Sutter Santa Rosa Regional Hospital

⭐ 4/5
hospital · Sutter Health · Santa Rosa, CA
Data Grade C
📍 Santa Rosa, CA
🏥 Medicare #050291

Compare real prices at Sutter Santa Rosa Regional Hospital in Santa Rosa, CA. Taven tracks 69 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

📊
69
Procedures Tracked
with pricing data
4/5
Star Rating
CMS Care Compare
💰
3.9x
Markup Ratio
Avg = 3.0x
🏥
Grade C
Data Quality
Moderate data coverage
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: WILLIAM DAVISOrg NPI: 1235480476
🔒 De-identification Notice: All pricing data shown on this page is derived from publicly available hospital machine-readable files and insurer transparency data as mandated by federal law. No individual patient data, protected health information (PHI), or personally identifiable information is collected, stored, or displayed. Aggregate statistics (such as allowed amount medians and percentiles) are calculated from de-identified claim payment data reported by hospitals per CMS requirements.
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Procedure Prices at Sutter Santa Rosa Regional Hospital

69 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Santa Rosa, CA metro average. Includes actual allowed amounts from insurer remittance data (CMS v3.0).

Last updated: March 26, 2026

Procedure Cash Price Avg Negotiated Median Allowed Range (10th–90th) Santa Rosa Avg vs. Avg Payers
Partial Mastectomy (Lumpectomy)
CPT 19301
Surgical removal of a breast tumor along with a small margin of surrounding tissue. Also called a lumpectomy, this breast-conserving surgery removes the cancer while keeping most of the breast intact.
$4,493 $4,493 avg 3
Total Hip Replacement
CPT 27130
Total hip replacement surgery where the damaged hip joint is replaced with an artificial implant to relieve pain and improve mobility.
$17,569 $17,569 avg 3
Total Knee Replacement
CPT 27447
Full knee replacement surgery where the damaged knee joint is replaced with artificial metal and plastic components to relieve pain and restore function.
$17,569 $17,569 avg 3
Bunionectomy with Metatarsal Osteotomy
CPT 28296
Surgical correction of a bunion (hallux valgus) that includes cutting and realigning the metatarsal bone to straighten the big toe and relieve pain.
$4,940 $4,940 avg 5
Knee Arthroscopy Medial & Lateral
CPT 29880
Arthroscopic knee surgery to treat torn meniscus cartilage on both the inner and outer sides of the knee. Uses a small camera and tools to trim or repair the damaged cartilage.
$4,705 $4,705 avg 5
Knee Arthroscopy (Meniscus Surgery)
CPT 29881
Arthroscopic knee surgery to treat a torn meniscus on one side of the knee. The surgeon trims or repairs the damaged cartilage through small incisions.
$4,705 $4,705 avg 5
Septoplasty (Deviated Septum Repair)
CPT 30520
Septoplasty (Deviated Septum Repair) — CPT code 30520 covers septoplasty (deviated septum repair) performed in a clinical or hospital setting.
$4,251 $4,251 avg 5
TAVR - Transcatheter Aortic Valve Replacement
CPT 33361
Replacement of a diseased aortic heart valve without open-heart surgery. A new valve is delivered through a catheter (thin tube) inserted through the leg artery.
$47,373 $37,188 $37,188 avg 4
Venipuncture (blood draw)
CPT 36415
A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing.
$35 $27 $27 +2% 4
Tonsillectomy & Adenoidectomy (Under 12)
CPT 42820
Surgical removal of the tonsils and adenoids. This procedure treats chronic infections, breathing problems, or sleep apnea caused by enlarged tonsils and adenoids.
$5,908 $5,908 avg 5
Upper Endoscopy (EGD) Diagnostic
CPT 43235
Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine.
$1,512 $1,512 avg 5
Upper Endoscopy (EGD) with Biopsy
CPT 43239
Upper endoscopy with biopsy — a flexible tube with a camera is passed through the mouth to examine the esophagus, stomach, and upper intestine, and tissue samples are taken for analysis.
$1,512 $1,512 avg 5
Colonoscopy (diagnostic)
CPT 45378
Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities.
$1,587 $1,587 avg 5
Colonoscopy with Biopsy
CPT 45380
Colonoscopy with biopsy — examination of the large intestine with a camera, during which tissue samples are taken from suspicious areas for laboratory analysis.
$1,794 $1,794 avg 5
Gallbladder Removal (Laparoscopic)
CPT 47562
Minimally invasive removal of the gallbladder (laparoscopic cholecystectomy). Small incisions and a camera are used to remove the gallbladder, typically for gallstones or inflammation.
$8,022 $8,022 avg 5
Gallbladder Removal with Cholangiography
CPT 47563
Laparoscopic gallbladder removal with X-ray imaging of the bile ducts (cholangiography) to check for gallstones in the ducts during surgery.
$8,022 $8,022 avg 5
Inguinal Hernia Repair
CPT 49505
Inguinal hernia repair — surgical repair of a hernia in the groin area where tissue pushes through a weak spot in the abdominal muscles.
$5,263 $5,263 avg 5
Lithotripsy (Kidney Stone Treatment)
CPT 50590
Lithotripsy — shock waves are used to break kidney stones into small pieces that can pass naturally through the urinary tract.
$6,636 $6,636 avg 5
Cystoscopy (Bladder Exam)
CPT 52000
Cystoscopy — a thin scope with a camera is inserted through the urethra to examine the inside of the bladder and urinary tract.
$980 $980 avg 4
TURP (Prostate Resection)
CPT 52601
Transurethral resection of the prostate (TURP) — surgical removal of prostate tissue through the urethra to treat enlarged prostate and improve urinary flow.
$6,278 $6,278 avg 3
Prostate Biopsy
CPT 55700
Prostate Biopsy — CPT code 55700 covers prostate biopsy performed in a clinical or hospital setting.
$6,808 $5,719 $5,719 avg 4
Psychiatric Diagnostic Evaluation
CPT 90791
Psychiatric Diagnostic Evaluation — CPT code 90791 covers psychiatric diagnostic evaluation performed in a clinical or hospital setting.
$82 $82 $82–$82 $82 avg 1
Psychiatric Eval with Medical Services
CPT 90792
Psychiatric Eval with Medical Services — CPT code 90792 covers psychiatric eval with medical services performed in a clinical or hospital setting.
$82 $82 $82–$82 $82 avg 1
Psychotherapy (16-37 min)
CPT 90832
Psychotherapy (16-37 min) — CPT code 90832 covers psychotherapy (16-37 min) performed in a clinical or hospital setting.
$42 $42 $42–$42 $42 avg 1
Psychotherapy (38-52 min)
CPT 90834
Psychotherapy (38-52 min) — CPT code 90834 covers psychotherapy (38-52 min) performed in a clinical or hospital setting.
$68 $68 $68–$68 $68 avg 1
Psychotherapy (53+ min)
CPT 90837
Psychotherapy (53+ min) — CPT code 90837 covers psychotherapy (53+ min) performed in a clinical or hospital setting.
$78 $78 $78–$78 $78 +1% 1
Family Psychotherapy (with patient)
CPT 90847
Family Psychotherapy (with patient) — CPT code 90847 covers family psychotherapy (with patient) performed in a clinical or hospital setting.
$71 $71 $71–$71 $71 +1% 1
Group Psychotherapy
CPT 90853
Group Psychotherapy — CPT code 90853 covers group psychotherapy performed in a clinical or hospital setting.
$42 $42 $42–$42 $42 avg 1
Psychological Testing - Additional Hour
CPT 96131
Psychological Testing - Additional Hour — CPT code 96131 covers psychological testing - additional hour performed in a clinical or hospital setting.
$85 $85 $85–$85 $85 +1% 1
New Patient Visit - Low Complexity
CPT 99202
New Patient Visit - Low Complexity — CPT code 99202 covers new patient visit - low complexity performed in a clinical or hospital setting.
$42 $42 $42–$42 $42 avg 1
New Patient Visit - Moderate Complexity
CPT 99203
Office visit for a new patient with a low complexity medical problem. Typically 30-44 minutes for initial evaluation, history, and treatment planning.
$42 $42 $42–$42 $42 avg 1
New Patient Visit - High Complexity
CPT 99204
Office visit for a new patient with a moderate to high complexity medical problem. Typically 45-59 minutes for comprehensive evaluation.
$42 $42 $42–$42 $42 avg 1
New Patient Visit - Comprehensive
CPT 99205
Office visit for a new patient with a high complexity medical problem. Typically 60-74 minutes for comprehensive evaluation and management.
$42 $42 $42–$42 $42 avg 1
Office Visit - Minimal (Level 1)
CPT 99211
Office Visit - Minimal (Level 1) — CPT code 99211 covers office visit - minimal (level 1) performed in a clinical or hospital setting.
$8 $8 $8–$8 $8 -2% 1
Office Visit - Straightforward (Level 2)
CPT 99212
Office Visit - Straightforward (Level 2) — CPT code 99212 covers office visit - straightforward (level 2) performed in a clinical or hospital setting.
$27 $27 $27–$27 $27 +1% 1
Office Visit - Low Complexity (Level 3)
CPT 99213
Office visit for an established patient with a low to moderate complexity medical problem. Typically 20-29 minutes with your doctor for evaluation and management.
$42 $42 $42–$42 $42 avg 1
Office Visit - Moderate Complexity (Level 4)
CPT 99214
Office visit for an established patient with a moderate to high complexity medical problem. Typically 30-39 minutes with your doctor for evaluation and management.
$42 $42 $42–$42 $42 avg 1
Office Visit - High Complexity (Level 5)
CPT 99215
Office visit for an established patient with a high complexity medical problem. Typically 40-54 minutes with your doctor for detailed evaluation and management.
$42 $42 $42–$42 $42 avg 1
ER Visit - Minor Problem
CPT 99281
Emergency department visit for a minor, self-limited problem requiring minimal evaluation.
$23 $23 $23–$23 $23 avg 1
ER Visit - Low Complexity
CPT 99282
Emergency department visit for a low to moderate severity problem requiring a brief evaluation.
$45 $45 $45–$45 $45 -1% 1
ER Visit - Moderate Complexity
CPT 99283
Emergency department visit for a moderate severity problem requiring an expanded evaluation.
$57 $57 $57–$57 $57 -1% 1
ER Visit - High Complexity
CPT 99284
Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.
$113 $113 $113–$113 $113 avg 1
ER Visit - Immediate Threat to Life
CPT 99285
Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation.
$148 $148 $148–$148 $148 avg 1
Septicemia/Severe Sepsis w/o MV >96hrs w MCC
MS-DRG 871
Medicare Severity Diagnosis Related Group DRG-871 — Septicemia/Severe Sepsis w/o MV >96hrs w MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w mcc.
$25,841 $25,841 avg 1
Heart Failure and Shock w MCC
MS-DRG 291
Medicare Severity Diagnosis Related Group DRG-291 — Heart Failure and Shock w MCC. Inpatient hospital payment classification for cases involving heart failure and shock w mcc.
$16,643 $16,643 avg 1
Respiratory Infections/Inflammations w MCC
MS-DRG 177
Medicare Severity Diagnosis Related Group DRG-177 — Respiratory Infections/Inflammations w MCC. Inpatient hospital payment classification for cases involving respiratory infections/inflammations w mcc.
$23,088 $23,088 avg 1
Simple Pneumonia and Pleurisy w MCC
MS-DRG 193
Medicare Severity Diagnosis Related Group DRG-193 — Simple Pneumonia and Pleurisy w MCC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w mcc.
$17,620 $17,620 avg 1
Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC
MS-DRG 872
Medicare Severity Diagnosis Related Group DRG-872 — Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w/o mcc.
$14,868 $14,868 avg 1
Pulmonary Edema and Respiratory Failure
MS-DRG 189
Medicare Severity Diagnosis Related Group DRG-189 — Pulmonary Edema and Respiratory Failure. Inpatient hospital payment classification for cases involving pulmonary edema and respiratory failure.
$15,855 $15,855 avg 1
Esophagitis/Gastroenteritis/Misc Digestive w/o MCC
MS-DRG 392
Medicare Severity Diagnosis Related Group DRG-392 — Esophagitis/Gastroenteritis/Misc Digestive w/o MCC. Inpatient hospital payment classification for cases involving esophagitis/gastroenteritis/misc digestive w/o mcc.
$11,309 $11,309 avg 1
Kidney/Urinary Tract Infections w/o MCC
MS-DRG 690
CT scan — kidney/urinary tract infections w/o mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$10,183 $10,183 avg 1
Acute Myocardial Infarction, Discharged Alive w MCC
MS-DRG 280
Medicare Severity Diagnosis Related Group DRG-280 — Acute Myocardial Infarction, Discharged Alive w MCC. Inpatient hospital payment classification for cases involving acute myocardial infarction, discharged alive w mcc.
$20,212 $20,212 avg 1
GI Hemorrhage w CC
MS-DRG 378
Medicare Severity Diagnosis Related Group DRG-378 — GI Hemorrhage w CC. Inpatient hospital payment classification for cases involving gi hemorrhage w cc.
$12,872 $12,872 avg 1
Infectious/Parasitic Diseases w OR Procedures w MCC
MS-DRG 853
Medicare Severity Diagnosis Related Group DRG-853 — Infectious/Parasitic Diseases w OR Procedures w MCC. Inpatient hospital payment classification for cases involving infectious/parasitic diseases w or procedures w mcc.
$63,752 $63,752 avg 1
Renal Failure w CC
MS-DRG 683
Medicare Severity Diagnosis Related Group DRG-683 — Renal Failure w CC. Inpatient hospital payment classification for cases involving renal failure w cc.
$11,734 $11,734 avg 1
Renal Failure w MCC
MS-DRG 682
Medicare Severity Diagnosis Related Group DRG-682 — Renal Failure w MCC. Inpatient hospital payment classification for cases involving renal failure w mcc.
$18,553 $18,553 avg 1
Kidney/Urinary Tract Infections w MCC
MS-DRG 689
CT scan — kidney/urinary tract infections w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$14,934 $14,934 avg 1
Major Hip/Knee Joint Replacement
MS-DRG 470
Medicare Severity Diagnosis Related Group DRG-470 — Major Hip/Knee Joint Replacement. Inpatient hospital payment classification for cases involving major hip/knee joint replacement.
$25,516 $25,516 avg 1
Intracranial Hemorrhage/Cerebral Infarction w CC
MS-DRG 065
Medicare Severity Diagnosis Related Group DRG-065 — Intracranial Hemorrhage/Cerebral Infarction w CC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w cc.
$12,933 $12,933 avg 1
Other Kidney/Urinary Tract Diagnoses w MCC
MS-DRG 698
CT scan — other kidney/urinary tract diagnoses w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$20,358 $20,358 avg 1
Misc Disorders of Nutrition/Metabolism/Fluids w MCC
MS-DRG 640
Medicare Severity Diagnosis Related Group DRG-640 — Misc Disorders of Nutrition/Metabolism/Fluids w MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w mcc.
$17,045 $17,045 avg 1
Intracranial Hemorrhage/Cerebral Infarction w MCC
MS-DRG 064
Medicare Severity Diagnosis Related Group DRG-064 — Intracranial Hemorrhage/Cerebral Infarction w MCC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w mcc.
$23,680 $23,680 avg 1
Hip/Femur Procedures Except Major Joint w CC
MS-DRG 481
Medicare Severity Diagnosis Related Group DRG-481 — Hip/Femur Procedures Except Major Joint w CC. Inpatient hospital payment classification for cases involving hip/femur procedures except major joint w cc.
$31,066 $31,066 avg 1
Cardiac Arrhythmia/Conduction Disorders w CC
MS-DRG 309
Medicare Severity Diagnosis Related Group DRG-309 — Cardiac Arrhythmia/Conduction Disorders w CC. Inpatient hospital payment classification for cases involving cardiac arrhythmia/conduction disorders w cc.
$9,914 $9,914 avg 1
Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC
MS-DRG 641
Medicare Severity Diagnosis Related Group DRG-641 — Misc Disorders of Nutrition/Metabolism/Fluids w/o MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w/o mcc.
$10,276 $10,276 avg 1
Cellulitis w/o MCC
MS-DRG 603
Medicare Severity Diagnosis Related Group DRG-603 — Cellulitis w/o MCC. Inpatient hospital payment classification for cases involving cellulitis w/o mcc.
$12,632 $12,632 avg 1
COPD w MCC
MS-DRG 190
Medicare Severity Diagnosis Related Group DRG-190 — COPD w MCC. Inpatient hospital payment classification for cases involving copd w mcc.
$13,472 $13,472 avg 1
Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC
MS-DRG 247
Medicare Severity Diagnosis Related Group DRG-247 — Percutaneous Cardiovascular Proc w Drug-Eluting Stent w/o MCC. Inpatient hospital payment classification for cases involving percutaneous cardiovascular proc w drug-eluting stent w/o mcc.
$27,306 $27,306 avg 1
Major Small/Large Bowel Procedures w CC
MS-DRG 330
Medicare Severity Diagnosis Related Group DRG-330 — Major Small/Large Bowel Procedures w CC. Inpatient hospital payment classification for cases involving major small/large bowel procedures w cc.
$29,961 $29,961 avg 1

Prices are typical ranges based on Sutter Santa Rosa Regional Hospital's published transparency data, including actual allowed amounts calculated from insurer remittance (ERA) data per CMS v3.0 requirements. Your actual cost depends on your specific plan, deductible status, and clinical details.

Search all procedures at Sutter Santa Rosa Regional Hospital →

Insurance Plans with Negotiated Rates

Taven has payer-specific negotiated rate data from 5 insurers at Sutter Santa Rosa Regional Hospital. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.

Aetna (CVS Health) BCBS (Various Licensees) Cigna Healthcare Humana UnitedHealthcare (UHC)

Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.

Financial Assistance at Sutter Santa Rosa Regional Hospital

As a nonprofit hospital, Sutter Santa Rosa Regional Hospital is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").

Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.

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Your Billing Rights

Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.

Full guide to your medical billing rights in California →

Nearby Hospitals in Santa Rosa, CA

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Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Health System
Sutter Health
Medicare Provider #
050291
Emergency Services
Yes
Metro Area
Santa Rosa, CA
Procedures Tracked
69

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