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Providence Santa Rosa Memorial Hospital

1165 Montgomery Dr, Santa Rosa, CA 95405 · (707) 525-5300

★★★☆☆CMS overall rating - 3 of 5
34procedure prices published
Acute Care Hospitalshospital type

About this hospital

Hospital typeAcute Care Hospitals
OwnershipVoluntary Non-Profit - Private
Emergency servicesYes
CMS overall rating★★★☆☆ (3 of 5)
Facility ID (CCN)050174

Published prices

From this hospital's own machine-readable price file, last updated 2026-04-01. Cash price is the hospital's discounted cash price for self-pay patients. Typical insurance price is the median of the per-plan negotiated rates in the file. List price is the gross charge before any discount.

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ProcedureCash priceTypical insuranceList priceNegotiated range
MRI Brain Without Contrast$2,242-$4,397-
MRI Brain With and Without Contrast$3,763-$7,379-
MRI Lumbar Spine Without Contrast$2,468-$4,840-
MRI Cervical Spine Without Contrast$2,350-$4,607-
MRI Knee Without Contrast$2,337-$4,583-
MRI Shoulder Without Contrast$1,951-$3,825-
CT Abdomen and Pelvis With Contrast$3,564-$6,989-
CT Abdomen and Pelvis Without Contrast$2,720-$5,334-
CT Chest With Contrast$2,373-$4,653-
CT Head Without Contrast$1,650-$3,235-
Screening Mammogram$280-$550-
Echocardiogram (Complete)$2,253-$4,418-
Abdominal Ultrasound (Complete)$704-$1,381-
Pelvic Ultrasound$566-$1,109-
Chest X-Ray (2 Views)$210-$411-
Knee X-Ray (3 Views)$401-$787-
Comprehensive Metabolic Panel$94.35-$185-
Basic Metabolic Panel$76.50-$150-
Lipid Panel (Cholesterol)$118-$232-
Complete Blood Count (CBC)$79.05-$155-
Hemoglobin A1c$79.05-$155-
TSH (Thyroid) Test$137-$268-
Vitamin D Test$240-$471-
Colonoscopy (Diagnostic)$1,613-$3,162-
Upper Endoscopy (EGD) With Biopsy$1,602-$3,141-
Upper Endoscopy (EGD, Diagnostic)$1,602-$3,141-
Inguinal Hernia Repair$7,671-$15,042-
Nuclear Stress Test (MPI)$4,081-$8,002-
Sleep Study (Polysomnography)$2,083-$4,085-
Sleep Study With CPAP$2,726-$5,346-
Physical Therapy Evaluation$107-$210-
Emergency Room Visit, Level 3$1,666-$3,267-
Emergency Room Visit, Level 4$817-$1,601-
Emergency Room Visit, Level 5$4,132-$8,102-

Source file: hospital's machine-readable file. Rates vary by plan; the range covers the lowest and highest negotiated rates in the file.

Full price list

Every standard-coded charge in this hospital's price file: 3,394 items with a CPT, HCPCS or MS-DRG code. Search by code (for example 70551) or by name. Codes link to a comparison across hospitals where one exists.

CodeDescriptionCash priceTypical insuranceList priceNegotiated range
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