CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Providence Santa Rosa Memorial Hospital

Billing Code: 74177 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$892
about 2.5× the $356 Medicare rate · typically $551–$1,508
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,143
Above the fair price
about $251 over the fair price · 3.2× Medicare
Medicare pays $356 Fair price $892 This hospital $1,143 Cash price $5,843 Hospital's list price $11,456

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $114 Priciest $1,143

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, abdomen and pelvis (with contrast) is about $892 (about 2.5× the $356 Medicare rate). Providence Santa Rosa Memorial Hospital charges insurers about $1,143, or about $5,843 in cash — above the fair price. Located in Santa Rosa, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $892. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $611 171%
Blue Cross Blue Shieldmajor $1,674 - $2,402 470%
Aetnamajor $495 - $1,762 139%
Health Net $485 136%

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1165 Montgomery Dr, Santa Rosa, CA 95405
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals