Providence Santa Rosa Memorial Hospital
Providence Santa Rosa Memorial Hospital in Santa Rosa, California charges 7.4x the Medicare reimbursement rate across 104 analyzed procedures, with nearly half showing significant price variations.
Santa Rosa, CA 95405 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
7.43x
Charge / Medicare rate
Max markup
12.48x
Worst procedure
Procedures analyzed
104
With pricing data
Outlier procedures
48.1%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $120,337 | $60,168 | — | 12.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $83,892 | $41,946 | — | 11.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $318,138 | $159,069 | — | 11.7x |
| PNEUMOTHORAX WITH CC | 200 | $119,440 | $59,720 | — | 10.7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $587,231 | $293,615 | — | 10.6x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $139,362 | $69,681 | — | 10.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $286,076 | $143,038 | — | 10.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $204,933 | $102,467 | — | 10x |
| PNEUMOTHORAX WITH MCC | 199 | $204,386 | $102,193 | — | 9.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $223,221 | $111,611 | — | 9.8x |
| SYNCOPE AND COLLAPSE | 312 | $89,278 | $44,639 | — | 9.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $91,950 | $45,975 | — | 9.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $161,654 | $80,827 | — | 9.7x |
| DIABETES WITH CC | 638 | $91,319 | $45,659 | — | 9.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $103,344 | $51,672 | — | 9.5x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $242,294 | $121,147 | — | 9.4x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $250,039 | $125,020 | — | 9.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $95,173 | $47,586 | — | 9.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $209,383 | $104,692 | — | 9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $74,150 | $37,075 | — | 8.8x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $54,720 | $27,360 | — | 8.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $190,662 | $95,331 | — | 8.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $108,622 | $54,311 | — | 8.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $277,472 | $138,736 | — | 8.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $68,928 | $34,464 | — | 8.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $130,402 | $65,201 | — | 8.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $175,870 | $87,935 | — | 8.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $70,735 | $35,367 | — | 8.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $64,954 | $32,477 | — | 8.5x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $267,100 | $133,550 | — | 8.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $83,475 | $41,738 | — | 8.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $101,221 | $50,611 | — | 8.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $144,228 | $72,114 | — | 8.4x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $155,577 | $77,788 | — | 8.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $275,071 | $137,535 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $85,249 | $42,624 | — | 8.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $65,440 | $32,720 | — | 8.2x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $149,577 | $74,788 | — | 8.1x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $164,174 | $82,087 | — | 8.1x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $85,398 | $42,699 | — | 7.9x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $428,851 | $214,425 | — | 7.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $327,664 | $163,832 | — | 7.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $70,718 | $35,359 | — | 7.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $374,771 | $187,386 | — | 7.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $300,844 | $150,422 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $148,566 | $74,283 | — | 7.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $65,555 | $32,777 | — | 7.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $92,758 | $46,379 | — | 7.5x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 463 | $481,088 | $240,544 | — | 7.3x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $183,071 | $91,536 | — | 7.3x |
Showing 50 of 104 procedures
How PROVIDENCE SANTA ROSA MEMORIAL HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use