California / Sutter Maternity & Surgery Center of Santa Cruz

CMS certification 050714 · Santa Cruz, CA · 1 entry in CMS's price-transparency list

Sutter Maternity & Surgery Center of Santa Cruz: charges and Medicare payments

Sutter Maternity & Surgery Center of Santa Cruz reported 13 Medicare inpatient stays across 1 DRGs in 2024. Across them it charged 4.81 times what it was paid. Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 13 stays at an average charge of $101,369, 9% above the national average. It also billed 1,899 outpatient services, charging 6.38 times what Medicare paid.

1Medicare inpatient stays 13
2Charge ÷ paid, inpatient 4.81×
3Rank in CA (highest ratio = 1) –
4CMS price-transparency actions 1

Average charge per stay at Sutter Maternity & Surgery Center of Santa Cruz, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 1 DRGs that can be compared with the national average, Sutter Maternity & Surgery Center of Santa Cruz charged more than the national average in 1 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
470 Major Hip and Knee Joint Replacement or Reattachment of...	13	$101,369	+9%	$21,089

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	635	$15,220	$3,106
Level 5 Urology and Related Services	142	$37,325	$6,875
Level 4 Urology and Related Services	127	$19,433	$4,599
Level 4 Musculoskeletal Procedures	110	$48,093	$9,481
Level 2 Upper GI Procedures	99	$12,282	$2,501
Level 5 Musculoskeletal Procedures	95	$92,235	$17,546
Level 1 Laparoscopy and Related Services	89	$46,954	$7,518
Level 3 Musculoskeletal Procedures	70	$25,877	$4,278
Level 1 Nerve Procedures	66	$16,310	$2,580
Level 3 Urology and Related Services	57	$20,576	$2,721
Level 2 Laparoscopy and Related Services	53	$91,814	$13,502
Level 2 Breast/Lymphatic Surgery and Related Procedures	47	$35,790	$8,710
Level 4 Gynecologic Procedures	45	$22,133	$4,177
Level 6 Urology and Related Services	32	$57,174	$12,291
Level 1 Breast/Lymphatic Surgery and Related Procedures	30	$28,561	$5,093
Level 3 Lower GI Procedures	29	$16,093	$3,750
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	26	$30,476	$4,622
Level 3 Vascular Procedures	22	$19,118	$4,259
Level 3 Excision/ Biopsy/ Incision and Drainage	19	$20,739	$3,797
Level 6 Musculoskeletal Procedures	19	$136,395	$24,831
Level 2 Musculoskeletal Procedures	17	$16,301	$2,047
Level 5 Gynecologic Procedures	17	$32,888	$6,646
Level 5 Airway Endoscopy	16	$38,745	$9,140
Level 5 ENT Procedures	15	$34,739	$7,824
Level 2 Intraocular Procedures	11	$27,493	$5,432

Against the California average

For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Sutter Maternity & Surgery Center of Santa Cruz charged $101,369 on average, 27% less than the California average of $137,972, and was paid $21,089 against a state average of $21,800. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,220 was 27% below the state average of $20,986. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $37,325 was 27% below the state average of $51,167. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $19,433 was 47% below the state average of $36,378. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $48,093 was 31% below the state average of $69,476.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Sutter Maternity & Surgery Center of Santa Cruz in Santa Cruz, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-08-06 (CMS case 6089)

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.