California / Sutter Amador Hospital
CMS certification 050014 · Jackson, CA · 2 entries in CMS's price-transparency list
Sutter Amador Hospital: charges and Medicare payments
Sutter Amador Hospital reported 510 Medicare inpatient stays across 14 DRGs in 2024. Across them it charged 3.28 times what it was paid — among the lower ratios in California, number 208 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: 214 stays at an average charge of $77,005, 15% below the national average. It also billed 266 outpatient services, charging 9.58 times what Medicare paid.
- 1Medicare inpatient stays 510
- 2Charge ÷ paid, inpatient 3.28×
- 3Rank in CA (highest ratio = 1) 208 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 14 DRGs that can be compared with the national average, Sutter Amador Hospital charged more than the national average in 9 (64%). 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 | 214 | $77,005 | -15% | $25,623 |
| 291 Heart Failure and Shock with MCC | 59 | $60,288 | +7% | $17,217 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 52 | $55,047 | +12% | $12,974 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $63,878 | +7% | $16,592 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $82,632 | -18% | $24,978 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $49,214 | +1% | $13,594 |
| 683 Renal Failure with CC | 18 | $42,621 | +5% | $11,315 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $64,814 | +16% | $21,644 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $68,080 | -4% | $23,448 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $70,454 | +22% | $15,606 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $45,671 | +21% | $10,139 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $52,711 | +31% | $9,915 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $61,744 | -16% | $20,946 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $177,439 | -22% | $60,725 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 140 | $37,253 | $3,744 |
| Level 1 Intraocular Procedures | 61 | $14,373 | $3,188 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 19 | $4,959 | $2,218 |
| Level 3 Vascular Procedures | 19 | $30,540 | $4,360 |
| Level 2 Musculoskeletal Procedures | 16 | $6,697 | $2,199 |
| Level 1 Laparoscopy and Related Services | 11 | $44,493 | $7,892 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sutter Amador Hospital charged $77,005 on average, 46% less than the California average of $143,063, and was paid $25,623 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sutter Amador Hospital charged $60,288 on average, 40% less than the California average of $100,739, and was paid $17,217 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sutter Amador Hospital charged $55,047 on average, 28% less than the California average of $76,120, and was paid $12,974 against a state average of $12,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sutter Amador Hospital charged $63,878 on average, 38% less than the California average of $103,761, and was paid $16,592 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $37,253 was 11% below the state average of $41,628. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,373 was 32% below the state average of $20,986. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,959 was 66% below the state average of $14,749. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $30,540 was 1% above the state average of $30,190.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sutter Amador Hospital in Jackson, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-13 (CMS case 3060)
- Closure Notice — 2025-04-02 (CMS case 3060)
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.