California / Sutter Roseville Medical Center
CMS certification 050309 · Roseville, CA · 2 entries in CMS's price-transparency list
Sutter Roseville Medical Center: charges and Medicare payments
Sutter Roseville Medical Center reported 7,270 Medicare inpatient stays across 170 DRGs in 2024. Across them it charged 5.05 times what it was paid — mid-range in California, number 131 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: 1040 stays at an average charge of $94,165, 4% above the national average. It also billed 4,783 outpatient services, charging 7.22 times what Medicare paid.
- 1Medicare inpatient stays 7,270
- 2Charge ÷ paid, inpatient 5.05×
- 3Rank in CA (highest ratio = 1) 131 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 170 DRGs that can be compared with the national average, Sutter Roseville Medical Center charged more than the national average in 139 (82%). 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 | 1040 | $94,165 | +4% | $21,101 |
| 291 Heart Failure and Shock with MCC | 331 | $69,302 | +23% | $13,315 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 283 | $57,256 | +17% | $11,321 |
| 193 Simple Pneumonia and Pleurisy with MCC | 152 | $77,260 | +29% | $14,803 |
| 690 Kidney and Urinary Tract Infections without MCC | 144 | $50,112 | +32% | $8,678 |
| 177 Respiratory Infections and Inflammations with MCC | 142 | $88,882 | +26% | $17,051 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 129 | $216,720 | -5% | $49,686 |
| 481 Hip and Femur Procedures except Major Joint with CC | 113 | $107,768 | +7% | $21,488 |
| 603 Cellulitis without MCC | 113 | $45,178 | +21% | $9,401 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 112 | $49,114 | +22% | $9,379 |
| 378 Gastrointestinal Hemorrhage with CC | 107 | $56,923 | +17% | $10,336 |
| 552 Medical Back Problems without MCC | 107 | $71,044 | +45% | $10,919 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 100 | $74,899 | +34% | $11,762 |
| 189 Pulmonary Edema and Respiratory Failure | 99 | $81,849 | +42% | $13,316 |
| 689 Kidney and Urinary Tract Infections with MCC | 97 | $59,787 | +16% | $11,961 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 90 | $85,421 | +13% | $16,237 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 88 | $78,349 | +7% | $17,609 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 86 | $104,678 | +5% | $23,009 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 77 | $137,762 | +20% | $20,866 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 75 | $46,447 | +29% | $8,184 |
| 312 Syncope and Collapse | 75 | $66,368 | +46% | $9,778 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 74 | $50,983 | +38% | $9,436 |
| 683 Renal Failure with CC | 74 | $52,739 | +30% | $10,241 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 70 | $74,724 | +24% | $13,755 |
| 682 Renal Failure with MCC | 68 | $70,152 | +6% | $16,050 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 63 | $75,957 | +34% | $12,680 |
| 377 Gastrointestinal Hemorrhage with MCC | 60 | $107,672 | +26% | $19,376 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 53 | $68,517 | +36% | $9,853 |
| 460 Spinal Fusion except Cervical without MCC | 51 | $175,826 | +3% | $37,446 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 50 | $37,349 | +30% | $6,531 |
| 330 Major Small and Large Bowel Procedures with CC | 50 | $118,770 | 0% | $25,579 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 47 | $89,143 | +46% | $14,238 |
| 394 Other Digestive System Diagnoses with CC | 47 | $57,640 | +22% | $10,289 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 47 | $121,541 | +19% | $21,895 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 46 | $78,843 | +21% | $14,888 |
| 194 Simple Pneumonia and Pleurisy with CC | 46 | $54,086 | +41% | $8,719 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 44 | $184,101 | +12% | $33,888 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 43 | $182,145 | +34% | $30,885 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $84,763 | -14% | $21,435 |
| 389 Gastrointestinal Obstruction with CC | 41 | $50,260 | +29% | $9,311 |
| 393 Other Digestive System Diagnoses with MCC | 41 | $71,816 | -6% | $20,865 |
| 184 Major Chest Trauma with CC | 40 | $80,613 | +45% | $12,388 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 40 | $115,605 | +4% | $25,066 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 39 | $58,191 | +15% | $12,649 |
| 314 Other Circulatory System Diagnoses with MCC | 39 | $102,379 | +8% | $21,775 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 38 | $163,955 | +18% | $30,269 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 37 | $336,137 | +20% | $73,145 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 37 | $80,121 | +25% | $12,134 |
| 445 Disorders of The Biliary Tract with CC | 37 | $70,035 | +20% | $11,445 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 36 | $146,947 | +31% | $24,247 |
| 638 Diabetes with CC | 36 | $49,370 | +18% | $12,266 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 36 | $50,696 | +7% | $10,950 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 35 | $244,636 | +6% | $43,101 |
| 164 Major Chest Procedures with CC | 35 | $111,776 | -12% | $27,129 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 34 | $93,887 | +37% | $13,226 |
| 948 Signs and Symptoms without MCC | 34 | $60,871 | +60% | $8,193 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 33 | $392,453 | +21% | $70,458 |
| 178 Respiratory Infections and Inflammations with CC | 32 | $61,991 | +37% | $10,264 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 32 | $123,066 | +21% | $22,769 |
| 057 Degenerative Nervous System Disorders without MCC | 31 | $80,291 | +42% | $13,827 |
Showing the 60 most frequent of 170 DRGs.
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sutter Roseville Medical Center charged $94,165 on average, 34% less than the California average of $143,063, and was paid $21,101 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sutter Roseville Medical Center charged $69,302 on average, 31% less than the California average of $100,739, and was paid $13,315 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sutter Roseville Medical Center charged $57,256 on average, 25% less than the California average of $76,120, and was paid $11,321 against a state average of $12,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sutter Roseville Medical Center charged $77,260 on average, 26% less than the California average of $103,761, and was paid $14,803 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,149 was 23% below the state average of $41,628. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $10,096 was 46% below the state average of $18,805. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $21,441 was 41% below the state average of $36,238. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $80,421 was 26% below the state average of $109,149.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sutter Roseville Medical Center in Roseville, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-18 (CMS case 3095)
- Closure Notice — 2025-04-02 (CMS case 3095)
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.