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KAISER FOUNDATION HOSPITAL-SANTA ROSA

Santa Rosa, CA · CCN 050690 · Rates published

308 distinct procedures filed
3 distinct payers
91,806 rate rows
2026-07-30 last MRF observed

91,804 of 91,806 rate rows are consumer-grade (100.0%)

2 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
↓ Download audit trail (JSON)
Source MRF file https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-plan-documents/coverage-information/941105628-santa-rosa-medical-center-standard-charges-ncal-en.xlsx
Found on page https://healthy.kaiserpermanente.org/northern-california/doctors-locations/standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 9bb602359c4dee3c… · 25,883,691 bytes · first seen 2026-07-30

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J9226
HCPCS
Implant Supprelin La 50mg Histrelin Acetate Subcutanous 3 $9,617.14 $26,714.28 $9,884.28 nat. median
$57,036

outlier · 0.2×
C1822
HCPCS
System Spinal Cord Stimulation Senza Omina 3 $7,425.00 $20,625.00 $7,631.25 nat. median
$30,046

outlier · 0.3×
C1820
HCPCS
Charger Battery Patient 3 $0.72 $22,462.50 $5,748.75 nat. median
$21,100

outlier · 0.3×
C1767
HCPCS
Generator Neurostim 58.9x51.6x6.9mm Pulse Duo Vagus Nerve Titan Polyurethane Lea… 3 $1.02 $25,659.75 $5,652.47 nat. median
$25,172

outlier · 0.2×
C1734
HCPCS
Graft Bone Distal Femur Osteochondral Whole Right Allograft 3 $4,972.32 $13,812.00 $5,110.44 nat. median
$2,499

outlier · 2.0×
L8627
HCPCS
Electrode Slim 20 W/nucleus Profile Plus 3 $4,957.20 $13,770.00 $5,094.90 nat. median
$8,693

0.6× median
J7311
HCPCS
Retisert 0.59mg Implant 3 $4,927.50 $13,687.50 $5,064.38 nat. median
$386

outlier · 13.1×
L8685
HCPCS
Neurostimulator Implant Restoresensor Surescan MRI Tech Long Lasting 3 $4,563.00 $12,675.00 $4,689.75 nat. median
$7,246

0.6× median
C1816
HCPCS
Kit Stimulator Rcvr 12 Contacts Freedom 4a Scs System 3 $1,350.00 $14,250.00 $4,584.38 nat. median
$9,555

outlier · 0.5×
J7310
HCPCS
Drug Antiviral Vitrasert Ganciclovir Sodium Intravitreal Implant 3 $4,320.00 $12,000.00 $4,440.00 nat. median
$13,629

outlier · 0.3×
C1882
HCPCS
Defibrillator Cardiac 30j 80x50x13mm Promote Rf Implant Invisilink Wireless Tele… 3 $26.72 $39,825.00 $3,562.50 nat. median
$24,131

outlier · 0.1×
C2624
HCPCS
Cartridges 15 Agx100 I-125 Loaded In C20 Sterile Flatpack 3 $11.52 $18,375.00 $3,323.50 nat. median
$26,491

outlier · 0.1×
C1722
HCPCS
Battery Defibrillator Gem Iii Vr Implantable 1 Chamber 3 $41.70 $20,768.16 $3,304.47 nat. median
$19,800

outlier · 0.2×
L8686
HCPCS
Neurostimulator Implant Restoreadvanced Surescan MRI Tech Long Lasting 3 $3,092.07 $8,589.08 $3,177.96 nat. median
$5,468

0.6× median
C1721
HCPCS
Bundle Dynagen El Dr 2 Ld Defib System With 1 Non-gore Reliance Lead And Atrial… 3 $25.92 $21,748.46 $3,041.68 nat. median
$19,958

outlier · 0.2×
C1772
HCPCS
Kit Infuse .83ml/hr 120ml 5 Day Painpump Pain Mgmt 3 $237.02 $9,412.50 $2,988.30 nat. median
$18,271

outlier · 0.2×
D5924
HCPCS
Kit Cmf Implant Sm Custom 3 $1,642.95 $7,769.02 $2,796.85 nat. median
$848

outlier · 3.3×
C9399
HCPCS
Peek-optima Custom Skull Flap 3 $2,697.30 $7,492.50 $2,772.22 nat. median
$2,102

1.3× median
L8619
HCPCS
Eye Implant Cornea 3 $0.72 $8,460.00 $2,594.33 nat. median
$14,994

outlier · 0.2×
Q4104
HCPCS
Dressing 10x8in Bilayer Matrix Meshed Biodegrad Wound Bovine Collagen Glycosamin… 3 $1,440.72 $6,969.72 $2,509.10 nat. median
$1,013

outlier · 2.5×
Q4130
HCPCS
Graft 3" X 48" Mediskin Porcine Perforated Xenograft Sterile 3 $214.65 $17,441.25 $2,419.80 nat. median
$6,754

outlier · 0.4×
Q0479
HCPCS
Device Ventricular Assist Heartmate Ii Module Power 3 $2,160.00 $6,000.00 $2,220.00 nat. median
$14,835

outlier · 0.1×
C9358
HCPCS
Alloggraft Matrix Inforce 6.5cm X 9cm Reinforcement Collagen 3 $275.94 $17,250.00 $2,046.28 nat. median
$4,600

outlier · 0.4×
Q4150
HCPCS
Graft Soft Tissue 4cm X 4cm Allowrap Ds Wet Amniotic Membrane 3 $1,682.21 $5,191.50 $1,894.90 nat. median
$1,890

1.0× median
C2621
HCPCS
Allure Crt-p Sys, Merlinpkg 3 $282.56 $11,632.50 $1,830.39 nat. median
$11,743

outlier · 0.2×
C1817
HCPCS
Amplatzer Amulet Nitinol Plastic D10- Mm L7.5 Mm X W11-13 Mm Od16 Mm Odsec22 Mm… 3 $0.72 $24,375.00 $1,797.25 nat. median
$10,054

outlier · 0.2×
Q4122
HCPCS
Graft Sfttis 16cmx4cmx1.25-2mm Dermacell Dermis Decellularized Biocompat Sterile 3 $1,085.40 $6,864.00 $1,789.04 nat. median
$159

outlier · 11.2×
Q4108
HCPCS
Dressing 5x4in Matrix Thin Wound Acellular Collagen Matrix 3 $1,147.56 $7,818.46 $1,788.75 nat. median
$484

outlier · 3.7×
Q4138
HCPCS
Barrier Biodefence Dryflex Adhesion 4x4cm G3 3 $1,455.48 $4,937.50 $1,777.50 nat. median
$191

outlier · 9.3×
C1764
HCPCS
Lux Dx Insertable Cardiac Monitor 3 $1,257.12 $5,000.00 $1,777.50 nat. median
$7,993

outlier · 0.2×
D5919
HCPCS
Component Fossa Right Custom Fit 3 $1,687.50 $4,800.00 $1,755.19 nat. median
$397

outlier · 4.4×
C1813
HCPCS
Cylinder Snapcone 3cm Preconnected To Puump W/rear Tip Extender 72404323 Ams 3 $0.72 $10,957.50 $1,725.08 nat. median
$10,938

outlier · 0.2×
D5934
HCPCS
Component Fossa Left Custom Fit 3 $1,584.00 $4,687.50 $1,710.94 nat. median
$1,879

0.9× median
D5935
HCPCS
Component Fossa Left Custom Fit 3 $280.80 $4,800.00 $1,698.75 nat. median
$2,087

0.8× median
C1761
HCPCS
Catheter Balloon 110cm 60mm 5mm Dilatation Shockwave M5 Accepts 6 Fr Sheath 3 $1,485.00 $4,700.00 $1,692.00 nat. median
$6,751

outlier · 0.3×
C1899
HCPCS
Kit Arthscopy Fix Ultrabraid Meniscal Root Repair Pk Disp 3 $594.00 $4,692.50 $1,669.65 nat. median
$4,117

outlier · 0.4×
C9356
HCPCS
Protector Tendon 2x2in Tenoglide Tendon Collagen Matrix Absorb Sterile 3 $1,150.20 $4,636.25 $1,669.05 nat. median
$386

outlier · 4.3×
E0749
HCPCS
Generator Bone Growth Osteogen 40 Amp 3 $216.00 $4,712.25 $1,665.00 nat. median
$3,562

outlier · 0.5×
Q0481
HCPCS
Device Ventricular Assist Heartmate Ii Controller Smart S 3 $1,620.00 $4,500.00 $1,665.00 nat. median
$16,720

outlier · 0.1×
Q4186
HCPCS
Graft Soft Tissue Epifix Amniotic Membrane 14 Mm Disk 3 $225.72 $4,618.75 $1,658.47 nat. median
$577

outlier · 2.9×
C1874
HCPCS
Graft Stent Covera Covered Av Stent Graft 6 Mm X 40 Mm X 80 Cm 3 $0.35 $28,950.00 $1,654.28 nat. median
$5,596

outlier · 0.3×
C1748
HCPCS
Duodenoscope Flex 1240mm 15.1mm 11.3mm 4.2mm Exalt Model D Sterile Disp 3 $1,582.20 $4,395.00 $1,626.15 nat. median
$3,965

outlier · 0.4×
C1785
HCPCS
Pacemaker Cardiac Thk6mm 52x44mm Identity Xl Dr Af Suppress Atrium Ventricle Imp… 3 $25.92 $7,046.25 $1,625.02 nat. median
$7,020

outlier · 0.2×
Q4126
HCPCS
Allograft Tendon Tranzgraft Tibialis 26cm X 8.5mm 3 $945.00 $4,600.00 $1,623.50 nat. median
$235

outlier · 6.9×
C9363
HCPCS
Dressing Bio 5x4in Bovine Collagen Glycosaminoglycan Polysiloxane Adher Bilayer… 3 $51.86 $5,918.46 $1,611.80 nat. median
$263

outlier · 6.1×
Q4155
HCPCS
Graft Sfttis 6x3cm Neox Amniotic Membrane Cryopreserved Thicker Durable Incr Str… 3 $579.60 $4,868.75 $1,610.00 nat. median
$1,138

1.4× median
Q4116
HCPCS
Alloderm Select 8x16cm - Medium 1.2-2.0mm 3 $41.04 $14,124.75 $1,584.00 nat. median
$1,706

0.9× median
L8614
HCPCS
Aid Hearing Cochlear Nucleus Ci422 With Slim Straight Electr 3 $0.72 $18,543.75 $1,572.50 nat. median
$22,495

outlier · 0.1×
Q4105
HCPCS
Allograft Grafix 5 X 5cm Multipotent Cellular Repair 3 $86.40 $6,969.72 $1,567.46 nat. median
$210

outlier · 7.5×
C1885
HCPCS
Assembly Sidefiber Diode 980nm Laser System 3 $540.00 $4,492.50 $1,554.00 nat. median
$4,153

outlier · 0.4×

Other procedures at this hospital

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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