How many shoppable procedure prices are published for Santa Rosa Medical Center?

Santa Rosa Medical Center in Milton, FL currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Santa Rosa Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Santa Rosa Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Santa Rosa Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Santa Rosa Medical Center 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 Proprietary 87 Beds · urban Updated: 2026-04-01

Santa Rosa Medical Center

6002 Berryhill Rd, Milton, FL 32570 · 105 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.15×vs. Fair Market Price

Typical commercial prices here are +15% above the fair benchmark (1.15×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 41% of the Time

File Completeness90

Price Logic81

Peer Alignment61

Clean Billing88

Real Cash Discount100

High-Markup Tier

3-Star CMS clinical quality rating paired with 1.15× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 2,763), Santa Rosa Medical Center commands a 1.15× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#97 of 165 in FL · 58th State Percentile#1,860 of 3,385 in U.S. · 54th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.89× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 41% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 61% patient recommendation (67/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Commercial insurance median sits at 0.96× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.29×) jump +34% above the median procedure ratio (Q50 0.96×)
Consolidated metro market (HHI 2,763) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.85× Divergence

1.1× Medicare

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

Quantile Tail Spread+34% Upper Tail

Q25 0.89× · Q50 0.96× · Q75 1.29×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

0.9× MedicareGood

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

41% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 67/100Fair

Procedure Prices at Santa Rosa Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$32,775	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$27,308	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,910	$19,087	0.9×
Total knee replacement CPT Code: `27447`	$23,494	$15,532	$13,523	1.1×
Total hip replacement CPT Code: `27130`	$20,872	$15,086	$13,413	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$12,511	$7,892	$6,109	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,152	$8,223	0.9×
Bunion correction surgery CPT Code: `28296`	$14,904	$5,591	$3,446	1.6×
Breast lump removal CPT Code: `19120`	$5,442	$5,111	$3,875	1.3×
Inguinal hernia repair CPT Code: `49505`	$9,818	$4,674	$3,629	1.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$8,009	$4,271	$3,372	1.3×
Colonoscopy with biopsy CPT Code: `45380`	$3,416	$2,385	$1,256	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$2,082	$2,082	$123	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,845	$1,957	$981	2.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$1,553	$1,553	$87	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$780	$1,474	$855	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$3,481	$1,422	$987	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,388	$1,421	$1,021	1.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,662	$1,058	$583	1.8×
Rabies immune globulin HCPCS Code: `90375`	$883	$883	$322	2.7×
Blood transfusion CPT Code: `36430`	$316	$749	$498	1.5×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,566	$462	$272	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$399	$399	$151	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,954	$358	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,143	$370	$511	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$376	$376	$110	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$120	$342	$201	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,081	$245	$303	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,118	$253	$343	0.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,374	$215	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,179	$229	$258	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$3,611	$253	$338	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,322	$253	$369	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$2,525	$173	$160	1.1×
X-ray, pelvis CPT Code: `72170`	$525	$107	$110	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$394	$123	$64	unverified
X-ray, chest (single view) CPT Code: `71045`	$306	$89	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$623	$89	$92	1.0×
X-ray, foot CPT Code: `73630`	$568	$89	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$347	$89	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$774	$89	$93	1.0×
X-ray, hand CPT Code: `73130`	$594	$89	$93	1.0×
X-ray, hip CPT Code: `73502`	$473	$89	$93	1.0×
X-ray, ankle CPT Code: `73610`	$777	$89	$93	1.0×
X-ray, lower back CPT Code: `72110`	$1,035	$107	$112	1.0×
Ultrasound, pelvis CPT Code: `76856`	$1,176	$113	$130	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$981	$107	$126	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,139	$113	$134	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$508	$107	$132	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$336	$105	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$306	$86	$123	0.7×
CT scan, pelvis CPT Code: `72192`	$1,557	$111	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$2,297	$111	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$2,118	$111	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,295	$111	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,903	$111	$169	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$253	$1,014	$203	unverified
Typhoid vaccine HCPCS Code: `90675`	$659	$659	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$167	$670	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$134	$384	$56	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$142	$117	$140	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$43	$136	$48	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$45	$66	$49	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$37	$64	$49	1.3×
Blood antibody screen CPT Code: `86850`	$46	$54	$46	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$73	$75	$86	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$96	$79	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$96	$96	$39	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$96	$77	$37	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$151	$21	$14	1.5×
Physical therapy (manual therapy) CPT Code: `97140`	$88	$41	$34	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$293	$44	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$132	$51	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$144	$44	$33	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$203	$55	$40	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$37	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$7	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$13	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$11	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$20	$10	$10	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$78	$34	$35	1.0×
Blood test, lipase CPT Code: `83690`	$12	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$19	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$9	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$10	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$8	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$7	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$33	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$12	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$96	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$28	$29	$31	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$3	$3	1.0×
Hepatitis C antibody test CPT Code: `86803`	$131	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$23	$13	$14	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$14	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$72	$10	$11	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$19	$17	$19	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$20	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$25	$8	$9	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$32	$14	$16	0.9×
Blood test, amylase CPT Code: `82150`	$13	$6	$7	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$14	$15	$18	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$10	$4	$5	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$78	$28	$20	unverified

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Santa Rosa Medical Center (Zero PHI Required)

CMS CCN: 100124

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $32,775

1. Amount on Your Bill or Quote ($) Pre-filled with Santa Rosa Medical Center’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Santa Rosa Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$60,724 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($78,660) is $60,724 above the denoised Fair BaseRate ($17,936) and 6.1× the $12,807 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) For-Profit / Non-501(c)(3)

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

EIN: 680045270

Public IRS & CMS ownership records classify Santa Rosa Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Composite67/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait117 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

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 Santa Rosa Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-17·administrative_or_closure
Met Requirements
Recorded
2023-02-07·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (414 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Santa Rosa Medical Center.

Price Index: 1.40× regional baseline

Quality: 59/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-59.4%

Geo Group

-45.7%

Blue Cross Blue Shield

+72.4%

Median Household Income$88,968U.S. Census ACS

Local Uninsured Share10.4%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 84/100 · Corroborated CMS CCN 100124 EIN 680045270

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100124) ↗ Verify IRS Form 990 (EIN 680045270) ↗ CMS HCRIS Cost Reports ↗

Published MRF File680045270_santa-rosa-medical-center_standardcharges.csv

Publication / Vintage2026-04-01 · 738.27 MB

Validated Rate Rows5,924 (CMS v3.0.0)

File Integrity Digest8646a9f6c6a3295dd743…

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