Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Ecg external < 48 hours recording CPT 93225 | $5,355.51 | $10,501.00 | $185.13 – $374.73 | 3 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $82.09 – $660.95 | 3 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $51.97 – $127.39 | 3 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $51.97 – $127.39 | 3 |
| Ecg record/review CPT 93268 | not published | not published | $1,538.48 – $2,192.95 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $152.10 – $248.17 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,253.18 | $4,418.00 | $760.32 – $1,955.13 | 3 |
| Echocardiography doppler color flow mapping CPT 93325 | $1,432.08 | $2,808.00 | $196.10 – $773.86 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $4,803.69 | $9,419.00 | $1,090.80 – $2,599.53 | 4 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,102.11 | $2,161.00 | $332.01 – $596.01 | 3 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,069.98 | $2,098.00 | $485.45 – $495.35 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $831.30 | $1,630.00 | $131.10 – $295.32 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $145.47 – $315.05 | 4 |
| Echo exam of eye CPT 76519 | not published | not published | $145.47 – $315.05 | 4 |
| Echo exam of eye CPT 76529 | not published | not published | $121.09 – $343.95 | 4 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $16.60 – $40.25 | 4 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $482.56 – $775.83 | 4 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $153.21 – $372.86 | 4 |
| Echo exam of fetal heart CPT 76827 | $321.30 | $630.00 | $145.47 – $209.05 | 4 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $145.47 – $244.86 | 4 |
| Echo exam uterus 76831- CPT 76831 | $482.46 | $946.00 | $332.01 – $383.59 | 4 |
| Echograp trans r pros study CPT 76873 | not published | not published | $145.47 – $525.46 | 4 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $351.42 – $1,398.65 | 2 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $152.67 – $178.68 | 2 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $383.59 – $383.59 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $134.61 – $382.00 | 2 |
| Echo guide for artery repair CPT 76936 | $698.70 | $1,370.00 | $300.45 – $902.14 | 4 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $382.00 – $411.11 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $382.23 – $401.62 | 2 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $134.61 – $382.00 | 2 |
| Echo guide villus sampling CPT 76945 | not published | not published | $382.29 – $413.48 | 2 |
| Echo stress CPT 93350 | $1,269.39 | $2,489.00 | $544.72 – $775.83 | 3 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $258.14 – $760.32 | 3 |
| Echo tee guidance CPT 93355 | $1,351.50 | $2,650.00 | $1,632.93 – $2,048.35 | 2 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,845.18 | $3,618.00 | $760.32 – $998.45 | 3 |
| Echo transesophageal CPT 93313 | not published | not published | $237.19 – $760.32 | 3 |
| Echo transesophageal CPT 93314 | not published | not published | $1,002.59 – $1,370.65 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $760.32 – $903.32 | 3 |
| Echo transesophageal CPT 93317 | not published | not published | $570.67 – $833.84 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $760.32 – $1,869.51 | 3 |
| Echo transthoracic CPT 93303 | not published | not published | $760.32 – $1,053.88 | 3 |
| Echo transthoracic CPT 93304 | not published | not published | $531.90 – $760.32 | 3 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $332.01 – $1,180.85 | 3 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $691.00 – $6,732.00 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $691.00 – $6,732.00 | 3 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $5,828.79 | $11,429.00 | $691.00 – $9,773.00 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $5,828.79 | $11,429.00 | $691.00 – $9,773.00 | 3 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $691.00 – $6,732.00 | 3 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $691.00 – $6,732.00 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $691.00 – $6,732.00 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $691.00 – $6,732.00 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $691.00 – $6,732.00 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $6,860.52 | $13,452.00 | $691.00 – $6,732.00 | 3 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $691.00 – $9,773.00 | 3 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $691.00 – $9,773.00 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $691.00 – $9,773.00 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $691.00 – $9,773.00 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $691.00 – $9,773.00 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $691.00 – $9,773.00 | 3 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $691.00 – $12,568.00 | 3 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $691.00 – $12,568.00 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $691.00 – $12,568.00 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $691.00 – $12,568.00 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $691.00 – $12,568.00 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $691.00 – $12,568.00 | 3 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $51.93 – $726.71 | 3 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.41 – $78.88 | 4 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $43.81 – $96.34 | 3 |
| Eculizumab injection HCPCS J1300 | not published | not published | $247.98 – $247.98 | 1 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $50.36 – $13,889.06 | 4 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.69 – $1.21 | 2 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $27.68 – $28.24 | 2 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $114.11 – $116.44 | 2 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $4,091.22 | $8,022.00 | $300.45 – $978.60 | 3 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $519.24 – $3,406.07 | 3 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $608.83 – $1,219.29 | 3 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $146.83 – $529.83 | 3 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $3,909.15 | $7,665.00 | $300.45 – $526.11 | 3 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,084.77 | $2,127.00 | $300.45 – $446.70 | 3 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $1,055.53 – $1,055.53 | 1 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $1,279.29 – $1,279.29 | 1 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $1,307.00 – $1,307.00 | 1 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $1,634.58 – $1,634.58 | 1 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $1,492.71 – $1,492.71 | 1 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $2,065.56 – $2,065.56 | 1 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $1,045.60 – $1,045.60 | 1 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $512.88 – $512.88 | 1 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $675.42 – $675.42 | 1 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $793.30 – $793.30 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $3,909.15 | $7,665.00 | $300.45 – $1,185.40 | 3 |
| Eeg recording awake and asleep CPT 95819 | $3,909.15 | $7,665.00 | $300.45 – $427.26 | 3 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $1,230.63 | $2,413.00 | $300.45 – $3,795.69 | 3 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $1,230.63 | $2,413.00 | $300.45 – $3,795.69 | 3 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $2,564.28 | $5,028.00 | $519.24 – $1,469.55 | 3 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $2,564.28 | $5,028.00 | $519.24 – $3,795.69 | 3 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $1,230.63 | $2,413.00 | $300.45 – $3,795.69 | 3 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $2,564.28 | $5,028.00 | $519.24 – $3,795.69 | 3 |
| E equine encephalitis igg CPT 86652 | $43.76 | $85.81 | $12.93 – $115.75 | 4 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $31.96 – $69.62 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.