45/100
#1,447 nationally
Sutter Medical Center, Sacramento
2825 Capitol Avenue, Sacramento, CA 95816 · (916) 454-2222
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Sutter Medical Center, Sacramento billed $4.32 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
- 4.3x
- volume-weighted across all its priced work
- Procedures priced
- 182
- inpatient and outpatient combined
- Rank in CA
- #49
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 49% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 28% of U.S. hospitals.
Better than 45% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
551 | $32,772 | $3,806 | +69% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
488 | $104,594 | $24,560 | +60% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
396 | $38,235 | $4,498 | +51% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
279 | $205,428 | $33,160 | +55% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
245 | $70,642 | $15,511 | +63% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
225 | $13,330 | $2,648 | +13% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
175 | $11,007 | $2,271 | +9% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
167 | $185,390 | $57,209 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
165 | $83,263 | $18,187 | +33% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
131 | $73,611 | $14,098 | +23% |
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 |
|---|---|---|---|
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$115,097 | $17,937 | +111% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$113,328 | $22,701 | +101% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$91,988 | $25,755 | +94% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$124,594 | $18,131 | +89% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$147,552 | $49,119 | +83% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$138,885 | $26,341 | +82% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$45,133 | $7,516 | +79% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$83,191 | $16,713 | +79% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Acute Leukemia with Major Complications
MS-DRG 834 · Inpatient stay |
$191,415 | $67,949 | -29% |
|
Back and Neck Procedures Except Spinal Fusion with Major Complications or Disc Device or
MS-DRG 518 · Inpatient stay |
$154,200 | $44,097 | -25% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$51,347 | $18,860 | -23% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$30,520 | $9,128 | -23% |
|
Malignancy of Hepatobiliary System or Pancreas with Major Complications
MS-DRG 435 · Inpatient stay |
$68,982 | $22,230 | -16% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$44,864 | $16,801 | -13% |
|
Lymphoma and Non-acute Leukemia with Major Complications
MS-DRG 840 · Inpatient stay |
$126,182 | $35,855 | -12% |
|
Other Major Cardiovascular Procedures with Complications
MS-DRG 271 · Inpatient stay |
$136,129 | $42,538 | -10% |
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.