Sutter Santa Rosa Regional Hospital
SUTTER SANTA ROSA REGIONAL HOSPITAL in Santa Rosa, CA charges 5.3x the Medicare reimbursement rate on average, based on analysis of 58 common procedures at this nonprofit facility.
Santa Rosa, CA 95403 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.26x
Charge / Medicare rate
Max markup
8.66x
Worst procedure
Procedures analyzed
58
With pricing data
Outlier procedures
1.7%
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 |
|---|---|---|---|---|---|
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $111,166 | $55,583 | — | 8.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $55,388 | $27,694 | — | 7.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $77,567 | $38,784 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $148,040 | $74,020 | — | 7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $205,017 | $102,509 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $57,410 | $28,705 | — | 6.8x |
| DIABETES WITH CC | 638 | $67,307 | $33,653 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $39,532 | $19,766 | — | 6.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $135,084 | $67,542 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $82,159 | $41,079 | — | 6.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $155,357 | $77,679 | — | 6.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $52,444 | $26,222 | — | 6.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $70,835 | $35,418 | — | 6.2x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $82,654 | $41,327 | — | 6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $49,507 | $24,754 | — | 5.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $83,070 | $41,535 | — | 5.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $46,024 | $23,012 | — | 5.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $68,382 | $34,191 | — | 5.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $49,158 | $24,579 | — | 5.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $61,535 | $30,768 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $49,331 | $24,665 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $203,196 | $101,598 | — | 5.6x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $56,204 | $28,102 | — | 5.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $48,549 | $24,275 | — | 5.5x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $124,989 | $62,495 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $62,200 | $31,100 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $72,935 | $36,467 | — | 5.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $90,868 | $45,434 | — | 5.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $75,904 | $37,952 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $52,465 | $26,233 | — | 5.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $55,331 | $27,666 | — | 5.1x |
| DIABETES WITH MCC | 637 | $80,989 | $40,495 | — | 4.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $121,075 | $60,538 | — | 4.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $237,001 | $118,500 | — | 4.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $133,122 | $66,561 | — | 4.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $77,577 | $38,788 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $107,425 | $53,713 | — | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $102,960 | $51,480 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $87,327 | $43,663 | — | 4.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $95,768 | $47,884 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $60,365 | $30,183 | — | 4.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $127,363 | $63,682 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $52,834 | $26,417 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $63,830 | $31,915 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $244,507 | $122,253 | — | 4.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $87,125 | $43,562 | — | 4.5x |
| RENAL FAILURE WITH MCC | 682 | $76,236 | $38,118 | — | 4.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $97,760 | $48,880 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $103,072 | $51,536 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $84,819 | $42,410 | — | 4.2x |
Showing 50 of 58 procedures
How SUTTER SANTA ROSA REGIONAL 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