Hospital · CCN 050291
Sutter Santa Rosa Regional Hospital
30 Mark West Springs Road, Santa Rosa, CA 95403 · Sonoma County
Part of Sutter Health · 124 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
67 admission types 45 outpatient services
Billed per dollar paid, all admissions
4.23×
$195.3M billed against $46.1M paid across 2,010 Medicare discharges; the national figure is 5.03×.
—
of adults in Sonoma County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
6.7%
uninsured in the county · state 7.5%
$100K
median household income
5.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ
26.1%
obesity in the countyⓘ
10.7%
diagnosed diabetes (PLACES)
6.4%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
348
$116,759
$26,539
4.4× st 6.2×
291
Heart failure and shock with mcc
127
$78,411
$17,077
4.6× st 6.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
83
$59,749
$13,771
4.3× st 6.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
79
$107,000
$24,005
4.5× st 6.4×
177
Respiratory infections and inflammations with mcc
56
$73,346
$21,199
3.5× st 6.6×
378
Gastrointestinal hemorrhage with cc
51
$67,080
$13,063
5.1× st 6.8×
280
Acute myocardial infarction, discharged alive with mcc
51
$113,384
$25,422
4.5× st 6.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
48
$249,886
$68,865
3.6× st 6.2×
193
Simple pneumonia and pleurisy with mcc
48
$57,948
$16,311
3.6× st 6.9×
377
Gastrointestinal hemorrhage with mcc
34
$96,678
$22,128
4.4× st 6.4×
309
Cardiac arrhythmia and conduction disorders with cc
33
$47,922
$9,894
4.8× st 7.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
33
$54,696
$11,257
4.9× st 6.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
32
$94,024
$17,308
5.4× st 5.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
31
$66,749
$13,211
5.1× st 7.9×
190
Chronic obstructive pulmonary disease with mcc
30
$61,204
$14,438
4.2× st 7.1×
330
Major small and large bowel procedures with cc
30
$142,493
$30,405
4.7× st 6.9×
281
Acute myocardial infarction, discharged alive with cc
30
$75,686
$12,038
6.3× st 7.8×
603
Cellulitis without mcc
30
$50,490
$11,953
4.2× st 5.9×
698
Other kidney and urinary tract diagnoses with mcc
30
$59,569
$19,420
3.1× st 6.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
29
$156,664
$25,384
6.2× st 7.8×
682
Renal failure with mcc
27
$75,861
$19,474
3.9× st 6.1×
690
Kidney and urinary tract infections without mcc
26
$52,265
$11,614
4.5× st 6.6×
389
Gastrointestinal obstruction with cc
24
$54,242
$10,846
5.0× st 6.9×
329
Major small and large bowel procedures with mcc
24
$214,718
$56,631
3.8× st 6.5×
189
Pulmonary edema and respiratory failure
24
$74,465
$16,271
4.6× st 6.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
22
$132,074
$25,811
5.1× st 6.9×
683
Renal failure with cc
22
$46,589
$12,026
3.9× st 6.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
21
$53,464
$10,573
5.1× st 6.3×
314
Other circulatory system diagnoses with mcc
21
$118,347
$27,077
4.4× st 6.1×
312
Syncope and collapse
21
$61,514
$11,701
5.3× st 7.2×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$62,403
$17,994
3.5× st 6.9×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
20
$64,544
$11,717
5.5× st 5.7×
699
Other kidney and urinary tract diagnoses with cc
19
$47,987
$13,785
3.5× st 6.1×
467
Revision of hip or knee replacement with cc
19
$157,067
$40,573
3.9× st 6.1×
552
Medical back problems without mcc
18
$55,117
$13,608
4.1× st 7.5×
388
Gastrointestinal obstruction with mcc
18
$67,462
$19,203
3.5× st 6.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
17
$100,326
$17,769
5.6× st 6.5×
481
Hip and femur procedures except major joint with cc
17
$116,436
$24,377
4.8× st 6.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
16
$151,299
$38,246
4.0× st 6.7×
455
Combined anterior and posterior spinal fusion without cc/mcc
16
$207,395
$64,532
3.2× st 5.5×
453
Combined anterior and posterior spinal fusion with mcc
16
$280,332
$114,059
2.5× st 5.6×
418
Laparoscopic cholecystectomy without c.d.e. with cc
16
$127,907
$20,792
6.2× st 7.9×
689
Kidney and urinary tract infections with mcc
16
$51,930
$14,912
3.5× st 6.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
15
$86,651
$20,969
4.1× st 7.4×
194
Simple pneumonia and pleurisy with cc
15
$45,599
$10,513
4.3× st 7.5×
432
Cirrhosis and alcoholic hepatitis with mcc
15
$70,942
$24,515
2.9× st 5.6×
637
Diabetes with mcc
14
$92,156
$19,351
4.8× st 6.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$34,330
$7,762
4.4× st 7.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$178,400
$36,089
4.9× st 7.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$118,069
$25,566
4.6× st 6.6×
394
Other digestive system diagnoses with cc
14
$51,269
$11,527
4.4× st 6.9×
069
Transient ischemia without thrombolytic
14
$58,494
$10,534
5.6× st 9.5×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
14
$113,928
$24,364
4.7× st 5.5×
196
Interstitial lung disease with mcc
13
$100,028
$24,927
4.0× st 7.0×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
13
$50,862
$9,264
5.5× st 8.8×
282
Acute myocardial infarction, discharged alive without cc/mcc
13
$68,370
$9,665
7.1× st 9.0×
178
Respiratory infections and inflammations with cc
13
$58,640
$12,427
4.7× st 7.1×
660
Kidney and ureter procedures for non-neoplasm with cc
13
$115,945
$23,984
4.8× st 7.1×
480
Hip and femur procedures except major joint with mcc
13
$138,073
$36,364
3.8× st 6.8×
393
Other digestive system diagnoses with mcc
13
$102,064
$21,829
4.7× st 5.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
13
$100,601
$14,169
7.1× st 7.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
12
$130,518
$30,434
4.3× st 6.5×
439
Disorders of pancreas except malignancy with cc
12
$54,156
$16,509
3.3× st 7.4×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$47,219
$11,997
3.9× st 6.9×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
11
$123,073
$26,024
4.7× st 5.6×
468
Revision of hip or knee replacement without cc/mcc
11
$103,145
$37,958
2.7× st 5.8×
454
Combined anterior and posterior spinal fusion with cc
11
$210,882
$76,098
2.8× st 5.5×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5115
Level 5 Musculoskeletal Procedures
316
$82,713
$17,429
4.7×
8011
Comprehensive Observation Services
292
$33,912
$3,644
9.3×
5302
Level 2 Upper GI Procedures
225
$12,920
$2,531
5.1×
5361
Level 1 Laparoscopy and Related Services
137
$43,844
$7,567
5.8×
5183
Level 3 Vascular Procedures
109
$21,159
$4,255
5.0×
5191
Level 1 Endovascular Procedures
102
$44,716
$4,326
10.3×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
92
$12,662
$2,127
6.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
80
$17,423
$3,793
4.6×
5362
Level 2 Laparoscopy and Related Services
76
$85,689
$13,561
6.3×
5114
Level 4 Musculoskeletal Procedures
74
$46,868
$9,543
4.9×
5192
Level 2 Endovascular Procedures
71
$46,906
$7,458
6.3×
5375
Level 5 Urology and Related Services
69
$33,009
$6,907
4.8×
5116
Level 6 Musculoskeletal Procedures
63
$120,052
$24,807
4.8×
5182
Level 2 Vascular Procedures
61
$10,490
$2,138
4.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
58
$28,177
$4,555
6.2×
5193
Level 3 Endovascular Procedures
51
$83,804
$14,402
5.8×
5374
Level 4 Urology and Related Services
50
$24,998
$4,653
5.4×
5414
Level 4 Gynecologic Procedures
39
$26,281
$4,173
6.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
34
$51,860
$8,494
6.1×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
34
$31,710
$5,088
6.2×
5113
Level 3 Musculoskeletal Procedures
33
$29,071
$4,321
6.7×
5373
Level 3 Urology and Related Services
31
$15,583
$2,719
5.7×
5112
Level 2 Musculoskeletal Procedures
27
$13,260
$2,145
6.2×
5313
Level 3 Lower GI Procedures
27
$15,975
$3,746
4.3×
5223
Level 3 Pacemaker and Similar Procedures
21
$63,673
$13,628
4.7×
5194
Level 4 Endovascular Procedures
18
$121,645
$23,343
5.2×
5165
Level 5 ENT Procedures
15
$54,016
$7,817
6.9×
5415
Level 5 Gynecologic Procedures
13
$30,708
$6,639
4.6×
5303
Level 3 Upper GI Procedures
12
$25,550
$5,112
5.0×
5153
Level 3 Airway Endoscopy
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.