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 |
|---|---|---|---|---|
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $14,791.03 – $15,575.00 | 3 |
| Endoluminal bx biliary tree CPT 47543 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Endoluminl ivus oct c 1st CPT 92978 | $13,929.12 | $27,312.00 | $1,633.34 – $4,042.00 | 3 |
| Endoluminl ivus oct c ea CPT 92979 | $3,504.72 | $6,872.00 | $826.27 – $4,042.00 | 3 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $6,682.00 – $11,377.00 | 5 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $14,791.03 – $15,575.00 | 3 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $1,716.00 – $15,202.00 | 4 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $1,716.00 – $5,318.00 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $1,294.00 – $4,737.00 | 5 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $4,042.00 – $27,307.00 | 5 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $3,423.00 – $10,020.61 | 5 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $1,294.00 – $4,737.00 | 5 |
| Endoscopy of ureter CPT 50951 | not published | not published | $2,238.00 – $5,004.98 | 5 |
| Endoscopy of ureter CPT 50953 | not published | not published | $2,238.00 – $5,004.98 | 5 |
| Endoscopy swallow (fees) vid CPT 92612 | $241.74 | $474.00 | $55.95 – $57.09 | 2 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $8,516.49 | $16,699.00 | $2,238.00 – $4,737.00 | 5 |
| Endo, single, pulmonary HCPCS C1601 | $1,178.10 | $2,310.00 | not published | 0 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $15,575.00 – $19,505.00 | 2 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $10,584.54 | $20,754.00 | $2,238.00 – $20,652.00 | 4 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $5,530.00 – $20,488.00 | 5 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $691.00 – $12,568.00 | 3 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $691.00 – $12,568.00 | 3 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $691.00 – $12,568.00 | 3 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $691.00 – $12,568.00 | 3 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $5,318.00 – $6,732.00 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $4,393.52 – $11,377.00 | 5 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $1,716.00 – $12,908.00 | 3 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $35.97 – $78.78 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $1.72 – $32.27 | 2 |
| Enlarge breast CPT 19324 | not published | not published | $9,773.00 – $46,622.00 | 2 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $274.31 | $537.86 | $1.03 – $20.59 | 3 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $60.45 | $118.52 | $11.74 – $81.48 | 4 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $15.68 – $81.48 | 4 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $2,238.00 – $6,732.00 | 3 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $2,238.00 – $9,773.00 | 5 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $2,238.00 – $9,773.00 | 5 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.15 – $79.77 | 4 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $43.15 – $157.82 | 4 |
| Enzyme histochemistry CPT 88319 | $1,311.72 | $2,572.00 | $62.93 – $1,256.40 | 4 |
| Ep & ablate supravent arrhyt CPT 93653 | $23,923.59 | $46,909.00 | $6,682.00 – $36,369.89 | 5 |
| Ep & ablate ventric tachy CPT 93654 | $23,923.59 | $46,909.00 | $6,682.00 – $36,369.89 | 5 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $55.78 – $117.95 | 4 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,870.98 – $4,737.00 | 5 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,870.98 – $4,737.00 | 5 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,628.43 | $3,193.00 | $1,716.00 – $12,908.00 | 4 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $1,230.71 – $4,042.00 | 5 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $1,230.71 – $4,042.00 | 5 |
| Epidurography CPT 72275 | not published | not published | $535.51 – $535.51 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $2,995.00 – $11,377.00 | 5 |
| Epikeratoplasty CPT 65767 | not published | not published | $6,682.00 – $25,815.00 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,399.59 – $7,291.75 | 4 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $1,694.16 – $4,737.00 | 4 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $929.01 | $1,821.59 | not published | 0 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $3.23 – $37.28 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $6,124.08 | $12,008.00 | $2,995.00 – $6,732.00 | 5 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.42 – $1.85 | 3 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $318.39 | $624.30 | $7.73 – $15.79 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,011.73 | $1,983.78 | $7.16 – $15.95 | 4 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $2.52 – $2.71 | 3 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $2.52 – $2.71 | 3 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $22.72 – $34.57 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $45.90 | $90.00 | $12.86 – $115.75 | 4 |
| Epstein barr nuclear antigen antibody CPT 86664 | $46.23 | $90.65 | $14.98 – $136.25 | 4 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $46.23 | $90.65 | $17.78 – $141.51 | 4 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $273.83 | $536.92 | $3.20 – $182.13 | 4 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $20.14 – $41.54 | 4 |
| Ercp biliary & pancreas CPT 74330 | $1,566.72 | $3,072.00 | $786.57 – $855.58 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $2,995.00 – $8,619.83 | 5 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $2,995.00 – $8,619.83 | 5 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,670.09 – $4,737.00 | 5 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $2,670.09 – $6,732.00 | 5 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $2,995.00 – $8,619.83 | 5 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $5.66 – $5.66 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $75.22 – $255.31 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $158.43 | $310.64 | $18.36 – $29.86 | 3 |
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.