SANTA ROSA MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at SANTA ROSA MEDICAL CENTER
VENIPUNCTURE,ROUTINE
CPT 36415
$0.14
Mechanical Traction
CPT 97012
$2.67
CBC W-PLT AUTO COMPD
CPT 85025
$4.58
COMP METAB PANEL
CPT 80053
$4.91
Therapeutic Activities
CPT 97530
$6.37
Therapeutic Exercises
CPT 97110
$9.32
EKG Tracing
CPT 93005
$12.59
Screening Mammogram (bilateral)
CPT 77067
$13.72
Chest X-Ray (1 view)
CPT 71045
$13.95
Diagnostic Mammogram (bilateral)
CPT 77066
$14.19
Diagnostic Mammogram (unilateral)
CPT 77065
$15.25
Chest X-Ray (2 views)
CPT 71046
$15.5
CLINIC LEVEL EST 3
CPT 99213
$24.09
Retroperitoneal Ultrasound
CPT 76770
$29.03
Thoracic Spine X-Ray
CPT 72072
$31.76
OB Ultrasound
CPT 76805
$34.99
Abdominal Ultrasound — Limited
CPT 76705
$43.96
ER Visit — Low-Moderate Complexity
CPT 99283
$45.06
Abdominal Ultrasound
CPT 76700
$50.77
ER Visit — High Complexity
CPT 99285
$67.42
ER Visit — Moderate Complexity
CPT 99284
$68.29
Echocardiogram w/ Doppler
CPT 93306
$84.77
MRI Brain w/o Contrast
CPT 70551
$94.44
CT Chest
CPT 71250
$94.44
Njx aa&/strd tfrm epi l/s 1
CPT 64483
$116.64
MRI Brain w/ Contrast
CPT 70553
$140.14
MRI Joint of Lower Extremity
CPT 73721
$148.14
CT Abdomen & Pelvis
CPT 74177
$176.28
Colonoscopy
CPT 45378
$274.61
Colonoscopy w/ Biopsy
CPT 45380
$303.63
Upper GI Endoscopy w/ Biopsy
CPT 43239
$306.63
Knee Arthroscopy
CPT 29881
$668.54
Inguinal Hernia Repair
CPT 49505
$778.99
Laparoscopic Cholecystectomy
CPT 47562
$987.55
Sho arthrs srg rt8tr cuf rpr
CPT 29827
$1,015.58
Recurrent Inguinal Hernia Repair
CPT 49520
$1,019.79
Hip Replacement
CPT 27130
$1,465.41
Laparoscopic Hernia Repair
CPT 49650
$1,467.76
Knee Replacement
CPT 27447
$1,723.4
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.