Supplies, drugs & other prices at Sutter Amador Hospital
Jackson, CA · every code in this section with a posted price and a Medicare benchmark.
39 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $924 | $924 | 1.6× |
| Adm tocilizu covid-19 2nd (M0250) | $1,005 | $1,005 | 1.8× |
| Admin hepatitis b vaccine (G0010) | $117 | $117 | 1.9× |
| Admin influenza virus vac (G0008) | $154 | $154 | 2.5× |
| Admin pneumococcal vaccine (G0009) | $144 | $144 | 2.4× |
| Catheterize for urine spec (P9612) | $105 | $105 | 11.2× |
| Chemo extend iv infus w/pump (G0498) | $1,105 | $1,105 | 2.6× |
| Diab manage trn per indiv (G0108) | $174 | $174 | 3.1× |
| Diab manage trn ind/group (G0109) | $76 | $76 | 4.7× |
| Direct refer hospital observ (G0379) | $875 | $875 | 1.1× |
| Fecal blood scrn immunoassay (G0328) | $97 | $97 | 5.4× |
| Fern test (Q0114) | $171 | $171 | 17.6× |
| Hep c screen high risk/other (G0472) | $134 | $134 | 2.9× |
| Hepb screen high risk indiv (G0499) | $143 | $143 | 5.1× |
| Home sleep test/type 3 porta (G0399) | $1,470 | $1,470 | 5.3× |
| Hospital outpt clinic visit (G0463) range across 14 matching MRF lines |
$110–$826 | $110–$826 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$4,083–$6,124 | $4,083–$6,124 | varies |
| Mra w/cont, abd (C8900) | $3,515 | $3,515 | 7.8× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$4,189–$6,284 | $4,189–$6,284 | varies |
| Mra w/o cont, abd (C8901) | $3,994 | $3,994 | 12.9× |
| Mra w/o cont, chest (C8910) | $4,738 | $4,738 | 15.3× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$3,346–$5,019 | $3,346–$5,019 | varies |
| Mra w/o fol w/cont, abd (C8902) | $5,536 | $5,536 | 12.2× |
| Mra w/o fol w/cont, chest (C8911) | $6,112 | $6,112 | 13.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $5,830 | $5,830 | 12.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $7,066 | $7,066 | 15.6× |
| Mra, w/o&w/dye, spinal canal (C8933) | $4,242 | $4,242 | 9.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $4,891 | $4,891 | 10.8× |
| Mri w/o fol w/cont, breast, (C8908) | $6,731 | $6,731 | 14.9× |
| Mri w/o fol w/cont, brst, un (C8905) | $5,169 | $5,169 | 11.4× |
| Prolonged iv inf, req pump (C8957) | $589 | $589 | 2.1× |
| Prostate biopsy, any mthd (G0416) | $692 | $692 | 1.5× |
| Psa screening (G0103) | $202 | $202 | 10.5× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$150–$225 | $150–$225 | varies |
| Trauma respons w/hosp criti (G0390) | $6,536 | $6,536 | 3.8× |
| Trim nail(s) (G0127) | $249 | $249 | 3.3× |
| Tte w or w/o contr, cont ecg (C8930) | $6,498 | $6,498 | 6.4× |
| Tte w or wo fol wcon,doppler (C8929) | $4,724 | $4,724 | 4.7× |
| Unsched dialysis esrd pt hos (G0257) | $1,842 | $1,842 | 2.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.