Supplies, drugs & other prices at Sutter Solano Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,co (C8923) $3,595 $3,595 3.1×
Adm tocilizu covid-19 1st (M0249) $1,162 $1,162 1.8×
Adm tocilizu covid-19 2nd (M0250) $1,263 $1,263 1.9×
Admin hepatitis b vaccine (G0010) $147 $147 2.1×
Admin influenza virus vac (G0008) $193 $193 2.8×
Admin pneumococcal vaccine (G0009) $181 $181 2.6×
Catheterize for urine spec (P9612) $143 $143 15.3×
Chemo extend iv infus w/pump (G0498) $1,338 $1,338 2.8×
Diab manage trn per indiv (G0108) $219 $219 3.9×
Direct refer hospital observ (G0379) $1,099 $1,099 1.3×
Fecal blood scrn immunoassay (G0328) $121 $121 6.7×
Fern test (Q0114) $214 $214 22.0×
Hep c screen high risk/other (G0472) $168 $168 3.6×
Hepb screen high risk indiv (G0499) $180 $180 6.4×
Hospital outpt clinic visit (G0463)
range across 14 matching MRF lines
$131–$836 $131–$836 varies
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$5,128–$7,692 $5,128–$7,692 varies
Mra w/cont, abd (C8900) $4,415 $4,415 8.6×
Mra w/cont, lwr ext (C8912)
range across 3 matching MRF lines
$5,262–$7,893 $5,262–$7,893 varies
Mra w/o cont, abd (C8901) $5,017 $5,017 14.3×
Mra w/o cont, chest (C8910) $5,951 $5,951 17.0×
Mra w/o cont, lwr ext (C8913)
range across 3 matching MRF lines
$4,201–$6,302 $4,201–$6,302 varies
Mra w/o fol w/cont, abd (C8902) $6,953 $6,953 13.6×
Mra w/o fol w/cont, chest (C8911) $7,678 $7,678 15.0×
Mra w/o fol w/cont, lwr ext (C8914) $7,324 $7,324 14.3×
Mra w/o fol w/cont, pelvis (C8920) $8,875 $8,875 17.3×
Mra, w/o&w/dye, spinal canal (C8933) $5,266 $5,266 10.3×
Mra, w/o&w/dye, upper extr (C8936) $6,143 $6,143 12.0×
Mri w/o fol w/cont, breast, (C8908) $6,731 $6,731 13.1×
Mri w/o fol w/cont, brst, un (C8905) $6,493 $6,493 12.7×
Prolonged iv inf, req pump (C8957) $740 $740 2.4×
Prostate biopsy, any mthd (G0416) $692 $692 1.3×
Psa screening (G0103) $253 $253 13.1×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$188–$282 $188–$282 varies
Tte w or w/o contr, cont ecg (C8930) $6,498 $6,498 5.6×
Tte w or wo fol wcon,doppler (C8929) $5,934 $5,934 5.2×
Unsched dialysis esrd pt hos (G0257) $2,314 $2,314 2.3×

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.