243 $243 4.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $221 $221 4.8×
Ot Contrast Bath Ea 15 Min (97034) $123 $123 8.8×
Ot eval high complexity (97167) $646 $646 6.4×
Ot Eval Low Complex (97165) $508 $508 5.1×
Ot Eval Moderate Complexity (97166) $624 $624 6.2×
Ot manual therapy 15 min (97140) $246 $246 8.9×
Ot paraffin bath (97018) $141 $141 23.5×
Ot Prosthetic Training, Each 15 Min (97761) $191 $191 4.7×
Ot Re-Eval Est Plan Care (97168) $372 $372 5.4×
Ot rom hand (95852) $312 $312 14.6×
Oxygen Uptake Rest Indirect (94690) $103 $103 1.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $409 $409 1.4×
Perq Transcath Cls Aortic (93591) $77,327 $77,327 3.1×
Perq Transcath Cls Mitral (93590) $67,884 $67,884 2.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $28,817 $28,817 3.7×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $48,953 $48,953 3.1×
Phlebotomy therapeutic (99195) $646 $646 3.5×
Plethysmography (94726) $992 $992 1.9×
Pm device eval in person (93288) $292 $292 5.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $272 $272 5.3×
Prq Card Angio/Athrect 1 Art (92924) $53,609 $53,609 3.4×
Prq Card Stent W/Angio 1 Vsl (92928) $47,101 $47,101 3.0×
Prq Card Stent/Ath/Angio (92933) $57,972 $57,972 2.3×
Prq Revasc Byp Graft 1 Vsl (92937) $44,625 $44,625 2.8×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $50,901 $50,901 2.0×
Pt Eval High Complex (97163) $629 $629 6.4×
Pt eval low complex 20 min (97161) $495 $495 5.1×
Pt Eval Mod Complex (97162) $558 $558 5.7×
Pt gait training 15 min (97116) $239 $239 8.2×
Pt group caregiver training (97552) $211 $211 9.6×
Pt Re-Eval Est Plan Care (97164) $330 $330 4.9×
Pulm function test by gas (94727) $627 $627 2.1×
Pulmonary service/procedure (94799) $308 $308 1.7×
Pulmonary Stress Testing (94618) $662 $662 3.6×
R Hrt Art/Grft Angio (93457) $46,213 $46,213 10.4×
R hrt coronary artery angio (93456) $43,888 $43,888 9.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $37,116 $37,116 8.3×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $857 $857 1.9×
Refill/Maint Portable Pump (96521) $749 $749 2.6×
Respiratory flow volume loop (94375) $750 $750 2.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $230 $230 2.8×
Right Heart Cath (93451) $18,918 $18,918 4.2×
Right ventricular recording (93603) $3,154 $3,154 1.9×
Self Care Mngment Training (97535) $240 $240 7.4×
Sensory Integration Ea 15 Min (97533) $135 $135 2.2×
Short-latency somatosens ep std upr limbs (95925) $6,853 $6,853 23.1×
Sleep study unattended (95806) $875 $875 2.9×
Slp caregiver training 1st 30 min (97550) $471 $471 8.9×
Speech sound lang comprehen (92523) $803 $803 3.5×
Spin/Brain Pump Refil & Main (95991) $1,619 $1,619 3.8×
Spirometry (94010) $653 $653 2.2×
Ssep lower limbs (95926) $5,486 $5,486 18.5×
Stress Tte Only (93350) $4,326 $4,326 5.8×
Subcutaneous Infusion Each Additional Hour (96370) $154 $154 2.4×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $522 $522 1.8×
Subq Infusion Additional Pump Infusion Site (96371) $1,197 $1,197 12.1×
Surfactant Admin Thru Tube (94610) $427 $427 1.4×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines		 $1,825–$2,581 $1,825–$2,581 varies
Testing Autonomic Nervous System Function (95923) $438 $438 2.4×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $239 $239 10.7×
Ther Ivntj Ea Addl 15 Min (97130) $168 $168 8.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $171 $171 5.8×
Ther/Proph/Diag Inj Sc/Im (96372) $345 $345 3.5×
Ther/Proph/Diag Iv Inf Init (96365) $1,214 $1,214 4.2×
Therapeutic Activities (97530) $253 $253 7.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $4,199 $4,199 8.2×
Transcath Closure of Asd (93580) $51,223 $51,223 2.0×
Tte w/doppler, complete (93306) $4,223 $4,223 5.6×
Tte W/O Doppler Complete (93307) $2,776 $2,776 8.5×
Tx atrial fib pulm vein isol (93656) $90,645 $90,645 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $578 $578 7.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $484 $484 7.5×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines		 $722–$9,294 $722–$9,294 varies
Upr/L Xtremity Art 2 Levels (93922) $1,093 $1,093 6.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,677 $1,677 5.6×
Valvuloplasty aortic valve (92986) $28,864 $28,864 3.7×
Valvuloplasty pulmonary valve (92990) $12,582 $12,582 0.8×
Veeg 2-12 Hr Cont Mntr (95713) $3,190 $3,190 6.2×
Veeg 2-12 hr intmt mntr (95712) $2,463 $2,463 4.8×
Veeg 2-12 hr unmonitored (95711) $1,560 $1,560 5.3×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $4,721 $4,721 9.2×
Veeg Ea 12-26 Hr Unmntr (95714) $2,971 $2,971 5.8×
Veeg ea 12-26hr cont mntr (95716) $7,418 $7,418 6.3×
Vent Mgmt Inpat Init Day (94002) $5,784 $5,784 6.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,298 $4,298 5.1×
Visual Evoked Potential Test (95930) $1,169 $1,169 3.9×
Vital capacity, total (94150) $243 $243 1.4×
Wheelchair Mgmt Ea 15 Min (97542) $200 $200 6.4×

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.