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Acute Care Hospital

Sutter Santa Rosa Regional Hospital

Santa Rosa, California · Sonoma County · Emergency services listed

Summary

Sutter Santa Rosa Regional Hospital is an acute care hospital in Santa Rosa, California. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 10 services, specialties and programs. Medicare lists 516 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(707) 576‑4000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
516Doctors and clinicians
10Services listed

Quick answers

Does Sutter Santa Rosa Regional Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Sutter Santa Rosa Regional Hospital. In a medical emergency, call 911.
Where is Sutter Santa Rosa Regional Hospital?
30 Mark West Springs Road, Santa Rosa, CA 95403, in Sonoma County, California.
What is the phone number of Sutter Santa Rosa Regional Hospital?
(707) 576-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Sutter Santa Rosa Regional Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Procedures[4]

  • Total knee replacement

Programs and centers[5]

  • Primary Stroke Center
  • Level III NICU
  • Specialized center for the most serious type of heart attack
  • Baby-Friendly maternity services

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center

Visiting and practical information

ParkingVisitor parking in front of the hospital and other lots; accessible parking designated[4]

Recognition[4][5][6]

  • Baby-Friendly designation
  • AHA Elite Plus Stroke Honor Roll (2025)
  • Healthgrades America's 100 Best Hospitals for Orthopedic Surgery (2026)
  • America's 100 Best Hospitals for Orthopedic Surgery (Healthgrades) 2026
  • Surgical Care Excellence (Healthgrades) 2026
  • Top 10% in the Nation for Orthopedic Surgery (Healthgrades) 2026
  • High Performing hospital for maternity care (U.S. News) 2026

Doctors and clinicians (516)

516 doctors and other clinicians list Sutter Santa Rosa Regional Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (516)

And 492 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

  • Vista Campus1.7 mi · Santa Rosa, CA · Community health center
  • Dutton Campus3.4 mi · Santa Rosa, CA · Community health center
  • Dental Campus3.6 mi · Santa Rosa, CA · Community health center

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Sutter Santa Rosa Regional Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital79%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean67%National average: 74%
Area around the room “always” quiet at night55%National average: 60%
Completed surveys752Response rate: 22%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.626No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.299No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.157Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients11.8%
Deaths within 30 days: heart failure patients10.5%
Deaths within 30 days: pneumonia patients14%
Deaths within 30 days: COPD patients6.8%
Deaths within 30 days: stroke patients11.6%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.03No different from the national rate
Complications after hip or knee replacement3.1%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.1%
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia16.2%
Readmitted within 30 days: COPD19.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.3%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)212 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)63%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Santa RosaBest hospitals in Santa Rosa

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as Sutter Santa Rosa Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $375.37
Emergency room visit (moderate): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $375.37
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 3 $3,093 $3,093 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 3 $3,093 $3,093 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $573.78
Emergency room visit (moderately high): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $573.78
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 4 $5,214 $5,214 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 4 $5,214 $5,214 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $818.92
Emergency room visit (high): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $818.92
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 5 $8,003 $8,003 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ED LEVEL 5 $8,003 $8,003 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.46
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE BASIC METBLC PNL TOTAL CA $370 $370 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE BASIC METBLC PNL TOTAL CA $370 $370 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE COMPR MET PNL $433 $433 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE COMPR MET PNL $433 $433 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81
Obstetric blood test panel: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $47.81
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE PRENATAL PNL $148 $148 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE PRENATAL PNL $148 $148 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE LIPID PNL $331 $331 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE LIPID PNL $331 $331 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68
Kidney function panel: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE RENAL FUNCTION PNL $275 $275 Not listed in the file
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RENAL FUNCTION PANEL $275 $275 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17
Liver function panel: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE HEPATIC FUNCTION PNL $309 $309 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE HEPATIC FUNCTION PNL $309 $309 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17
Urine test (automated, with microscope): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE URNALYSIS AUTO W/ MICRO $132 $132 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE URNALYSIS AUTO W/ MICRO $132 $132 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48
Urine test (manual, without microscope): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG POCT URNALYSIS MAN W/O MICRO $47 $47 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POCT URNALYSIS MAN W/O MICRO $47 $47 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25
Urine test (automated, without microscope): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE URNALYSIS AUTO W/O MICRO $102 $102 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE URNALYSIS AUTO W/O MICRO $102 $102 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE PSA TOTAL DIAGNOSTIC $242 $242 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE PSA TOTAL DIAGNOSTIC $242 $242 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CORE TSH $313 $313 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CORE TSH $313 $313 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL $217 $217 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL $217 $217 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CBC AUTOMATED $189 $189 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC AUTOMATED $189 $189 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG POCT PROTHROMBIN TIME $158 $158 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POCT PROTHROMBIN TIME $158 $158 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PTT PLASMA OR WHOLE BLOOD $236 $236 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PTT PLASMA OR WHOLE BLOOD $236 $236 Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $143.76 – $1,410
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $1,097
  • Aetna — Hmo/Ppo: $1,097
  • Anthem — Hmo/Ppo: $749
  • Anthem — Individual: $539
  • Anthem — Medicare Adv_ Hmo / Ppo: $143.76
  • Blue Shield — Hmo/Ppo: $1,064
  • Blue Shield — Individual: $835
  • Cigna — Hmo/Ppo: $1,092
  • Health Net — Hmo/Ppo: $1,410
  • United — Hmo / Ppo: $1,085
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT BRAIN WO CONTR $4,312 $4,312 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT BRAIN WO CONTR $4,312 $4,312 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $479.74 – $6,382
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $4,987
  • Aetna — Hmo/Ppo: $4,987
  • Anthem — Hmo/Ppo: $3,888
  • Anthem — Individual: $2,799
  • Anthem — Medicare Adv_ Hmo / Ppo: $479.74
  • Blue Shield — Hmo/Ppo: $4,826
  • Blue Shield — Individual: $3,786
  • Cigna — Hmo/Ppo: $4,960
  • Health Net — Hmo/Ppo: $6,382
  • United — Hmo / Ppo: $4,923
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W STEM W AND WO CONTR $8,334 $8,334 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W STEM W AND WO CONTR $8,334 $8,334 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $119.67
Chest X-ray, 2 views: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $119.67
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW $804 $804 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW $804 $804 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $143.76
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $143.76
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR SPINE LUMB 4 VIEW OR MORE $1,151 $1,151 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR SPINE LUMB 4 VIEW OR MORE $1,151 $1,151 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $328.10 – $3,676
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,864
  • Aetna — Hmo/Ppo: $2,864
  • Anthem — Hmo/Ppo: $1,943
  • Anthem — Individual: $1,399
  • Anthem — Medicare Adv_ Hmo / Ppo: $328.10
  • Blue Shield — Hmo/Ppo: $2,772
  • Blue Shield — Individual: $2,173
  • Cigna — Hmo/Ppo: $2,849
  • Health Net — Hmo/Ppo: $3,676
  • United — Hmo / Ppo: $2,828
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI SPINE LUMB WO CONTR $5,217 $5,217 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI SPINE LUMB WO CONTR $5,217 $5,217 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $241.20 – $2,107
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $1,643
  • Aetna — Hmo/Ppo: $1,643
  • Anthem — Hmo/Ppo: $1,062
  • Anthem — Individual: $764
  • Anthem — Medicare Adv_ Hmo / Ppo: $241.20
  • Blue Shield — Hmo/Ppo: $1,590
  • Blue Shield — Individual: $1,247
  • Cigna — Hmo/Ppo: $1,635
  • Health Net — Hmo/Ppo: $2,107
  • United — Hmo / Ppo: $1,624
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W CONTR $5,746 $5,746 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W CONTR $5,746 $5,746 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $328.10 – $3,689
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,862
  • Aetna — Hmo/Ppo: $2,862
  • Anthem — Hmo/Ppo: $1,718
  • Anthem — Individual: $1,236
  • Anthem — Medicare Adv_ Hmo / Ppo: $328.10
  • Blue Shield — Hmo/Ppo: $2,766
  • Blue Shield — Individual: $2,170
  • Cigna — Hmo/Ppo: $2,847
  • Health Net — Hmo/Ppo: $3,689
  • United — Hmo / Ppo: $2,824
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 50 In the file: HCHG MRI EXTREM LOWER JOINT WO CONTR BIL $7,464 $7,464 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HCHG MRI EXTREM LOWER JOINT WO CONTR BIL $7,464 $7,464 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $479.74 – $6,302
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • Aetna — Hmo / Ppo: $4,424
  • Aetna — Hmo/Ppo: $4,424
  • Anthem — Medicare Adv_ Hmo / Ppo: $479.74
  • Blue Shield — Hmo/Ppo: $6,302
  • Blue Shield — Individual: $4,948
  • Cigna — Hmo/Ppo: $5,590
  • United — Hmo / Ppo: $6,117
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT ABD & PELVIS W/CON $8,287 $8,287 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT ABD & PELVIS W/CON $8,287 $8,287 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $143.76
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $143.76
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US ABD COMPLETE $1,887 $1,887 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US ABD COMPLETE $1,887 $1,887 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $143.76
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $143.76
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US OB > 14 WEEKS SINGLE FETUS $1,479 $1,479 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US OB > 14 WEEKS SINGLE FETUS $1,479 $1,479 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $143.76
Transvaginal ultrasound: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $143.76
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US TRANSVAGINAL NON-OB $1,310 $1,310 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US TRANSVAGINAL NON-OB $1,310 $1,310 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $4,458.02
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $4,458.02
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CA LT HRT CATH W/VENTGRHY $28,551 $28,551 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CA LT HRT CATH W/VENTGRHY $28,551 $28,551 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CA COMP EP EVAL W RT A/V PCNG/HIS RCRD WO INDUCT $26,865 $26,865 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CA COMP EP EVAL W RT A/V PCNG/HIS RCRD WO INDUCT $26,865 $26,865 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CA COMPRE EP EVAL ABLTJ ATR FIB $90,645 $90,645 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CA COMPRE EP EVAL ABLTJ ATR FIB $90,645 $90,645 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $1,180.86
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,180.86

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $30.47
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $30.47
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT THERAPEUTIC EXERCISE EA 15 MIN $236 $236 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT THERAPEUTIC EXERCISE EA 15 MIN $236 $236 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $121.46
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $121.46
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL LOW COMPLEXITY $495 $495 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL LOW COMPLEXITY $495 $495 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $103.01
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $103.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL MOD COMPLEXITY $558 $558 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL MOD COMPLEXITY $558 $558 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $121.47
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $121.47
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL HIGH COMPLEXITY $629 $629 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HCHG PT EVAL HIGH COMPLEXITY $629 $629 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $5,384.16 – $8,707
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $8,707
  • Aetna — Hmo/Ppo: $8,707
  • Anthem — Hmo/Ppo: $7,812
  • Anthem — Individual: $5,625
  • Anthem — Medicare Adv_ Hmo / Ppo: $5,384.16
  • Blue Shield — Hmo/Ppo: $7,346
  • Blue Shield — Individual: $6,486
  • Cigna — Hmo/Ppo: $6,616
  • Health Net — Hmo/Ppo: $7,282
  • United — Hmo / Ppo: $7,312
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $17,654.63 – $63,249
Total hip replacement: rates for 2 insurance plans
  • Anthem — Medicare Adv_ Hmo / Ppo: $17,654.63
  • United — Hmo / Ppo: $63,249
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $17,654.63 – $64,740
Total knee replacement: rates for 2 insurance plans
  • Anthem — Medicare Adv_ Hmo / Ppo: $17,654.63
  • United — Hmo / Ppo: $64,740
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $2,699 – $8,468
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans
  • Aetna — Hmo / Ppo: $3,514
  • Aetna — Hmo/Ppo: $3,514
  • Anthem — Hmo/Ppo: $3,750
  • Anthem — Individual: $2,699
  • Blue Shield — Hmo/Ppo: $3,895
  • Blue Shield — Individual: $3,438
  • Cigna — Hmo/Ppo: $7,691
  • Health Net — Hmo/Ppo: $8,468
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $4,499.37 – $8,468
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $8,209
  • Aetna — Hmo/Ppo: $8,209
  • Anthem — Hmo/Ppo: $7,755
  • Anthem — Individual: $5,583
  • Anthem — Medicare Adv_ Hmo / Ppo: $4,499.37
  • Blue Shield — Hmo/Ppo: $8,023
  • Blue Shield — Individual: $7,081
  • Cigna — Hmo/Ppo: $7,691
  • Health Net — Hmo/Ppo: $8,468
  • United — Hmo / Ppo: $8,370
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $6,462 – $14,099
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $13,523
  • Aetna — Hmo/Ppo: $13,523
  • Anthem — Hmo/Ppo: $14,099
  • Anthem — Individual: $8,879
  • Anthem — Medicare Adv_ Hmo / Ppo: $8,140.43
  • Blue Shield — Hmo/Ppo: $11,123
  • Blue Shield — Individual: $9,822
  • Cigna — Hmo/Ppo: $6,462
  • Health Net — Hmo/Ppo: $7,113
  • United — Hmo / Ppo: $11,126
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $1,247.21 – $3,410
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,509
  • Aetna — Hmo/Ppo: $2,509
  • Anthem — Hmo/Ppo: $2,943
  • Anthem — Individual: $2,119
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,247.21
  • Blue Shield — Hmo/Ppo: $2,728
  • Blue Shield — Individual: $2,409
  • Cigna — Hmo/Ppo: $3,084
  • Health Net — Hmo/Ppo: $3,410
  • United — Hmo / Ppo: $2,980
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $1,247.21 – $3,410
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,509
  • Aetna — Hmo/Ppo: $2,509
  • Anthem — Hmo/Ppo: $2,943
  • Anthem — Individual: $2,119
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,247.21
  • Blue Shield — Hmo/Ppo: $2,728
  • Blue Shield — Individual: $2,409
  • Cigna — Hmo/Ppo: $3,084
  • Health Net — Hmo/Ppo: $3,410
  • United — Hmo / Ppo: $2,980
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $1,278.80 – $3,783
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,780
  • Aetna — Hmo/Ppo: $2,780
  • Anthem — Hmo/Ppo: $3,110
  • Anthem — Individual: $2,240
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,278.80
  • Blue Shield — Hmo/Ppo: $2,997
  • Blue Shield — Individual: $2,646
  • Cigna — Hmo/Ppo: $3,419
  • Health Net — Hmo/Ppo: $3,783
  • United — Hmo / Ppo: $3,306
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,645.52 – $3,783
Colonoscopy with biopsy: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,780
  • Aetna — Hmo/Ppo: $2,780
  • Anthem — Hmo/Ppo: $3,110
  • Anthem — Individual: $2,240
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,645.52
  • Blue Shield — Hmo/Ppo: $2,997
  • Blue Shield — Individual: $2,646
  • Cigna — Hmo/Ppo: $3,419
  • Health Net — Hmo/Ppo: $3,783
  • United — Hmo / Ppo: $3,306
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,645.52 – $3,783
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,780
  • Aetna — Hmo/Ppo: $2,780
  • Anthem — Hmo/Ppo: $3,110
  • Anthem — Individual: $2,240
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,645.52
  • Blue Shield — Hmo/Ppo: $2,997
  • Blue Shield — Individual: $2,646
  • Cigna — Hmo/Ppo: $3,419
  • Health Net — Hmo/Ppo: $3,783
  • United — Hmo / Ppo: $3,306
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,645.52
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,645.52
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,278.80 – $3,353
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,467
  • Aetna — Hmo/Ppo: $2,467
  • Anthem — Hmo/Ppo: $2,510
  • Anthem — Individual: $1,807
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,278.80
  • Blue Shield — Hmo/Ppo: $2,619
  • Blue Shield — Individual: $2,316
  • Cigna — Hmo/Ppo: $3,031
  • Health Net — Hmo/Ppo: $3,353
  • United — Hmo / Ppo: $2,932
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $8,313.28 – $13,708
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $13,289
  • Aetna — Hmo/Ppo: $13,289
  • Anthem — Hmo/Ppo: $13,622
  • Anthem — Individual: $9,808
  • Anthem — Medicare Adv_ Hmo / Ppo: $8,313.28
  • Blue Shield — Hmo/Ppo: $13,579
  • Blue Shield — Individual: $11,983
  • Cigna — Hmo/Ppo: $12,454
  • Health Net — Hmo/Ppo: $13,708
  • United — Hmo / Ppo: $13,549
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $4,923.45 – $11,808
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $11,267
  • Aetna — Hmo/Ppo: $11,267
  • Anthem — Hmo/Ppo: $9,643
  • Anthem — Individual: $6,944
  • Anthem — Medicare Adv_ Hmo / Ppo: $4,923.45
  • Blue Shield — Hmo/Ppo: $9,673
  • Blue Shield — Individual: $8,537
  • Cigna — Hmo/Ppo: $8,541
  • Health Net — Hmo/Ppo: $11,808
  • United — Hmo / Ppo: $9,294
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $11,337 – $13,712
Prostate biopsy: rates for 6 insurance plans
  • Aetna — Hmo / Ppo: $13,712
  • Aetna — Hmo/Ppo: $13,712
  • Blue Shield — Hmo/Ppo: $12,839
  • Blue Shield — Individual: $11,337
  • Cigna — Hmo/Ppo: $11,816
  • United — Hmo / Ppo: $13,060
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG BIOPSY PROSTATE $9,221 $9,221 Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BIOPSY PROSTATE $9,221 $9,221 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $14,617.22 – $69,572
Prostate removal by laparoscope (radical prostatectomy): rates for 7 insurance plans
  • Aetna — Hmo / Ppo: $69,572
  • Aetna — Hmo/Ppo: $69,572
  • Anthem — Medicare Adv_ Hmo / Ppo: $14,617.22
  • Blue Shield — Hmo/Ppo: $65,254
  • Blue Shield — Individual: $57,619
  • Cigna — Hmo/Ppo: $59,951
  • United — Hmo / Ppo: $66,265
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $4,451.41 – $7,160
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $7,160
  • Aetna — Hmo/Ppo: $7,160
  • Anthem — Hmo/Ppo: $6,656
  • Anthem — Individual: $4,793
  • Anthem — Medicare Adv_ Hmo / Ppo: $4,451.41
  • Blue Shield — Hmo/Ppo: $6,561
  • Blue Shield — Individual: $5,789
  • Cigna — Hmo/Ppo: $5,967
  • Health Net — Hmo/Ppo: $6,568
  • United — Hmo / Ppo: $6,492
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $970.67 – $4,570
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans
  • Aetna — Hmo / Ppo: $2,070
  • Aetna — Hmo/Ppo: $2,070
  • Anthem — Hmo/Ppo: $2,425
  • Anthem — Individual: $1,745
  • Anthem — Medicare Adv_ Hmo / Ppo: $970.67
  • Blue Shield — Hmo/Ppo: $4,341
  • Blue Shield — Individual: $3,833
  • Cigna — Hmo/Ppo: $4,134
  • United — Hmo / Ppo: $4,570
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE $5,452 $5,452 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE $5,452 $5,452 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $1,216.25 – $2,491
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $2,070
  • Aetna — Hmo/Ppo: $2,070
  • Anthem — Hmo/Ppo: $2,425
  • Anthem — Individual: $1,745
  • Anthem — Medicare Adv_ Hmo / Ppo: $1,216.25
  • Blue Shield — Hmo/Ppo: $2,491
  • Blue Shield — Individual: $2,199
  • Cigna — Hmo/Ppo: $1,941
  • Health Net — Hmo/Ppo: $2,135
  • United — Hmo / Ppo: $2,110
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL $4,901 $4,901 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL $4,901 $4,901 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $2,685.22 – $5,389
Carpal tunnel release: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $5,226
  • Aetna — Hmo/Ppo: $5,226
  • Anthem — Hmo/Ppo: $4,988
  • Anthem — Individual: $3,591
  • Anthem — Medicare Adv_ Hmo / Ppo: $2,685.22
  • Blue Shield — Hmo/Ppo: $5,147
  • Blue Shield — Individual: $4,543
  • Cigna — Hmo/Ppo: $4,896
  • Health Net — Hmo/Ppo: $5,389
  • United — Hmo / Ppo: $5,327
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $756.31 – $1,601
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $1,498
  • Aetna — Hmo/Ppo: $1,498
  • Anthem — Hmo/Ppo: $1,601
  • Anthem — Individual: $1,154
  • Anthem — Medicare Adv_ Hmo / Ppo: $756.31
  • Blue Shield — Hmo/Ppo: $1,593
  • Blue Shield — Individual: $1,407
  • Cigna — Hmo/Ppo: $1,403
  • Health Net — Hmo/Ppo: $1,545
  • United — Hmo / Ppo: $1,529
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $3,173.52 – $6,820
Cataract removal with lens implant: rates for 10 insurance plans
  • Aetna — Hmo / Ppo: $6,611
  • Aetna — Hmo/Ppo: $6,611
  • Anthem — Hmo/Ppo: $6,319
  • Anthem — Individual: $4,550
  • Anthem — Medicare Adv_ Hmo / Ppo: $3,173.52
  • Blue Shield — Hmo/Ppo: $6,573
  • Blue Shield — Individual: $5,802
  • Cigna — Hmo/Ppo: $6,193
  • Health Net — Hmo/Ppo: $6,820
  • United — Hmo / Ppo: $6,737

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $119,418.43 – $411,119
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • Aetna — Hmo / Ppo: $325,384
  • Aetna — Hmo/Ppo: $325,384
  • Anthem — Hmo/Ppo: $334,371
  • Anthem — Individual: $240,736
  • Anthem — Medicare Adv_ Hmo / Ppo: $119,418.43
  • Blue Shield — Hmo/Ppo: $368,127
  • Blue Shield — Individual: $283,458
  • Blue Shield — Medicare Adv_ Hmo / Ppo: $119,418.43
  • Cigna — Hmo/Ppo: $411,119
  • Health Net — Hmo/Ppo: $370,752
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file $144,893
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Health Net — Hmo/Ppo: $144,893
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $23,950.68 – $93,924
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • Aetna — Hmo / Ppo: $80,452
  • Aetna — Hmo/Ppo: $80,452
  • Anthem — Hmo/Ppo: $82,456
  • Anthem — Individual: $59,366
  • Anthem — Medicare Adv_ Hmo / Ppo: $23,950.68
  • Blue Shield — Hmo/Ppo: $85,215
  • Blue Shield — Individual: $65,615
  • Blue Shield — Medicare Adv_ Hmo / Ppo: $23,950.68
  • Cigna — Hmo/Ppo: $93,924
  • Health Net — Hmo/Ppo: $91,557
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $30,179.14 – $80,633
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • Aetna — Hmo / Ppo: $63,676
  • Aetna — Hmo/Ppo: $63,676
  • Anthem — Hmo/Ppo: $65,809
  • Anthem — Individual: $47,381
  • Anthem — Medicare Adv_ Hmo / Ppo: $30,179.14
  • Blue Shield — Hmo/Ppo: $67,576
  • Blue Shield — Individual: $52,034
  • Blue Shield — Medicare Adv_ Hmo / Ppo: $30,179.14
  • Cigna — Hmo/Ppo: $73,802
  • Health Net — Hmo/Ppo: $72,540
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $15,585.30 – $27,268
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • Aetna — Hmo / Ppo: $24,484
  • Aetna — Hmo/Ppo: $24,484
  • Anthem — Hmo/Ppo: $25,973
  • Anthem — Individual: $18,700
  • Anthem — Medicare Adv_ Hmo / Ppo: $15,585.30
  • Blue Shield — Hmo/Ppo: $27,268
  • Blue Shield — Individual: $20,998
  • Blue Shield — Medicare Adv_ Hmo / Ppo: $15,585.30
  • Cigna — Hmo/Ppo: $24,627
  • Health Net — Hmo/Ppo: $25,062

Source: Sutter Santa Rosa Regional Hospital’s standard charges file (edge.sitecorecloud.io, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (sutterhealth.org), because the hospital has no cms-hpt.txt file; both are required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address30 Mark West Springs Road, Santa Rosa, CA 95403
CountySonoma County
StateCalifornia
Phone(707) 576‑4000
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number050291
Name in Medicare recordsSUTTER SANTA ROSA REGIONAL HOSPITAL
Profile levelMedicare data + hospital website
Official websitesutterhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Sutter Santa Rosa Regional Hospital — sutterhealth.org
  2. Sutter Santa Rosa Regional Hospital is a Hospital in Santa Rosa, CA | Sutter Health — sutterhealth.org
  3. Maternity Care at Sutter Recognized for Quality | Vitals — vitals.sutterhealth.org