California / Sutter Solano Medical Center
CMS certification 050101 · Vallejo, CA · 2 entries in CMS's price-transparency list
Sutter Solano Medical Center: charges and Medicare payments
Sutter Solano Medical Center reported 707 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 4.34 times what it was paid — among the lower ratios in California, number 166 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: 210 stays at an average charge of $98,629, 9% above the national average. It also billed 622 outpatient services, charging 7.24 times what Medicare paid.
- 1Medicare inpatient stays 707
- 2Charge ÷ paid, inpatient 4.34×
- 3Rank in CA (highest ratio = 1) 166 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 24 DRGs that can be compared with the national average, Sutter Solano Medical Center charged more than the national average in 22 (92%). 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 | 210 | $98,629 | +9% | $23,617 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 68 | $109,459 | +17% | $30,014 |
| 291 Heart Failure and Shock with MCC | 51 | $71,007 | +26% | $15,488 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 40 | $63,891 | +30% | $13,141 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $70,152 | +17% | $15,889 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 32 | $226,727 | -1% | $58,456 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $79,280 | +31% | $16,020 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $99,987 | +42% | $20,899 |
| 312 Syncope and Collapse | 18 | $45,942 | +1% | $10,861 |
| 603 Cellulitis without MCC | 18 | $47,588 | +28% | $11,059 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $108,473 | +27% | $20,158 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $52,962 | +9% | $12,176 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $80,043 | +39% | $14,742 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $79,568 | +43% | $14,994 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $84,496 | +67% | $13,619 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $103,102 | +5% | $23,588 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $60,651 | +68% | $9,244 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $100,436 | 0% | $24,136 |
| 637 Diabetes with MCC | 12 | $96,788 | +46% | $17,888 |
| 682 Renal Failure with MCC | 12 | $92,675 | +41% | $21,544 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 11 | $58,686 | +48% | $9,971 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $46,164 | +25% | $9,809 |
| 683 Renal Failure with CC | 11 | $52,345 | +29% | $11,234 |
| 812 Red Blood Cell Disorders without MCC | 11 | $67,877 | +53% | $11,094 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 147 | $14,218 | $3,335 |
| Comprehensive Observation Services | 144 | $38,314 | $3,895 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 97 | $11,093 | $2,333 |
| Level 1 Laparoscopy and Related Services | 43 | $37,166 | $8,146 |
| Level 3 Vascular Procedures | 33 | $19,689 | $4,586 |
| Level 2 Upper GI Procedures | 23 | $11,704 | $2,738 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $25,356 | $4,088 |
| Level 3 Urology and Related Services | 18 | $15,540 | $2,931 |
| Level 3 Airway Endoscopy | 17 | $17,528 | $2,442 |
| Level 3 Musculoskeletal Procedures | 15 | $22,959 | $4,410 |
| Level 4 Musculoskeletal Procedures | 14 | $36,674 | $10,284 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $27,168 | $4,978 |
| Level 4 Urology and Related Services | 14 | $28,860 | $5,016 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 13 | $43,093 | $8,781 |
| Level 4 Airway Endoscopy | 12 | $19,529 | $5,388 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sutter Solano Medical Center charged $98,629 on average, 31% less than the California average of $143,063, and was paid $23,617 against a state average of $23,020. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Sutter Solano Medical Center charged $109,459 on average, 21% less than the California average of $137,972, and was paid $30,014 against a state average of $21,800. For Heart Failure and Shock with MCC (DRG 291), Sutter Solano Medical Center charged $71,007 on average, 30% less than the California average of $100,739, and was paid $15,488 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sutter Solano Medical Center charged $63,891 on average, 16% less than the California average of $76,120, and was paid $13,141 against a state average of $12,552. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,218 was 32% below the state average of $20,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $38,314 was 8% below the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,093 was 25% below the state average of $14,749. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $37,166 was 42% below the state average of $64,351.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sutter Solano Medical Center in Vallejo, 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 3071)
- Closure Notice — 2025-04-02 (CMS case 3071)
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.