17/100
#2,251 nationally
Providence Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA 95405 · (707) 525-5300
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Providence Santa Rosa Memorial Hospital billed $6.96 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 7.0x
- volume-weighted across all its priced work
- Procedures priced
- 149
- inpatient and outpatient combined
- Rank in CA
- #181
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 18% of U.S. hospitals.
Better than 28% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 12% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
661 | $49,475 | $3,829 | +155% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
359 | $141,328 | $22,781 | +117% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
334 | $26,841 | $2,665 | +128% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
278 | $41,288 | $4,559 | +64% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
256 | $17,055 | $2,230 | +69% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
174 | $166,699 | $33,160 | +26% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
164 | $90,067 | $15,065 | +107% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
161 | $28,897 | $4,464 | +51% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
139 | $32,041 | $3,937 | +81% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
127 | $75,421 | $7,164 | +175% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$135,612 | $8,001 | +286% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$131,773 | $8,201 | +284% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$223,986 | $14,390 | +275% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$128,720 | $11,387 | +229% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$45,645 | $3,273 | +216% |
|
Kidney and Ureter Procedures for Non-neoplasm without Complications/mcc
MS-DRG 661 · Inpatient stay |
$147,500 | $12,312 | +213% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$36,406 | $3,224 | +210% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$136,728 | $12,882 | +207% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$89,171 | $23,841 | +12% |
|
Major Esophageal Disorders with Major Complications
MS-DRG 368 · Inpatient stay |
$88,937 | $19,197 | +13% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$60,605 | $14,927 | +18% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$116,269 | $24,491 | +22% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$188,643 | $42,594 | +23% |
|
Other Cardiothoracic Procedures with Major Complications
MS-DRG 228 · Inpatient stay |
$278,647 | $59,768 | +23% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$155,602 | $37,926 | +25% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$166,699 | $33,160 | +26% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.