How many shoppable procedure prices are published for Kaiser Foundation Hospital - Roseville?

Kaiser Foundation Hospital - Roseville in Roseville, CA currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Kaiser Foundation Hospital - Roseville's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Kaiser Foundation Hospital - Roseville's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Kaiser Foundation Hospital - Roseville's CMS Care Compare overall star rating?

CMS Care Compare assigns Kaiser Foundation Hospital - Roseville an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 402 Beds · urban Updated: 4/1/2026

Kaiser Foundation Hospital - Roseville

1600 Eureka Road, Roseville, CA 95661 · 119 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.05×vs. Fair Market Price

Typical commercial prices here are +5% above the fair benchmark (1.05×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 16% of the Time

File Completeness50

Price Logic99

Peer Alignment64

Clean Billing59

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.05× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Kaiser Foundation Hospital - Roseville prices shoppable and inpatient services (1.4× to 1.0× Medicare, divergence 0.71×) in alignment with regional hospital peers (1.05× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#101 of 240 in CA · 41st State Percentile#1,501 of 3,385 in U.S. · 44th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.94× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 16% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 68% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (10.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.05× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.03× Fair BaseRate (1.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.20×) jump +17% above the median procedure ratio (Q50 1.03×)
Unnegotiated chargemaster list prices average 19.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.71× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+17% Upper Tail

Q25 0.94× · Q50 1.03× · Q75 1.20×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

16% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Kaiser Foundation Hospital - Roseville

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$9,162	$16,336	$13,413	1.2×
Total knee replacement CPT Code: `27447`	$25,760	$16,336	$13,523	1.2×
Trauma team activation HCPCS Code: `G0390`	$12,572	$12,572	$1,453	8.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$19,219	$7,407	$6,109	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,889	$4,889	$1,021	4.8×
Breast lump removal CPT Code: `19120`	$8,042	$4,862	$3,875	1.3×
Inguinal hernia repair CPT Code: `49505`	$18,726	$4,481	$3,629	1.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$7,325	$4,120	$3,372	1.2×
Bunion correction surgery CPT Code: `28296`	$11,094	$4,120	$3,446	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,825	$3,825	$583	6.6×
Cataract surgery with lens implant CPT Code: `66984`	$8,624	$2,896	$2,540	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,803	$1,803	$272	6.6×
Colonoscopy with biopsy CPT Code: `45380`	$3,550	$1,497	$1,256	1.2×
Rabies immune globulin HCPCS Code: `90375`	$1,216	$1,216	$322	3.8×
Upper endoscopy with biopsy CPT Code: `43239`	$3,354	$1,190	$987	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,679	$1,158	$981	1.2×
Psychological testing by technician CPT Code: `96138`	$1,103	$1,103	$395	2.8×
Injection procedure for pain management HCPCS Code: `G0260`	$4,424	$879	$855	1.0×
Neurobehavioral status check CPT Code: `96116`	$767	$767	$231	3.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$659	$659	$185	3.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$582	$582	$166	3.5×
Family therapy session CPT Code: `90847`	$594	$594	$173	3.4×
Group therapy session CPT Code: `90853`	$532	$532	$100	5.3×
Blood transfusion CPT Code: `36430`	$1,450	$555	$498	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,754	$500	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,499	$500	$511	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$465	$465	$201	2.3×
Speech therapy (language evaluation) CPT Code: `92507`	$424	$424	$86	4.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$381	$381	$64	6.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$403	$403	$181	2.2×
Psychological testing evaluation CPT Code: `96136`	$370	$370	$128	2.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$348	$348	$151	2.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,351	$339	$303	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$3,282	$339	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$3,629	$339	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$3,438	$339	$369	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$255	$255	$86	3.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,946	$250	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,550	$262	$258	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$202	$202	$38	5.3×
CT scan, sinuses CPT Code: `70486`	$2,934	$203	$166	1.2×
CT scan, pelvis CPT Code: `72192`	$3,590	$190	$163	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,231	$193	$169	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$2,845	$190	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,231	$191	$168	1.1×
Physical therapy (gait training) CPT Code: `97116`	$162	$162	$33	4.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$177	$177	$38	4.7×
Occupational therapy (self-care training) CPT Code: `97535`	$175	$175	$38	4.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$165	$165	$40	4.1×
Orthotic fitting and training CPT Code: `97760`	$165	$165	$51	3.2×
Speech therapy (group session) CPT Code: `92508`	$134	$134	$27	5.0×
Physical therapy (manual therapy) CPT Code: `97140`	$138	$138	$34	4.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$137	$137	$35	3.9×
Prosthetic fitting and training CPT Code: `97761`	$148	$148	$45	3.3×
X-ray, pelvis CPT Code: `72170`	$526	$149	$110	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$504	$168	$148	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$2,682	$153	$160	1.0×
X-ray, chest (single view) CPT Code: `71045`	$476	$124	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$655	$124	$92	1.3×
X-ray, foot CPT Code: `73630`	$566	$124	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$504	$124	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$538	$124	$93	1.3×
X-ray, hand CPT Code: `73130`	$566	$124	$93	1.3×
X-ray, hip CPT Code: `73502`	$381	$124	$93	1.3×
X-ray, ankle CPT Code: `73610`	$605	$124	$93	1.3×
X-ray, lower back CPT Code: `72110`	$588	$149	$112	1.3×
Care planning with family CPT Code: `90887`	$142	$142	$107	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$375	$139	$123	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$907	$149	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$991	$149	$134	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$829	$149	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$941	$149	$130	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$90	$90	$25	3.6×
Typhoid vaccine HCPCS Code: `90675`	$761	$761	$347	2.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$325	$325	$27	12.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$255	$255	$203	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$165	$165	$111	1.5×
Pneumococcal vaccine HCPCS Code: `90732`	$158	$158	$140	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$123	$123	$48	2.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$123	$123	$49	2.5×
Colorectal cancer screening HCPCS Code: `G0010`	$123	$123	$49	2.5×
Drug screening test HCPCS Code: `G0480`	$364	$111	$116	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$48	$48	$25	1.9×
Hepatitis B vaccine HCPCS Code: `90744`	$58	$58	$37	1.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$52	$52	$39	1.3×
Blood antibody screen CPT Code: `86850`	$146	$60	$46	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$60	$60	$56	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$20	$20	$14	1.4×
Blood test, magnesium CPT Code: `83735`	$120	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$104	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$130	$18	$19	0.9×
Blood test, vitamin D CPT Code: `82306`	$115	$29	$31	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$83	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$149	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$65	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$67	$5	$5	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$80	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$185	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$95	$5	$5	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$123	$8	$8	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$155	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$121	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$156	$13	$14	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$128	$13	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$255	$10	$11	0.9×
Culture, blood CPT Code: `87040`	$272	$10	$11	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$74	$18	$20	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$193	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$134	$8	$9	0.9×
Culture, bacterial CPT Code: `87070`	$255	$8	$9	0.9×
Hepatitis C antibody test CPT Code: `86803`	$111	$13	$15	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$142	$5	$6	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$19	$3	$4	0.8×
Blood test, hemoglobin CPT Code: `85018`	$40	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$132	$23	$35	0.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$90	$3	$5	0.6×
Behavioral health living support HCPCS Code: `H2019`	$16	$16	$34	0.5×
Mental health services (therapy) HCPCS Code: `H0032`	$16	$16	$65	0.2×

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 10.6%

Audit a Bill or Quote at Kaiser Foundation Hospital - Roseville (Zero PHI Required)

CMS CCN: 050772

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $9,162

Insurer Median $16,336

1. Amount on Your Bill or Quote ($) Pre-filled with Kaiser Foundation Hospital - Roseville’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,733 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,733

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (10.6% of gross = $1,733).

Step 2 · Cash vs. Insurance Arbitrage Save $7,198 Paying Cash

Self-Pay Cash Rate ($9,162) Beats Your Bill

Kaiser Foundation Hospital - Roseville's published 45 CFR § 180 self-pay cash rate is $9,162 (vs. $16,336 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,947 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($16,360) is $2,947 above the denoised Fair BaseRate ($13,413) and 1.2× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 941105628

Filing Period: 194906

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (10.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite66/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)64%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Kaiser Foundation Hospital - Roseville. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-27·administrative_or_closure
Met Requirements
Recorded
2025-04-08·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (705 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Kaiser Foundation Hospital - Roseville.

Price Index: 1.00× regional baseline

Quality: 59/100 CMS composite

Median Household Income$114,678U.S. Census ACS

Local Uninsured Share3.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 050772 EIN 941105628

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (941105628-roseville-medical-center-standard-charges-ncal-en.csv) Verify on CMS Medicare.gov (CCN 050772) ↗ Verify IRS Form 990 (EIN 941105628) ↗ CMS HCRIS Cost Reports ↗

Published MRF File941105628-roseville-medical-center-standard-charges-ncal-en.csv

Publication / Vintage4/1/2026 · 205.55 MB

Validated Rate Rows252 (CMS v3.0.1)

File Integrity DigestVerified · CCN 050772

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy