California / Sutter Tracy Community Hospital
CMS certification 050313 · Tracy, CA · 2 entries in CMS's price-transparency list
Sutter Tracy Community Hospital: charges and Medicare payments
Sutter Tracy Community Hospital reported 567 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 4.35 times what it was paid — among the lower ratios in California, number 165 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: 212 stays at an average charge of $90,203, 0% below the national average. It also billed 636 outpatient services, charging 9.65 times what Medicare paid.
- 1Medicare inpatient stays 567
- 2Charge ÷ paid, inpatient 4.35×
- 3Rank in CA (highest ratio = 1) 165 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 18 DRGs that can be compared with the national average, Sutter Tracy Community Hospital charged more than the national average in 10 (56%). 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 | 212 | $90,203 | 0% | $20,433 |
| 291 Heart Failure and Shock with MCC | 59 | $59,231 | +5% | $12,678 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $53,848 | +10% | $10,802 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $62,748 | +5% | $13,369 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $61,660 | -16% | $15,345 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $58,899 | -2% | $13,575 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $148,254 | -35% | $42,852 |
| 472 Cervical Spinal Fusion with CC | 20 | $126,638 | -11% | $32,843 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $79,922 | -6% | $17,225 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $74,898 | +6% | $16,175 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $40,874 | +8% | $8,658 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $56,870 | +17% | $12,371 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $46,583 | +16% | $8,617 |
| 682 Renal Failure with MCC | 14 | $56,735 | -14% | $14,061 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $110,970 | +11% | $22,027 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $44,752 | +21% | $8,185 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $68,780 | -9% | $21,140 |
| 603 Cellulitis without MCC | 11 | $41,691 | +12% | $9,596 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 230 | $42,396 | $3,437 |
| Level 2 Upper GI Procedures | 82 | $14,169 | $2,389 |
| Level 3 Airway Endoscopy | 48 | $6,418 | $2,062 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 45 | $8,926 | $1,964 |
| Level 5 Musculoskeletal Procedures | 37 | $99,944 | $16,093 |
| Level 1 Laparoscopy and Related Services | 34 | $50,850 | $7,246 |
| Level 5 Urology and Related Services | 33 | $52,621 | $6,341 |
| Level 4 Urology and Related Services | 28 | $26,300 | $4,378 |
| Level 1 Nerve Procedures | 23 | $14,565 | $2,425 |
| Level 4 Musculoskeletal Procedures | 17 | $39,904 | $8,548 |
| Level 3 Urology and Related Services | 17 | $16,611 | $2,558 |
| Level 3 Musculoskeletal Procedures | 15 | $24,392 | $4,065 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 14 | $38,012 | $7,720 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 13 | $40,055 | $4,345 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sutter Tracy Community Hospital charged $90,203 on average, 37% less than the California average of $143,063, and was paid $20,433 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Sutter Tracy Community Hospital charged $59,231 on average, 41% less than the California average of $100,739, and was paid $12,678 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sutter Tracy Community Hospital charged $53,848 on average, 29% less than the California average of $76,120, and was paid $10,802 against a state average of $12,552. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sutter Tracy Community Hospital charged $62,748 on average, 40% less than the California average of $103,761, and was paid $13,369 against a state average of $15,112. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $42,396 was 2% above the state average of $41,628. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,169 was 26% below the state average of $19,034. For Level 3 Airway Endoscopy (outpatient APC 5153), its average charge of $6,418 was 62% below the state average of $17,053. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,926 was 39% below the state average of $14,749.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sutter Tracy Community Hospital in Tracy, 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 3068)
- Closure Notice — 2025-04-02 (CMS case 3068)
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.