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SONOMA SPECIALTY HOSPITAL

Hospital

501 PETALUMA AVENUE

SEBASTOPOL, CA, 95472

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Procedure Prices at SONOMA SPECIALTY HOSPITAL

RL CBC WITH DIFFERENTIAL/PLATELET

CPT 85025

$2.01

RL COMP. METABOLIC PANEL (14)

CPT 80053

$2.08

ROUTINE VENIPUNCTURE

CPT 36415

$6

Therapeutic Exercises

CPT 97110

$15.72

Therapeutic Activities

CPT 97530

$15.98

EKG Tracing

CPT 93005

$23.52

Chest X-Ray (1 view)

CPT 71045

$25.35

Established patient office or other outpatient visit, 20-29 minutes

CPT 99213

$34.43

Chest X-Ray (2 views)

CPT 71046

$39.42

Thoracic Spine X-Ray

CPT 72072

$44.22

Abdominal Ultrasound — Limited

CPT 76705

$87.13

Retroperitoneal Ultrasound

CPT 76770

$115.78

Abdominal Ultrasound

CPT 76700

$119.34

OB Ultrasound

CPT 76805

$135.29

Diagnostic Mammogram (unilateral)

CPT 77065

$175.07

Screening Mammogram (bilateral)

CPT 77067

$179.73

Echocardiogram

CPT 93307

$215.3

Diagnostic Mammogram (bilateral)

CPT 77066

$221.97

CT Chest

CPT 71250

$233.36

Echocardiogram w/ Doppler

CPT 93306

$343.91

CT Abdomen & Pelvis

CPT 74177

$404.21

MRI Brain w/o Contrast

CPT 70551

$439.07

MRI Joint of Lower Extremity

CPT 73721

$560.1

MRI Brain w/ Contrast

CPT 70553

$594.39

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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.