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▸ Hospital · · CCN 29001E

St Rose Dominican Hospital Siena Campus

Compliance grade
A
100/100
Rates published
3,712
last crawl 2026-05-22
Procedures tracked
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Payers
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▸ Compare with other hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.dignityhealth.org/content/dam/dignity-health/documents/pricing-procedure-spreadsheets-2020/941196203_St-Rose-Dominican-Siena_standardcharges.csv · CSV

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Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

ProcedureTypeCodePayersGrossCashNeg minNeg medianvs nat'lNeg max
behavioral
PsychosesMS-DRG8855——$9,546.37$9,546.370.75×$27,895
emergency
ED visit level 1CPT9928114$633$443.1$19.33$327.962.3×$1,509
ED visit level 2CPT9928214$1,213$849.1$38.04$628.462.7×$2,066
ED visit level 3CPT9928314$2,110$1,477$56.68$1,093.22.7×$3,262
ED visit level 4CPT9928414$3,588$2,511.6$108.14$1,886.222.8×$8,198
ED visit level 5CPT9928514$5,276$3,693.2$158.84$2,773.62.7×$8,198
Critical care, first hourCPT9929114$8,441$5,908.7$205.99$4,724.864.4×$8,441
imaging
CT head without contrastCPT7045015$5,659$3,961.3$100$1,0525.1×$3,802.85
CT head with contrastCPT7046015$7,923$5,546.1$100$1,0524.5×$5,324.26
CT head with and without contrastCPT7047015$9,337$6,535.9$100$1,0523.9×$6,274.47
CT neck with contrastCPT7049115$7,277$5,093.9$100$1,0523.8×$4,890.15
MRI brain without contrastCPT7055115$8,049$5,634.3$249.89$1,5863.9×$5,408.93
MRI brain with contrastCPT7055215$8,532$5,972.4$352.03$1,5863.3×$5,733.51
MRI brain with and without contrastCPT7055315$8,612$6,028.4$399.73$1,5862.7×$5,787.27
Chest X-ray single viewCPT7104511$1,190$833$20.22$2202.3×$2,013
Chest X-ray 2 viewsCPT7104611$1,476$1,033.2$31.13$2202.2×$2,013
Chest X-ray 3 viewsCPT7104711$1,797$1,257.9$39.85$229.892.4×$2,013
CT chest without contrastCPT7125015$3,555$2,488.5$100$1,0524.9×$2,388.96
CT chest with contrastCPT7126015$7,109$4,976.3$100$1,0523.7×$4,777.25
CT chest with and without contrastCPT7127015$7,962$5,573.4$100$1,0523.6×$5,350.47
MRI chest without contrastCPT7155015$4,082$2,857.4$249.89$1,5863.7×$2,743.11
MRI chest with contrastCPT7155115$6,089$4,262.3$498.37$1,5861.9×$4,091.81
MRI chest with and without contrastCPT7155215$6,919$4,843.3$399.73$1,5862.6×$4,649.57
Lumbosacral spine X-rayCPT7210011$1,429$1,000.3$38.58$119.521.2×$2,013
CT cervical spine without contrastCPT7212515$5,537$3,875.9$100$1,0525.2×$3,720.87
CT thoracic spine without contrastCPT7212815$7,039$4,927.3$100$1,0525.3×$4,730.21
CT lumbar spine without contrastCPT7213115$5,575$3,902.5$100$1,0525.2×$3,746.4
MRI cervical spine without contrastCPT7214115$8,362$5,853.4$249.89$1,5864.0×$5,619.27
MRI thoracic spine without contrastCPT7214615$5,257$3,679.9$249.89$1,5864.3×$3,532.71
MRI lumbar spine without contrastCPT7214815$7,881$5,516.7$249.89$1,5864.2×$5,296.04
MRI lumbar spine with and without contrastCPT7214915$11,743$8,220.1$348.63$1,5863.5×$7,891.3
MRI cervical spine with and without contrastCPT7215615$14,215$9,950.5$399.73$1,5862.9×$9,552.48
MRI lumbar spine with contrastCPT7215815$13,319$9,323.3$399.73$1,5862.9×$8,950.37
CT pelvis without contrastCPT7219215$3,881$2,716.7$100$1,0525.3×$2,608.04
CT pelvis with contrastCPT7219315$7,800$5,460$100$1,0523.7×$5,241.6
Shoulder X-rayCPT7303011$2,082$1,457.4$33.36$274.083.0×$2,013
Humerus X-rayCPT7306011$1,309$916.3$31.08$186.22.1×$2,013
Hand X-ray 3 viewsCPT7313011$2,006$1,404.2$35.23$302.913.3×$2,013
MRI upper extremity joint without contrastCPT7322115$12,726$8,908.2$249.89$1,5933.8×$8,551.88
MRI upper extremity joint with and without contrastCPT7322315$21,295$14,907$399.73$1,5932.6×$14,310
Knee X-ray 1-2 viewsCPT7356011$1,625$1,137.5$33$293.183.1×$2,013
Ankle X-ray 3 viewsCPT7361011$2,441$1,708.7$35.99$302.913.3×$2,013
MRI lower extremity joint without contrastCPT7372115$9,185$6,429.5$249.89$1,5933.4×$6,172.32
MRI lower extremity joint with and without contrastCPT7372315$15,369$10,758$399.73$1,5932.5×$10,328
CT abdomen without contrastCPT7415015$4,434$3,103.8$100$1,0525.6×$2,979.65
CT abdomen with contrastCPT7416015$8,061$5,642.7$100$1,0523.7×$5,417
CT abdomen with and without contrastCPT7417015$9,539$6,677.3$100$1,0523.1×$6,410.21
CT abdomen and pelvis without contrastCPT7417615$8,598$6,018.6$100$1,0522.9×$5,777.86
CT abdomen and pelvis with contrastCPT7417715$13,435$9,404.5$100$1,0521.9×$9,028.32
CT abdomen and pelvis with and without contrastCPT7417815$15,182$10,627$100$1,0521.8×$10,202
MRI abdomen without contrastCPT7418115$6,545$4,581.5$249.89$1,5864.1×$4,398.24
MRI abdomen with and without contrastCPT7418315$11,061$7,742.7$399.73$1,5862.8×$7,433
Abdominal ultrasound completeCPT7670011$2,900$2,030$100$618.414.1×$2,630
Abdominal ultrasound limitedCPT7670511$2,377$1,663.9$100$471.523.2×$2,630
Retroperitoneal ultrasound completeCPT7677011$3,587$2,510.9$100$581.194.0×$2,630
Obstetric ultrasound first trimesterCPT7680111$2,015$1,410.5$100$444.363.1×$2,630
Obstetric ultrasound after first trimesterCPT7680511$2,317$1,621.9$100$511.563.4×$2,630
Obstetric ultrasound with fetal anatomyCPT7681111$921$644.7$100$254.891.1×$2,630
Transvaginal ultrasoundCPT7683011$1,458$1,020.6$100$340.212.3×$2,630
Pelvic ultrasound completeCPT7685611$2,966$2,076.2$100$561.853.9×$2,630
Scrotal ultrasoundCPT7687011$3,102$2,171.4$77.84$537.14.1×$2,630
Diagnostic mammography unilateralCPT7706511$550$385$91.54$172.561.2×$550
Diagnostic mammography bilateralCPT7706611$1,100$770$100$294.011.5×$1,100
Screening mammography bilateralCPT7706711$800$560$96.78$220.741.4×$800
EKG tracing onlyCPT930058$1,262$883.4$7.4$60.440.51×$1,083
Transthoracic echocardiogram completeCPT933068$7,744$5,420.8$203.54$524.350.88×$5,203.97
Transthoracic echocardiogramCPT933078$2,739$1,917.3$117.41$249.891.0×$1,840.61
Stress echocardiogramCPT933508$1,284$898.8$214.85$524.351.0×$1,321
inpatient
Respiratory infections & inflammations w MCCMS-DRG1775——$13,943$13,9430.90×$41,610
COPD w MCCMS-DRG1905——$8,727.98$8,727.980.78×$25,343
COPD w CCMS-DRG1915——$6,987.09$6,987.090.79×$19,913
COPD w/o CC/MCCMS-DRG1925——$5,626.48$5,626.480.80×$15,669
Simple pneumonia & pleurisy w CCMS-DRG1945——$6,841.78$6,841.780.81×$19,460
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG1955——$5,410.32$5,410.320.81×$14,995
AMI discharged alive w MCCMS-DRG2805——$12,359$12,3590.79×$36,669
AMI discharged alive w CCMS-DRG2815——$7,341.34$7,341.340.76×$21,018
AMI discharged alive w/o CC/MCCMS-DRG2825——$5,847.71$5,847.710.75×$16,359
Heart failure & shock w MCCMS-DRG2915——$10,297$10,2970.81×$30,236
Heart failure & shock w CCMS-DRG2925——$7,073.85$7,073.850.79×$20,184
Heart failure & shock w/o CC/MCCMS-DRG2935——$5,320.67$5,320.670.86×$14,715
Cardiac arrhythmia w MCCMS-DRG3085——$9,273.09$9,273.090.77×$27,043
Cardiac arrhythmia w CCMS-DRG3095——$6,020.5$6,020.50.77×$16,898
Cardiac arrhythmia w/o CC/MCCMS-DRG3105——$4,639.65$4,639.650.75×$12,591
GI hemorrhage w CCMS-DRG3785——$7,783.07$7,783.070.78×$22,396
GI hemorrhage w/o CC/MCCMS-DRG3795——$5,208.61$5,208.610.76×$14,366
Esophagitis/gastroenteritis w/o MCCMS-DRG3925——$6,128.94$6,128.940.76×$17,236
Fractures of femur w/o MCCMS-DRG5335——$10,815$10,8150.71×$31,853
Kidney/UTI w MCCMS-DRG6895——$8,636.89$8,636.890.74×$25,059
Kidney/UTI w/o MCCMS-DRG6905——$6,329.92$6,329.920.76×$17,863
Septicemia or severe sepsis w MV 96+ hrsMS-DRG8715——$14,109$14,1090.76×$42,126
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG8725——$7,988.39$7,988.390.77×$23,036
lab
Basic metabolic panel (BMP)CPT8004811$818$572.6$5.77$14.060.43×$549.7
General health panelCPT800507$140$98$24.31$62.550.58×$94.08
Electrolyte panelCPT8005111$644$450.8$4.79$11.650.49×$432.77
Comprehensive metabolic panelCPT8005311$1,234$863.8$7.21$17.950.40×$829.25
Lipid panelCPT8006111$462$323.4$9.14$22.750.60×$310.47
Renal function panelCPT8006911$416$291.2$5.93$14.430.53×$279.56
Hepatic function panelCPT8007611$1,359$951.3$5.57$13.570.51×$913.25
Urinalysis non-automatedCPT8100211$35$24.5$1.75$4.740.68×$23.52
Urinalysis automatedCPT8100311$386$270.2$1.53$3.730.27×$259.4
Glucose quantitativeCPT8294711$330$231$2.68$6.530.37×$221.76
Hemoglobin A1cCPT8303611$431$301.7$6.62$16.50.61×$289.64
Thyroid stimulating hormone (TSH)CPT8444311$951$665.7$11.47$28.570.60×$639.08
Complete blood count with automated differentialCPT8502511$500$350$5.31$12.920.49×$336
Complete blood count without differentialCPT8502711$241$168.7$4.42$10.750.50×$161.96
Urine culture bacterialCPT8708611$1,051$735.7$5.51$13.420.58×$706.28
Urine culture identificationCPT8708811$602$421.4$5.53$13.450.60×$404.55
Tissue exam by pathologist level IVCPT8830511$1,845$1,291.5$27.3$60.840.59×$1,239.84
maternity
Fetal non-stress testCPT5902513$751$525.7$62.13$335.71.8×$1,083
Routine obstetric care including vaginal deliveryCPT594003——$2,023$2,031.860.89×$3,793.41
Vaginal delivery onlyCPT5940911——$822.61$2,848.441.3×$3,793.41
Vaginal delivery with postpartumCPT594104——$1,014.4$2,0231.9×$3,793.41
Routine obstetric care with C-sectionCPT595103——$2,023$2,247.10.90×$3,793.41
C-section delivery onlyCPT595143——$895.91$2,0232.1×$3,793.41
C-section with postpartumCPT595154——$1,228.85$2,8922.3×$4,539
office
Office visit, new patient, 15-29 minCPT992025$399$279.3$46.46$2002.3×$4,645
Office visit, new patient, 30-44 minutesCPT992034$528$369.6$70.88$2321.9×$354.82
Office visit, new patient, 45-59 minCPT992045$3,976$2,783.2$121.31$433.442.5×$4,645
Office visit, new patient, 60-74 minCPT992054$884$618.8$156.48$3211.5×$594.05
Office visit, established patient, 5 minCPT992119$399$279.3$8.55$214.673.3×$4,645
Office visit, established patient, 10-19 minCPT992124$399$279.3$23.38$199.752.5×$268.13
Office visit, established patient, 20-29 minutesCPT992134$419$293.3$47.41$204.751.8×$281.57
Office visit, established patient, 30-39 minutesCPT992145$3,976$2,783.2$72.73$433.442.8×$4,645
Office visit, established patient, 40-54 minCPT992154$645$451.5$102.33$261.251.4×$433.44
preventive
Upper GI endoscopy diagnosticCPT4323512——$329.44$1,3151.4×$4,552
Upper GI endoscopy with biopsyCPT4323912——$329.44$1,7291.8×$5,125
Sigmoidoscopy diagnosticCPT4533011——$60.11$1,097.021.3×$4,552
Sigmoidoscopy with biopsyCPT4533112——$217.65$1,3151.5×$4,552
Colonoscopy diagnosticCPT4537812——$332.71$1,7292.0×$5,125
Colonoscopy with biopsyCPT4538012——$332.71$1,7291.4×$5,125
Colonoscopy with polyp removalCPT4538512——$332.71$1,7291.4×$5,125
surgery
Total shoulder arthroplastyCPT2347210——$1,391.87$13,3723.2×$14,448
PCI w drug-eluting stent w MCCMS-DRG2468——$11,054$23,2000.84×$70,481
PCI w drug-eluting stent w/o MCCMS-DRG2478——$11,054$14,9770.82×$66,233
Hip hemiarthroplastyCPT2712510——$1,079.36$3,793.413.0×$13,640
Total hip replacementCPT2713011——$1,294.96$11,1362.6×$14,448
Total knee replacementCPT2744711——$1,294.26$11,1362.7×$14,448
Knee revision arthroplasty single componentCPT2748610——$1,343.02$13,3728.0×$14,448
Knee revision arthroplasty all componentsCPT2748710——$1,679.74$13,3726.7×$14,448
Shoulder arthroscopy with decompressionCPT298268——$168.17$1,6385.0×$11,780
Shoulder arthroscopy with rotator cuff repairCPT2982711——$1,965.14$6,802.862.1×$8,696
Knee arthroscopy with meniscectomyCPT2988111——$1,058.82$3,073.421.5×$11,780
ACL reconstructionCPT2988811——$1,638$6,789.932.0×$8,696
Major small/large bowel procedures w MCCMS-DRG3295——$35,668$35,6680.83×$109,369
Major small/large bowel procedures w CCMS-DRG3305——$18,959$18,9590.82×$57,252
Major small/large bowel procedures w/o CC/MCCMS-DRG3315——$12,966$12,9660.79×$38,561
CABG single arterial graftCPT335336——$1,381$2,0241.1×$3,793.41
CABG 2 arterial graftsCPT335346——$1,381$2,077.140.97×$3,793.41
CABG 3 arterial graftsCPT335356——$1,381$2,096.50.92×$3,793.41
CABG 4+ arterial graftsCPT335366——$1,381$2,096.50.86×$3,793.41
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG4185——$10,688$12,8070.78×$38,065
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG4195——$10,111$10,2120.75×$29,656
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG4205——$26,008$26,0080.80×$79,239
Open appendectomyCPT4495011——$1,154.72$3,363.873.0×$4,071
Laparoscopic appendectomyCPT4497011——$1,589.51$5,494.933.5×$8,696
Spinal fusion (non-cervical) w MCCMS-DRG4595——$49,271$49,2711.00×$170,584
Spinal fusion (non-cervical) w/o MCCMS-DRG4606——$29,034$29,0340.86×$99,655
Major joint replacement w MCCMS-DRG4696——$22,902$22,9020.77×$69,550
Major joint replacement w/o MCCMS-DRG4706——$14,338$14,3380.76×$54,619
Laparoscopic cholecystectomyCPT4756211——$1,589.51$5,494.933.1×$15,372
Lap cholecystectomy with cholangiographyCPT4756311——$1,589.51$5,494.932.9×$15,372
Hip & femur procedures except major joint w MCCMS-DRG4806——$22,469$22,4690.80×$68,199
Hip & femur procedures except major joint w CCMS-DRG4816——$15,752$15,7520.78×$54,619
Hip & femur procedures except major joint w/o CC/MCCMS-DRG4826——$12,508$12,5080.78×$54,619
Open umbilical hernia repairCPT4956012——$1,154.72$3,456.741.8×$8,107
Umbilical hernia repair age 5+CPT4958512——$1,154.72$3,456.742.6×$8,107
Lap inguinal hernia repairCPT4965011——$1,589.51$5,494.934.9×$8,696
Lap incisional hernia repairCPT4965211——$1,589.51$5,494.932.0×$11,088
Total abdominal hysterectomyCPT581508——$963.35$2,3052.4×$9,089
Vaginal hysterectomyCPT5826012——$1,430.56$4,321.012.4×$11,088
Lap-assisted vaginal hysterectomyCPT5855011——$1,589.51$5,494.933.7×$11,088
Lap-assisted vaginal hysterectomy >250gCPT5855211——$2,590.67$8,0763.6×$9,865.92
Lap salpingo-oophorectomyCPT5866111——$1,589.51$5,494.932.7×$8,696
OR procedure for obesity w MCCMS-DRG61911——$11,512$22,9600.85×$69,025
OR procedure for obesity w CCMS-DRG62011——$11,512$19,7221.2×$58,741
OR procedure for obesity w/o CC/MCCMS-DRG62111——$11,512$19,7221.3×$58,741
Complex cataract surgeryCPT6698212——$771.57$2,9781.3×$10,422
Cataract surgery with lens implantCPT6698412——$771.57$2,9781.4×$10,422
Intravitreal injectionCPT6702811——$97.47$629.51.8×$4,552
Vitrectomy mechanicalCPT6704211——$1,417.92$4,287.571.7×$11,088
Uterine & adnexa procedures w CC/MCCMS-DRG7435——$8,788.71$8,788.710.72×$25,532
Uterine & adnexa procedures w/o CC/MCCMS-DRG7445——$13,573$13,5730.71×$40,453
PCI single major coronary arteryCPT9292011$23,474$16,432$5,382.43$9,9381.8×$26,315
PCI with drug-eluting stentCPT9292811$33,769$23,638$3,921$11,0141.1×$22,693
PCI bypass graftCPT9293711$33,769$23,638$3,921$11,0141.0×$22,693
Left heart catheterizationCPT9345213$25,516$17,861$788.91$6,2602.0×$17,147
Coronary angiography with cathCPT9345511$28,666$20,066$935.95$4,7441.5×$19,264
Coronary angiography with bypass cathCPT9345813$43,050$30,135$964.15$6,2602.0×$28,930
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 15)

PayerCodes coveredMedian rate
UnitedHealthcare178$2,145
Aetna172$1,367
Anthem BCBS169$694.92
Humana167$752.15
Medicare167$879.07
Medicaid141$217.65
Cigna134$481.26
commercial | health services coalition | all plans131$1,435
commercial | teachers health trust | all plans128$2,219.88
First Health100$1,048
Multiplan100$1,408.52
commercial | health plan of nv | all plans92$1,593
commercial | sierra health options | prime92$2,025
commercial | sierra health options | state of nv57$1,912
Kaiser Permanente46$2,013
Procedures tracked
188
of 209 target codes
Payers
15
with negotiated rates