CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Providence Santa Rosa Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,657
about 1.6× the $14,044 Medicare rate · typically $18,696–$26,705
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,704
About the fair price
about $953 under the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $22,657 This hospital $21,704

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 $9,517 Priciest $21,704

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

A fair price for a Hip or knee replacement (inpatient stay) is about $22,657 (about 1.6× the $14,044 Medicare rate). Providence Santa Rosa Memorial Hospital charges insurers about $21,704 — about the fair price. Located in Santa Rosa, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $21,704 - $45,280 155%
Blue Cross Blue Shieldmajor $21,704 - $60,709 155%
Aetnamajor $21,704 - $62,044 155%
Cignamajor $21,704 155%
Humanamajor $21,704 155%
Kaiser Permanentemajor $21,704 155%
Health Net $21,270 - $51,766 151%
Providence Health Plan $21,704 155%
+ 5 smaller / regional plans $21,704

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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