This report documents the process and findings of a Health Impact Assessment (HIA) conducted by the San Francisco Department of Public Health on one future road pricing scenario being studied by the San Francisco County Transportation Authority (SFCTA). The scenario would charge $3 during AM/PM rush hours to travel into or out of the northeast quadrant of San Francisco which includes a concentration of San Francisco’s currently congested downtown streets. The scenario performed best (i.e., greatest benefits with fewest impacts) among dozens of scenarios studied, weighing SFCTA study criteria such as change in traffic and transit congestion, environmental benefits, and economic benefits. To date, no planning study for a specific road pricing proposal in the United States has included a comprehensive assessment of health impacts.