Supplies, drugs & other prices at Sutter Medical Center, Sacramento

Sacramento, CA · every code in this section with a posted price and a Medicare benchmark.

77 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $4,972 $4,972 4.5×
2d tte w or w/o fol w/con,co (C8923) $3,387 $3,387 3.0×
2d tte w or w/o fol w/con,fu (C8924) $2,112 $2,112 4.3×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $16,153 $16,153 1.3×
Adm tocilizu covid-19 1st (M0249) $1,093 $1,093 1.7×
Adm tocilizu covid-19 2nd (M0250) $1,189 $1,189 1.9×
Admin hepatitis b vaccine (G0010) $139 $139 2.1×
Admin influenza virus vac (G0008) $182 $182 2.7×
Admin pneumococcal vaccine (G0009) $170 $170 2.6×
Catheterize for urine spec (P9612) $106 $106 11.3×
Chemo extend iv infus w/pump (G0498) $1,306 $1,306 2.8×
Diab manage trn per indiv (G0108) $207 $207 3.7×
Diab manage trn ind/group (G0109) $91 $91 5.7×
Direct refer hospital observ (G0379) $1,035 $1,035 1.2×
Fecal blood scrn immunoassay (G0328) $114 $114 6.3×
Fern test (Q0114) $202 $202 20.7×
Followup eval of foot pt lop (G0246) $203 $203 1.1×
Hep c screen high risk/other (G0472) $158 $158 3.4×
Hepb screen high risk indiv (G0499) $169 $169 6.0×
Home sleep test/type 3 porta (G0399) $660 $660 2.2×
Hospital outpt clinic visit (G0463)
range across 29 matching MRF lines
$122–$1,451 $122–$1,451 varies
Initial foot exam pt lops (G0245) $203 $203 1.1×
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$4,829–$7,244 $4,829–$7,244 varies
Instlj fecal microbiota ssp (0780T) $170 $170 0.9×
Ire Abltj 1+Tum Organ Perq (0600T) $17,529 $17,529 1.2×
Mra w/cont, abd (C8900) $4,158 $4,158 8.4×
Mra w/cont, lwr ext (C8912)
range across 3 matching MRF lines
$4,956–$7,434 $4,956–$7,434 varies
Mra w/o cont, abd (C8901) $4,726 $4,726 14.0×
Mra w/o cont, chest (C8910) $5,604 $5,604 16.5×
Mra w/o cont, lwr ext (C8913)
range across 3 matching MRF lines
$3,957–$5,936 $3,957–$5,936 varies
Mra w/o cont, pelvis (C8919) $3,193 $3,193 9.4×
Mra w/o fol w/cont, abd (C8902) $6,548 $6,548 13.2×
Mra w/o fol w/cont, chest (C8911) $7,230 $7,230 14.6×
Mra w/o fol w/cont, lwr ext (C8914) $6,897 $6,897 13.9×
Mra w/o fol w/cont, pelvis (C8920) $8,358 $8,358 16.9×
Mra, w/o dye, upper extr (C8935) $5,569 $5,569 16.4×
Mra, w/o&w/dye, spinal canal (C8933) $4,960 $4,960 10.0×
Mra, w/o&w/dye, upper extr (C8936) $5,785 $5,785 11.7×
Oth resp proc, group (G0239) $294 $294 5.5×
Oth resp proc, indiv (G0238) $180 $180 4.4×
Pathogen test for platelets (P9100) $119 $119 1.4×
Pemivibart infusion (M0224) $1,178 $1,178 1.9×
Perc d-e cor revasc chro sin (C9607) $46,867 $46,867 1.8×
Perc d-e cor revasc t cabg s (C9604) $40,477 $40,477 2.5×
Perc d-e cor stent ather s (C9602) $50,853 $50,853 2.0×
Perc drug-el cor stent sing (C9600) $43,696 $43,696 2.7×
Perq Sacral Augmt Bilat Inj (0201T) $15,108 $15,108 1.5×
Perq Sacral Augmt Unilat Inj (0200T) $12,757 $12,757 1.2×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $28,206 $28,206 1.7×
Prolonged iv inf, req pump (C8957) $697 $697 2.3×
Prostate biopsy, any mthd (G0416) $713 $713 1.4×
Psa screening (G0103) $239 $239 12.4×
Revasc intra lithotrip-ather (C9766) $35,514 $35,514 1.4×
Revasc intra lithotrip-stent (C9765) $41,442 $41,442 1.6×
Revasc intravasc lithotripsy (C9764) $25,717 $25,717 1.6×
Revasc lith-sten-ath tib/per (C9775) $35,706 $35,706 1.4×
Revasc lithotr-ather tib/per (C9774) $40,541 $40,541 1.6×
Revasc lithotr-stent tib/per (C9773) $23,803 $23,803 0.9×
Revasc lithotrip tibi/perone (C9772) $30,083 $30,083 1.8×
Revasc lithotrip-stent-ather (C9767) $45,220 $45,220 1.7×
Routine footcare pt w lops (G0247) $152 $152 0.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $66,221 $66,221 2.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $89,822 $89,822 3.3×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $18,788 $18,788 2.3×
Tee w or w/o fol w/cont,cong (C8926) $8,094 $8,094 7.3×
Therapeutic procd strg endur (G0237) $178 $178 4.3×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$177–$266 $177–$266 varies
Transcatheter Renal Sympath Denervation Bilat (0339T) $33,255 $33,255 4.1×
Transcatheter renal sympath denervation unilat (0338T) $22,171 $22,171 2.7×
Trluml perip athrc abd aorta (0236T) $68,171 $68,171 4.2×
Trluml Perip Athrc Iliac Art (0238T) $37,748 $37,748 1.5×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $64,885 $64,885 4.0×
Tte w or w/o contr, cont ecg (C8930) $6,498 $6,498 5.8×
Tte w or w/o fol w/cont, com (C8921) $2,144 $2,144 1.9×
Tte w or w/o fol w/cont, f/u (C8922) $2,593 $2,593 2.3×
Tte w or wo fol wcon,doppler (C8929) $5,589 $5,589 5.0×
Unsched dialysis esrd pt hos (G0257) $2,179 $2,179 2.2×

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.