California / Sutter Santa Rosa Regional Hospital

CMS certification 050291 · Santa Rosa, CA · 2 entries in CMS's price-transparency list

Sutter Santa Rosa Regional Hospital: charges and Medicare payments

Sutter Santa Rosa Regional Hospital reported 2,010 Medicare inpatient stays across 67 DRGs in 2024. Across them it charged 4.23 times what it was paid — among the lower ratios in California, number 170 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: 348 stays at an average charge of $116,759, 29% above the national average. It also billed 2,230 outpatient services, charging 6.54 times what Medicare paid.

1Medicare inpatient stays 2,010
2Charge ÷ paid, inpatient 4.23×
3Rank in CA (highest ratio = 1) 170 of 247
4CMS price-transparency actions 2

Average charge per stay at Sutter Santa Rosa Regional Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 67 DRGs that can be compared with the national average, Sutter Santa Rosa Regional Hospital charged more than the national average in 56 (84%). 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	348	$116,759	+29%	$26,539
291 Heart Failure and Shock with MCC	127	$78,411	+39%	$17,077
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	83	$59,749	+22%	$13,771
470 Major Hip and Knee Joint Replacement or Reattachment of...	79	$107,000	+15%	$24,005
177 Respiratory Infections and Inflammations with MCC	56	$73,346	+4%	$21,199
280 Acute Myocardial Infarction, Discharged Alive with MCC	51	$113,384	+50%	$25,422
378 Gastrointestinal Hemorrhage with CC	51	$67,080	+38%	$13,063
193 Simple Pneumonia and Pleurisy with MCC	48	$57,948	-3%	$16,311
853 Infectious and Parasitic Diseases with O.R. Procedures with...	48	$249,886	+9%	$68,865
377 Gastrointestinal Hemorrhage with MCC	34	$96,678	+13%	$22,128
309 Cardiac Arrhythmia and Conduction Disorders with CC	33	$47,922	+33%	$9,894
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$54,696	+36%	$11,257
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$94,024	+56%	$17,308
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	31	$66,749	+20%	$13,211
190 Chronic Obstructive Pulmonary Disease with MCC	30	$61,204	+21%	$14,438
281 Acute Myocardial Infarction, Discharged Alive with CC	30	$75,686	+50%	$12,038
330 Major Small and Large Bowel Procedures with CC	30	$142,493	+20%	$30,405
603 Cellulitis without MCC	30	$50,490	+35%	$11,953
698 Other Kidney and Urinary Tract Diagnoses with MCC	30	$59,569	-19%	$19,420
322 Percutaneous Cardiovascular Procedures with Intraluminal...	29	$156,664	+37%	$25,384
682 Renal Failure with MCC	27	$75,861	+15%	$19,474
690 Kidney and Urinary Tract Infections without MCC	26	$52,265	+38%	$11,614
189 Pulmonary Edema and Respiratory Failure	24	$74,465	+29%	$16,271
329 Major Small and Large Bowel Procedures with MCC	24	$214,718	0%	$56,631
389 Gastrointestinal Obstruction with CC	24	$54,242	+39%	$10,846
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$132,074	+29%	$25,811
683 Renal Failure with CC	22	$46,589	+14%	$12,026
308 Cardiac Arrhythmia and Conduction Disorders with MCC	21	$62,403	+10%	$17,994
312 Syncope and Collapse	21	$61,514	+35%	$11,701
314 Other Circulatory System Diagnoses with MCC	21	$118,347	+25%	$27,077
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	21	$53,464	+44%	$10,573
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	20	$64,544	+74%	$11,717
467 Revision of Hip or Knee Replacement with CC	19	$157,067	0%	$40,573
699 Other Kidney and Urinary Tract Diagnoses with CC	19	$47,987	+1%	$13,785
388 Gastrointestinal Obstruction with MCC	18	$67,462	-1%	$19,203
552 Medical Back Problems without MCC	18	$55,117	+13%	$13,608
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$100,326	+64%	$17,769
481 Hip and Femur Procedures except Major Joint with CC	17	$116,436	+16%	$24,377
418 Laparoscopic Cholecystectomy without C.D.E. with CC	16	$127,907	+37%	$20,792
453 Combined Anterior and Posterior Spinal Fusion with MCC	16	$280,332	-38%	$114,059
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	16	$207,395	+2%	$64,532
689 Kidney and Urinary Tract Infections with MCC	16	$51,930	+1%	$14,912
854 Infectious and Parasitic Diseases with O.R. Procedures with...	16	$151,299	+54%	$38,246
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	15	$86,651	-13%	$20,969
194 Simple Pneumonia and Pleurisy with CC	15	$45,599	+19%	$10,513
432 Cirrhosis and Alcoholic Hepatitis with MCC	15	$70,942	-26%	$24,515
069 Transient Ischemia without Thrombolytic	14	$58,494	+16%	$10,534
286 Circulatory Disorders except AMI, with Cardiac...	14	$118,069	+5%	$25,566
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	14	$34,330	+20%	$7,762
321 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$178,400	+9%	$36,089
394 Other Digestive System Diagnoses with CC	14	$51,269	+9%	$11,527
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	14	$113,928	+32%	$24,364
637 Diabetes with MCC	14	$92,156	+39%	$19,351
066 Intracranial Hemorrhage or Cerebral Infarction without...	13	$50,862	+20%	$9,264
178 Respiratory Infections and Inflammations with CC	13	$58,640	+29%	$12,427
196 Interstitial Lung Disease with MCC	13	$100,028	+16%	$24,927
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	13	$68,370	+58%	$9,665
287 Circulatory Disorders except AMI, with Cardiac...	13	$100,601	+57%	$14,169
393 Other Digestive System Diagnoses with MCC	13	$102,064	+33%	$21,829
480 Hip and Femur Procedures except Major Joint with MCC	13	$138,073	0%	$36,364

Showing the 60 most frequent of 67 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	316	$82,713	$17,429
Comprehensive Observation Services	292	$33,912	$3,644
Level 2 Upper GI Procedures	225	$12,920	$2,531
Level 1 Laparoscopy and Related Services	137	$43,844	$7,567
Level 3 Vascular Procedures	109	$21,159	$4,255
Level 1 Endovascular Procedures	102	$44,716	$4,326
Level 2 Excision/ Biopsy/ Incision and Drainage	92	$12,662	$2,127
Level 3 Excision/ Biopsy/ Incision and Drainage	80	$17,423	$3,793
Level 2 Laparoscopy and Related Services	76	$85,689	$13,561
Level 4 Musculoskeletal Procedures	74	$46,868	$9,543
Level 2 Endovascular Procedures	71	$46,906	$7,458
Level 5 Urology and Related Services	69	$33,009	$6,907
Level 6 Musculoskeletal Procedures	63	$120,052	$24,807
Level 2 Vascular Procedures	61	$10,490	$2,138
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	58	$28,177	$4,555
Level 3 Endovascular Procedures	51	$83,804	$14,402
Level 4 Urology and Related Services	50	$24,998	$4,653
Level 4 Gynecologic Procedures	39	$26,281	$4,173
Level 1 Breast/Lymphatic Surgery and Related Procedures	34	$31,710	$5,088
Level 2 Breast/Lymphatic Surgery and Related Procedures	34	$51,860	$8,494
Level 3 Musculoskeletal Procedures	33	$29,071	$4,321
Level 3 Urology and Related Services	31	$15,583	$2,719
Level 2 Musculoskeletal Procedures	27	$13,260	$2,145
Level 3 Lower GI Procedures	27	$15,975	$3,746
Level 3 Pacemaker and Similar Procedures	21	$63,673	$13,628

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sutter Santa Rosa Regional Hospital charged $116,759 on average, 18% less than the California average of $143,063, and was paid $26,539 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sutter Santa Rosa Regional Hospital charged $78,411 on average, 22% less than the California average of $100,739, and was paid $17,077 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sutter Santa Rosa Regional Hospital charged $59,749 on average, 22% less than the California average of $76,120, and was paid $13,771 against a state average of $12,552. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Sutter Santa Rosa Regional Hospital charged $107,000 on average, 22% less than the California average of $137,972, and was paid $24,005 against a state average of $21,800. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $82,713 was 24% below the state average of $109,149. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,912 was 19% below the state average of $41,628. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,920 was 32% below the state average of $19,034. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $43,844 was 32% below the state average of $64,351.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Sutter Santa Rosa Regional 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:

Warning Notice — 2025-02-18 (CMS case 3069)
Closure Notice — 2025-04-03 (CMS case 3069)

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.