California / Providence Santa Rosa Memorial Hospital
CMS certification 050174 · Santa Rosa, CA · 2 entries in CMS's price-transparency list
Providence Santa Rosa Memorial Hospital: charges and Medicare payments
Providence Santa Rosa Memorial Hospital reported 3,284 Medicare inpatient stays across 107 DRGs in 2024. Across them it charged 6.48 times what it was paid — among the higher ratios in California, number 74 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 359 stays at an average charge of $141,328, 57% above the national average. It also billed 3,717 outpatient services, charging 9.49 times what Medicare paid.
- 1Medicare inpatient stays 3,284
- 2Charge ÷ paid, inpatient 6.48×
- 3Rank in CA (highest ratio = 1) 74 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 107 DRGs that can be compared with the national average, Providence Santa Rosa Memorial Hospital charged more than the national average in 105 (98%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 359 | $141,328 | +57% | $22,781 |
| 291 Heart Failure and Shock with MCC | 164 | $90,067 | +60% | $15,065 |
| 177 Respiratory Infections and Inflammations with MCC | 97 | $102,990 | +46% | $18,229 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 86 | $110,424 | +46% | $18,359 |
| 377 Gastrointestinal Hemorrhage with MCC | 78 | $131,451 | +54% | $20,520 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 73 | $289,376 | +31% | $55,017 |
| 193 Simple Pneumonia and Pleurisy with MCC | 70 | $81,201 | +36% | $15,348 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 68 | $155,602 | -1% | $37,926 |
| 378 Gastrointestinal Hemorrhage with CC | 68 | $88,142 | +82% | $11,825 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 66 | $426,469 | +86% | $67,163 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 66 | $86,867 | +77% | $12,229 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 64 | $164,268 | +64% | $22,453 |
| 481 Hip and Femur Procedures except Major Joint with CC | 62 | $216,642 | +115% | $23,171 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 61 | $117,366 | +60% | $18,866 |
| 552 Medical Back Problems without MCC | 53 | $128,720 | +163% | $11,387 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 51 | $100,173 | +80% | $12,445 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 45 | $314,232 | +10% | $69,338 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $107,133 | +78% | $15,145 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $80,391 | +40% | $14,544 |
| 682 Renal Failure with MCC | 42 | $102,132 | +55% | $17,066 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 39 | $209,684 | +125% | $21,710 |
| 689 Kidney and Urinary Tract Infections with MCC | 38 | $84,542 | +65% | $13,678 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 36 | $87,054 | +54% | $14,152 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 36 | $73,382 | +103% | $9,083 |
| 603 Cellulitis without MCC | 36 | $63,006 | +69% | $11,160 |
| 683 Renal Failure with CC | 35 | $70,840 | +74% | $11,063 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 32 | $214,593 | +58% | $30,683 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $161,873 | +41% | $23,536 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $207,563 | +27% | $34,436 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $77,387 | +93% | $9,513 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $67,394 | +78% | $9,629 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $87,995 | +137% | $9,654 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 28 | $233,218 | +128% | $26,136 |
| 312 Syncope and Collapse | 26 | $92,470 | +103% | $10,370 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $118,367 | +94% | $15,170 |
| 460 Spinal Fusion except Cervical without MCC | 25 | $297,523 | +75% | $42,892 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 25 | $74,134 | +56% | $11,479 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 23 | $89,566 | +77% | $10,846 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 23 | $89,171 | -7% | $23,841 |
| 472 Cervical Spinal Fusion with CC | 23 | $233,295 | +63% | $35,972 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 23 | $140,619 | +108% | $15,721 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 23 | $114,352 | +53% | $19,199 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 22 | $445,946 | +93% | $82,306 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $74,028 | +46% | $12,932 |
| 389 Gastrointestinal Obstruction with CC | 21 | $64,653 | +66% | $10,340 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 21 | $229,852 | +93% | $26,727 |
| 811 Red Blood Cell Disorders with MCC | 21 | $118,130 | +73% | $16,332 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 19 | $132,268 | +18% | $27,425 |
| 394 Other Digestive System Diagnoses with CC | 19 | $89,997 | +91% | $11,238 |
| 542 Pathological Fractures and Musculoskeletal and Connective... | 19 | $148,409 | +86% | $20,713 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 18 | $90,128 | +113% | $9,241 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 18 | $135,327 | +98% | $15,371 |
| 100 Seizures with MCC | 18 | $129,684 | +37% | $22,186 |
| 252 Other Vascular Procedures with MCC | 18 | $227,332 | +33% | $38,324 |
| 253 Other Vascular Procedures with CC | 18 | $284,651 | +116% | $32,430 |
| 314 Other Circulatory System Diagnoses with MCC | 18 | $145,035 | +53% | $21,652 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 18 | $129,765 | +37% | $19,577 |
| 551 Medical Back Problems with MCC | 18 | $165,263 | +110% | $23,934 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 18 | $133,751 | +72% | $20,619 |
| 184 Major Chest Trauma with CC | 17 | $143,515 | +159% | $12,574 |
Showing the 60 most frequent of 107 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Providence Santa Rosa Memorial Hospital charged $141,328 on average, 1% less than the California average of $143,063, and was paid $22,781 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Providence Santa Rosa Memorial Hospital charged $90,067 on average, 11% less than the California average of $100,739, and was paid $15,065 against a state average of $15,556. For Respiratory Infections and Inflammations with MCC (DRG 177), Providence Santa Rosa Memorial Hospital charged $102,990 on average, 17% less than the California average of $124,302, and was paid $18,229 against a state average of $18,986. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Providence Santa Rosa Memorial Hospital charged $110,424 on average, 11% less than the California average of $123,896, and was paid $18,359 against a state average of $19,122. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $49,475 was 19% above the state average of $41,628. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $26,841 was 41% above the state average of $19,034. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $41,288 was 2% above the state average of $40,544. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,055 was 16% above the state average of $14,749.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Providence Santa Rosa Memorial Hospital in Santa Rosa, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-05-11 (CMS case 1396)
- Met Requirements — 2025-04-03 (CMS case 3585)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.