22/100
#2,102 nationally
Adventist Health Sonora
1000 Greenley Road, Sonora, CA 95370 · (209) 536-5000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Adventist Health Sonora billed $6.53 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.5x
- volume-weighted across all its priced work
- Procedures priced
- 77
- inpatient and outpatient combined
- Rank in CA
- #151
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 21% of U.S. hospitals.
Better than 34% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 14% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
556 | $1,923 | $898 | -39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
464 | $36,321 | $3,586 | +87% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
395 | $114,170 | $22,244 | +75% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
313 | $8,115 | $2,117 | -19% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
256 | $147,471 | $16,873 | +136% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
210 | $12,906 | $2,542 | +14% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
205 | $6,654 | $2,653 | -49% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
145 | $84,059 | $9,369 | +111% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
125 | $13,965 | $3,598 | -21% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
120 | $8,799 | $2,081 | -22% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$176,207 | $12,617 | +195% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$104,876 | $9,569 | +186% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$77,513 | $9,640 | +154% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$88,638 | $7,598 | +152% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$81,904 | $12,124 | +137% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$147,471 | $16,873 | +136% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$66,925 | $13,595 | +119% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$93,924 | $14,015 | +116% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,654 | $2,653 | -49% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$3,324 | $1,939 | -48% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,923 | $898 | -39% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$7,465 | $2,235 | -35% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$8,799 | $2,081 | -22% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$13,965 | $3,598 | -21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$8,115 | $2,117 | -19% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$21,027 | $5,019 | -12% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.