CMS Price Transparency Data

CT scan, pelvis

Facility: Providence Santa Rosa Memorial Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$387
about 3.6× the $107 Medicare rate · typically $169–$746
modeled estimate · not a bill or quote
What this hospital charges insurers
$755
Well above the fair price
about $368 over the fair price · 7.1× Medicare
Medicare pays $107 Fair price $387 This hospital $755 Cash price $2,833 Hospital's list price $5,555

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 $46 Priciest $755

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, pelvis is about $387 (about 3.6× the $107 Medicare rate). Providence Santa Rosa Memorial Hospital charges insurers about $755, or about $2,833 in cash — well 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 $387. 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 $179 168%
Blue Cross Blue Shieldmajor $1,471 - $2,111 1377%
Aetnamajor $148 - $1,331 139%
Health Net $145 136%

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