California / Methodist Hospital of Sacramento
CMS certification 050590 · Sacramento, CA · 2 entries in CMS's price-transparency list
Methodist Hospital of Sacramento: charges and Medicare payments
Methodist Hospital of Sacramento reported 916 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 5.65 times what it was paid — mid-range in California, number 105 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 225 stays at an average charge of $118,937, 32% above the national average. It also billed 648 outpatient services, charging 10.61 times what Medicare paid.
- 1Medicare inpatient stays 916
- 2Charge ÷ paid, inpatient 5.65×
- 3Rank in CA (highest ratio = 1) 105 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 27 DRGs that can be compared with the national average, Methodist Hospital of Sacramento charged more than the national average in 27 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 225 | $118,937 | +32% | $22,262 |
| 291 Heart Failure and Shock with MCC | 131 | $86,500 | +53% | $15,194 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $92,917 | +55% | $14,958 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 49 | $74,589 | +52% | $12,282 |
| 177 Respiratory Infections and Inflammations with MCC | 45 | $85,663 | +21% | $18,284 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $84,065 | +39% | $14,942 |
| 683 Renal Failure with CC | 32 | $56,197 | +38% | $10,347 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $95,695 | +30% | $18,960 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $74,879 | +48% | $12,240 |
| 682 Renal Failure with MCC | 29 | $81,975 | +24% | $16,445 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $80,253 | +44% | $11,709 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $56,056 | +48% | $9,421 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $75,241 | +47% | $13,239 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $68,072 | +69% | $9,079 |
| 637 Diabetes with MCC | 18 | $94,358 | +42% | $16,953 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $59,283 | +64% | $9,006 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $86,343 | +14% | $14,935 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $134,694 | +34% | $29,210 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $86,146 | +50% | $14,538 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $101,530 | +2% | $21,148 |
| 638 Diabetes with CC | 12 | $56,396 | +35% | $10,901 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $59,617 | +61% | $9,388 |
| 101 Seizures without MCC | 11 | $73,375 | +50% | $10,800 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $95,529 | +107% | $11,553 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $209,864 | +55% | $29,022 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $337,280 | +47% | $53,687 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $527,099 | +63% | $83,684 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 301 | $39,783 | $3,496 |
| Level 5 Musculoskeletal Procedures | 62 | $109,832 | $16,449 |
| Level 3 Vascular Procedures | 39 | $26,899 | $3,779 |
| Level 1 Intraocular Procedures | 34 | $14,076 | $1,191 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 33 | $11,652 | $1,958 |
| Level 1 Laparoscopy and Related Services | 31 | $57,793 | $7,226 |
| Level 4 Urology and Related Services | 22 | $27,271 | $2,995 |
| Level 3 Urology and Related Services | 18 | $14,774 | $2,515 |
| Level 2 Musculoskeletal Procedures | 15 | $12,136 | $1,642 |
| Level 4 Musculoskeletal Procedures | 15 | $64,804 | $6,941 |
| Level 2 Upper GI Procedures | 15 | $17,604 | $2,430 |
| Level 3 Musculoskeletal Procedures | 14 | $27,012 | $2,363 |
| Level 2 Vascular Procedures | 13 | $16,980 | $2,045 |
| Level 5 Urology and Related Services | 13 | $40,295 | $5,693 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $60,160 | $4,198 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $21,434 | $2,837 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Methodist Hospital of Sacramento charged $118,937 on average, 17% less than the California average of $143,063, and was paid $22,262 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Methodist Hospital of Sacramento charged $86,500 on average, 14% less than the California average of $100,739, and was paid $15,194 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Methodist Hospital of Sacramento charged $92,917 on average, 10% less than the California average of $103,761, and was paid $14,958 against a state average of $15,112. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Methodist Hospital of Sacramento charged $74,589 on average, 2% less than the California average of $76,120, and was paid $12,282 against a state average of $12,552. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $39,783 was 4% below the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $109,832 was 1% above the state average of $109,149. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $26,899 was 11% below the state average of $30,190. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,076 was 33% below the state average of $20,986.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Methodist Hospital of Sacramento in Sacramento, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-02-02 (CMS case 596)
- Met Requirements — 2025-06-09 (CMS case 4987)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.