42/100
#1,538 nationally
Sutter Santa Rosa Regional Hospital
30 Mark West Springs Road, Santa Rosa, CA 95403 · (707) 576-4000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Sutter Santa Rosa Regional Hospital billed $4.60 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
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 96
- inpatient and outpatient combined
- Rank in CA
- #61
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 45% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 44% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
348 | $116,759 | $26,539 | +79% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
316 | $82,713 | $17,429 | +32% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
292 | $33,912 | $3,644 | +75% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
225 | $12,920 | $2,531 | +10% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
137 | $43,844 | $7,567 | +25% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
127 | $78,411 | $17,077 | +81% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
109 | $21,159 | $4,255 | +11% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
102 | $44,716 | $4,326 | +77% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
92 | $12,662 | $2,127 | +26% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
83 | $59,749 | $13,771 | +52% |
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 |
|---|---|---|---|
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$115,945 | $23,984 | +109% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$64,544 | $11,717 | +98% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$100,326 | $17,769 | +96% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$94,024 | $17,308 | +94% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$113,384 | $25,422 | +85% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
$100,601 | $14,169 | +85% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$151,299 | $38,246 | +82% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$78,411 | $17,077 | +81% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Combined Anterior and Posterior Spinal Fusion with Major Complications
MS-DRG 453 · Inpatient stay |
$280,332 | $114,059 | -37% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$70,942 | $24,515 | -11% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$210,882 | $76,098 | -5% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$103,145 | $37,958 | -5% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$15,975 | $3,746 | -4% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$17,423 | $3,793 | about average |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$30,708 | $6,639 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$59,569 | $19,420 | +5% |
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.