Home / Hospitals / California / Providence Santa Rosa Memorial Hospital

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 type	Acute Care Hospitals
Ownership	Voluntary Non-Profit - Private
Emergency services	Yes
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.

Procedure	Cash price	Typical insurance	List price	Negotiated 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.