Sutter Medical Center, Sacramento: charges and Medicare payments

Sutter Medical Center, Sacramento reported 4,791 Medicare inpatient stays across 138 DRGs in 2024. Across them it charged 4.04 times what it was paid — among the lower ratios in California, number 183 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: 488 stays at an average charge of $104,594, 16% above the national average. It also billed 3,878 outpatient services, charging 6.15 times what Medicare paid.

1Medicare inpatient stays 4,791
2Charge ÷ paid, inpatient 4.04×
3Rank in CA (highest ratio = 1) 183 of 247
4CMS price-transparency actions 0

Average charge per stay at Sutter Medical Center, Sacramento, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 138 DRGs that can be compared with the national average, Sutter Medical Center, Sacramento charged more than the national average in 91 (66%). 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	488	$104,594	+16%	$24,560
291 Heart Failure and Shock with MCC	245	$70,642	+25%	$15,511
267 Endovascular Cardiac Valve Replacement and Supplement...	167	$185,390	-16%	$57,209
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	123	$48,111	-2%	$12,632
280 Acute Myocardial Infarction, Discharged Alive with MCC	99	$89,387	+18%	$20,043
853 Infectious and Parasitic Diseases with O.R. Procedures with...	91	$227,307	-1%	$57,723
189 Pulmonary Edema and Respiratory Failure	78	$69,159	+20%	$15,311
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	77	$80,329	+44%	$14,383
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	74	$51,369	+28%	$10,015
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	70	$138,885	+39%	$26,341
193 Simple Pneumonia and Pleurisy with MCC	66	$83,191	+39%	$16,713
236 Coronary Bypass without Cardiac Catheterization without MCC	66	$225,938	+7%	$56,150
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	65	$67,319	+12%	$15,918
177 Respiratory Infections and Inflammations with MCC	64	$93,769	+33%	$20,399
274 Percutaneous and Other Intracardiac Procedures without MCC	58	$175,150	+12%	$39,085
377 Gastrointestinal Hemorrhage with MCC	57	$79,390	-7%	$20,592
683 Renal Failure with CC	57	$53,040	+30%	$12,042
322 Percutaneous Cardiovascular Procedures with Intraluminal...	55	$124,965	+9%	$26,147
690 Kidney and Urinary Tract Infections without MCC	55	$47,064	+24%	$9,771
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	53	$399,608	0%	$95,190
470 Major Hip and Knee Joint Replacement or Reattachment of...	52	$106,114	+14%	$27,192
603 Cellulitis without MCC	52	$45,588	+22%	$11,232
286 Circulatory Disorders except AMI, with Cardiac...	51	$123,948	+10%	$27,052
309 Cardiac Arrhythmia and Conduction Disorders with CC	51	$41,884	+16%	$10,260
253 Other Vascular Procedures with CC	49	$110,288	-16%	$29,840
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	48	$291,300	+6%	$72,334
266 Endovascular Cardiac Valve Replacement and Supplement...	48	$248,223	-13%	$70,138
312 Syncope and Collapse	45	$52,101	+14%	$10,750
454 Combined Anterior and Posterior Spinal Fusion with CC	45	$292,578	+5%	$82,772
378 Gastrointestinal Hemorrhage with CC	44	$63,235	+30%	$16,376
698 Other Kidney and Urinary Tract Diagnoses with MCC	44	$75,476	+3%	$19,150
321 Percutaneous Cardiovascular Procedures with Intraluminal...	40	$178,984	+9%	$35,493
330 Major Small and Large Bowel Procedures with CC	39	$111,249	-7%	$24,739
271 Other Major Cardiovascular Procedures with CC	38	$136,129	-22%	$42,538
281 Acute Myocardial Infarction, Discharged Alive with CC	38	$55,217	+9%	$11,509
682 Renal Failure with MCC	38	$94,164	+43%	$17,760
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$52,765	+42%	$10,438
252 Other Vascular Procedures with MCC	36	$170,367	0%	$41,420
689 Kidney and Urinary Tract Infections with MCC	36	$61,775	+20%	$14,295
481 Hip and Femur Procedures except Major Joint with CC	34	$90,538	-10%	$26,224
308 Cardiac Arrhythmia and Conduction Disorders with MCC	32	$91,988	+62%	$25,755
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	31	$184,687	-4%	$51,667
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	31	$62,486	-8%	$15,785
235 Coronary Bypass without Cardiac Catheterization with MCC	30	$314,727	+7%	$76,609
331 Major Small and Large Bowel Procedures without CC/MCC	30	$95,361	+11%	$20,625
389 Gastrointestinal Obstruction with CC	30	$55,374	+42%	$9,975
023 Craniotomy with Major Device Implant or Acute Complex Cns...	29	$293,287	+4%	$75,430
039 Extracranial Procedures without CC/MCC	29	$72,005	+13%	$13,374
811 Red Blood Cell Disorders with MCC	29	$113,328	+66%	$22,701
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	28	$56,675	+31%	$9,518
313 Chest Pain	28	$50,390	+26%	$9,309
638 Diabetes with CC	28	$49,970	+20%	$12,041
854 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$100,016	+2%	$24,432
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	27	$45,133	+57%	$7,516
287 Circulatory Disorders except AMI, with Cardiac...	26	$80,834	+27%	$14,526
329 Major Small and Large Bowel Procedures with MCC	26	$258,116	+20%	$55,641
812 Red Blood Cell Disorders without MCC	26	$53,175	+20%	$12,763
001 Heart Transplant or Implant of Heart Assist System with MCC	25	$1,391,178	-5%	$443,700
038 Extracranial Procedures with CC	25	$76,465	-13%	$20,868
190 Chronic Obstructive Pulmonary Disease with MCC	25	$65,123	+29%	$13,631

Showing the 60 most frequent of 138 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	551	$32,772	$3,806
Level 1 Endovascular Procedures	396	$38,235	$4,498
Level 3 Electrophysiologic Procedures	279	$205,428	$33,160
Level 2 Upper GI Procedures	225	$13,330	$2,648
Level 2 Excision/ Biopsy/ Incision and Drainage	175	$11,007	$2,271
Level 5 Musculoskeletal Procedures	165	$83,263	$18,187
Level 2 Laparoscopy and Related Services	131	$73,611	$14,098
Level 4 Vascular Procedures	129	$46,867	$6,933
Level 3 Endovascular Procedures	127	$72,359	$15,377
Level 5 Urology and Related Services	124	$31,529	$7,200
Level 4 Musculoskeletal Procedures	114	$44,444	$9,866
Level 1 Laparoscopy and Related Services	97	$47,429	$7,950
Level 3 Vascular Procedures	96	$28,646	$4,390
Level 6 Musculoskeletal Procedures	80	$95,063	$25,724
Level 3 Pacemaker and Similar Procedures	77	$69,012	$14,774
Level 4 Urology and Related Services	74	$25,321	$4,830
Level 3 Musculoskeletal Procedures	73	$22,642	$4,485
Level 2 Breast/Lymphatic Surgery and Related Procedures	67	$30,520	$9,128
Level 1 Breast/Lymphatic Surgery and Related Procedures	65	$23,382	$5,207
Level 5 ENT Procedures	54	$41,992	$8,201
Level 2 Endovascular Procedures	52	$49,547	$8,005
Level 3 Lower GI Procedures	51	$18,481	$3,931
Level 7 Radiation Therapy	48	$78,531	$10,894
Level 6 Gynecologic Procedures	47	$43,282	$10,382
Level 4 Endovascular Procedures	46	$102,273	$24,491

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sutter Medical Center, Sacramento charged $104,594 on average, 27% less than the California average of $143,063, and was paid $24,560 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sutter Medical Center, Sacramento charged $70,642 on average, 30% less than the California average of $100,739, and was paid $15,511 against a state average of $15,556. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Sutter Medical Center, Sacramento charged $185,390 on average, 39% less than the California average of $302,584, and was paid $57,209 against a state average of $56,011. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sutter Medical Center, Sacramento charged $48,111 on average, 37% less than the California average of $76,120, and was paid $12,632 against a state average of $12,552. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,772 was 21% below the state average of $41,628. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $38,235 was 6% below the state average of $40,544. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $205,428 was 0% below the state average of $205,167. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,330 was 30% below the state average of $19,034.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.