California / Sutter Surgical Hospital - North Valley
CMS certification 050766 · Yuba City, CA · 2 entries in CMS's price-transparency list
Sutter Surgical Hospital - North Valley: charges and Medicare payments
Sutter Surgical Hospital - North Valley reported 37 Medicare inpatient stays across 2 DRGs in 2024. Across them it charged 4.59 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: 25 stays at an average charge of $96,495, 4% above the national average. It also billed 668 outpatient services, charging 5.79 times what Medicare paid.
- 1Medicare inpatient stays 37
- 2Charge ÷ paid, inpatient 4.59×
- 3Rank in CA (highest ratio = 1) –
- 4CMS price-transparency actions 2
Inpatient stays
For the 2 DRGs that can be compared with the national average, Sutter Surgical Hospital - North Valley charged more than the national average in 1 (50%). 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... | 25 | $96,495 | +4% | $19,506 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $117,248 | -1% | $28,656 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 194 | $81,827 | $16,095 |
| Level 4 Musculoskeletal Procedures | 90 | $49,250 | $8,766 |
| Level 1 Laparoscopy and Related Services | 72 | $40,278 | $6,916 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 55 | $24,432 | $4,217 |
| Level 3 Musculoskeletal Procedures | 53 | $23,625 | $4,004 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 35 | $19,458 | $4,715 |
| Implantation of Drug Infusion Device | 34 | $94,393 | $22,003 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 27 | $33,993 | $8,066 |
| Level 6 Musculoskeletal Procedures | 27 | $105,388 | $22,220 |
| Level 3 Lower GI Procedures | 22 | $18,099 | $3,473 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 17 | $20,908 | $3,350 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 15 | $16,874 | $2,005 |
| Level 3 Pacemaker and Similar Procedures | 14 | $32,883 | $13,187 |
| Level 3 Vascular Procedures | 13 | $19,435 | $3,943 |
Against the California average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Sutter Surgical Hospital - North Valley charged $96,495 on average, 30% less than the California average of $137,972, and was paid $19,506 against a state average of $21,800. For Major Small and Large Bowel Procedures with CC (DRG 330), Sutter Surgical Hospital - North Valley charged $117,248 on average, 41% less than the California average of $199,255, and was paid $28,656 against a state average of $30,104. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $81,827 was 25% below the state average of $109,149. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $49,250 was 29% below the state average of $69,476. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $40,278 was 37% below the state average of $64,351. For Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (outpatient APC 5341), its average charge of $24,432 was 40% below the state average of $40,834.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sutter Surgical Hospital - North Valley in Yuba City, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-12 (CMS case 3053)
- Closure Notice — 2025-04-03 (CMS case 3053)
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.