Visits & medical services prices at Sutter Solano Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $101 $101 1.7×
Airway Inhalation Treatment (94640) $685 $685 2.1×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $214 $214 1.1×
Analyze Neurostim Simple (95971) $845 $845 6.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $162 $162 11.3×
Application on-body injector (96377) $338 $338 4.9×
Behavral qualit analys voice (92524) $614 $614 5.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,449 $1,449 2.6×
C motor evoked uppr limbs (95928) $1,171 $1,171 0.9×
C motor evoked upr&lwr limbs (95939) $2,074 $2,074 1.6×
Car seat/bed test 60 min (94780) $746 $746 13.6×
Cardiac Stress Tst,Tracing Only (93017) $2,345 $2,345 7.4×
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines		 $1,397–$2,909 $1,397–$2,909 varies
Cardioversion (92960)
range across 4 matching MRF lines		 $2,268–$4,349 $2,268–$4,349 varies
Cbt 1st hour (94644) $690 $690 3.5×
Chemo Admin Peritoneal Cavity (96446) $691 $691 1.4×
Chemo Anti-Neopl Sq/Im (96401) $715 $715 6.8×
Chemo Hormon Antineopl Sq/Im (96402) $533 $533 5.0×
Chemo Ia Push (96420) $1,789 $1,789 3.7×
Chemo IV infusion addl hr (96415) $684 $684 6.5×
Chemo IV push addl drug (96411) $812 $812 7.7×
Chemother Prolong Infuse W/Pump (96416) $1,821 $1,821 3.8×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $1,569 $1,569 3.2×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $882 $882 12.8×
Chemotherapy Into Cns (96450) $2,007 $2,007 4.1×
Chemotherapy Intracavitary (96440) $3,403 $3,403 7.0×
Chemotherapy Unspecified (96549) $418 $418 6.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,594 $1,594 3.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $842 $842 8.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,768 $1,768 3.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,155 $1,155 2.4×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $1,602 $1,602 3.3×
Chest Wall Manipulation (94668) $350 $350 1.8×
Color/duplex Doppler, complete (93975) $3,124 $3,124 8.9×
Color/duplex Doppler, limited (93976) $2,111 $2,111 13.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,733 $2,733 8.5×
Cpt initial (94667) $418 $418 2.1×
Critical care first hour (99291) $9,840 $9,840 8.1×
Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) $1,636 $1,636 3.0×
Dialysis One Evaluation (90945) $2,480 $2,480 4.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,413 $2,413 6.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,654 $1,654 10.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $2,069 $2,069 13.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,759 $2,759 7.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,845 $1,845 12.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,871 $2,871 8.2×
Dup-scan xtr veins unilateral/limited study (93971) $2,046 $2,046 13.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,407 $1,407 4.0×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $626 $626 4.1×
Duplex Scan Hemodialysis Access (93990) $1,610 $1,610 10.5×
Duplex up extrem art bilat (93930) $2,842 $2,842 8.1×
Duplex up extrem art unilat/ltd (93931) $1,942 $1,942 12.6×
ECG/monitoring and analysis (93271) $140 $140 1.0×
Echo Congenital Complete (93303) $1,469 $1,469 1.8×
Echo Heart Xthoracic,Limited (93308) $1,923 $1,923 5.5×
Echo transesophag montr cardiac pump functj (93318) $5,606 $5,606 7.0×
Echo transesophageal (93312) $5,451 $5,451 6.8×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,006 $4,006 5.0×
EEG awake and asleep (95819) $2,327 $2,327 7.3×
EEG awake drowsy (95816) $2,159 $2,159 6.8×
EEG extended monitoring 61-119 minutes (95813) $2,482 $2,482 7.8×
Electrical Stimulation Ea 15 Min (97032) $187 $187 12.7×
Electro-Oculography (92270) $1,179 $1,179 6.0×
Electrocardiogram Tracing (93005) $614 $614 7.1×
Emergency Dept Visit Level 2 (99282) $1,527 $1,527 6.8×
Emergency Dept Visit Level 3 (99283) $3,093 $3,093 7.7×
Emergency Dept Visit Level 4 (99284) $5,214 $5,214 8.5×
Emg 3 Extremities (95863) $1,832 $1,832 9.7×
Emg 4 Extremities (95864) $470 $470 2.5×
Er level 1 (99281) $603 $603 4.9×
Er level v (99285) $8,003 $8,003 9.1×
Evaluate pt use of inhaler (94664) $555 $555 1.7×
Evaluate Speech Production (92522) $607 $607 5.4×
Evaluate Swallowing Function (92610) $826 $826 9.7×
External Ecg Scanning Analysis Report (93226) $947 $947 10.9×
Extracranial Bilat Study (93880) $2,747 $2,747 7.8×
Extracranial Uni/Ltd Study (93882) $1,468 $1,468 9.6×
F-up/limited tthrc echo congenital car anomaly (93304) $979 $979 1.2×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $3,362 $3,362 2.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,849 $4,849 3.8×
Gi tract capsule endoscopy (91110) $6,187 $6,187 4.6×
Gi wireless capsule measure (91112) $3,298 $3,298 2.5×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $4,213 $4,213 4.2×
Holter monitor recording (93225) $749 $749 3.8×
Hubbard tank 15 min (97036)
range across 2 matching MRF lines		 $255–$264 $255–$264 varies
Im Adm Intransl/Oral 1 Vaccine (90473) $100 $100 0.9×
Immunization administration (90471) $204 $204 1.9×
Intracranial Complete Study (93886) $2,556 $2,556 7.3×
Irrig Drug Delivery Device (96523) $380 $380 4.4×
IV infusion hydration each additional hour (96361) $490 $490 7.1×
IV infusion hydration initial 31 min-1 hour (96360) $1,160 $1,160 3.7×
IV infusion ther proph addl sequential to 1 hr (96367) $549 $549 5.2×
IV infusion therapy prophylaxis/dx ea hour (96366) $589 $589 8.6×
IV push initial (96374) $647 $647 2.1×
Lung Function Test (Mbc/Mvv) (94200) $312 $312 3.6×
Mechanical chest wall oscillation per session (94669) $502 $502 1.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $145 $145 4.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $149 $149 4.1×
Methacholine challenge (94070) $1,709 $1,709 3.1×
Motility study esophagus (91010) $5,960 $5,960 10.9×
Motion Fluoroscopy/Swallow (92611) $1,137 $1,137 12.4×
Muscle Test 2 Limbs (95861) $534 $534 2.7×
Muscle Test Nonparaspinal (95870) $423 $423 2.2×
Muscle Test One Limb (95860) $337 $337 1.7×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $6,116 $6,116 19.3×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $4,005 $4,005 12.6×
Needle electromyography larynx (95865) $4,898 $4,898 25.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $92 $92 0.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $525 $525 1.7×
Nerve Conduction Studies 1-2 Studies (95907) $208 $208 0.7×
Nerve Conduction Studies 11-12 Studies (95912) $474 $474 0.9×
Nerve conduction studies 13 or more studies (95913) $527 $527 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $261 $261 0.8×
Nerve conduction studies 5-6 studies (95909) $314 $314 1.0×
Nerve conduction studies 7-8 studies (95910) $368 $368 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $421 $421 0.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $528 $528 2.8×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines		 $236–$247 $236–$247 varies
Nitric oxide expired gas determination (95012) $340 $340 6.2×
Oculoelectromyography (92265) $3,750 $3,750 43.3×
Oral Function Therapy (92526) $539 $539 6.4×
Oral Speech Device Eval (92597) $569 $569 8.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $221 $221 4.8×
Ot eval high complexity (97167) $646 $646 6.4×
Ot Eval Low Complex (97165) $508 $508 5.1×
Ot Eval Moderate Complexity (97166) $624 $624 6.2×
Ot manual therapy 15 min (97140) $246 $246 8.9×
Ot Prosthetic Training, Each 15 Min (97761) $191 $191 4.7×
Ot Re-Eval Est Plan Care (97168) $372 $372 5.4×
Phlebotomy therapeutic (99195) $646 $646 3.3×
Plethysmography (94726) $992 $992 1.8×
Pt Eval High Complex (97163) $629 $629 6.4×
Pt eval low complex 20 min (97161) $495 $495 5.1×
Pt Eval Mod Complex (97162) $558 $558 5.7×
Pt gait training 15 min (97116) $239 $239 8.2×
Pt Re-Eval Est Plan Care (97164) $330 $330 4.9×
Pulm function test by gas (94727) $627 $627 2.0×
Pulmonary service/procedure (94799) $308 $308 1.6×
Pulmonary Stress Testing (94618) $662 $662 3.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $857 $857 1.8×
Refill/Maint Portable Pump (96521) $749 $749 2.4×
Remote 30 Day Ecg Rev/Report (93270) $461 $461 8.4×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $230 $230 2.7×
Self Care Mngment Training (97535) $240 $240 7.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $2,961 $2,961 9.3×
Short-latency somatosens ep std upr limbs (95925) $6,853 $6,853 21.6×
Somatosensory Testing (95938)
range across 2 matching MRF lines		 $2,432–$3,648 $2,432–$3,648 varies
Speech sound lang comprehen (92523) $803 $803 3.5×
Spin/Brain Pump Refil & Main (95991) $1,619 $1,619 3.6×
Spirometry (94010) $653 $653 2.1×
Ssep lower limbs (95926) $5,486 $5,486 17.3×
Standardized Cognitive Performance Testing (96125) $585 $585 5.7×
Stress Tte Only (93350) $4,326 $4,326 5.4×
Subcutaneous Infusion Each Additional Hour (96370) $154 $154 2.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $522 $522 1.7×
Subq Infusion Additional Pump Infusion Site (96371) $1,197 $1,197 11.3×
Temp transcutaneous pacing (92953) $1,825 $1,825 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $239 $239 10.7×
Ther Ivntj Ea Addl 15 Min (97130) $168 $168 8.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $243 $243 6.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $171 $171 5.8×
Ther/Proph/Diag Inj Ia (96373) $641 $641 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $345 $345 3.3×
Ther/Proph/Diag Iv Inf Init (96365) $1,214 $1,214 3.9×
Therapeutic Activities (97530) $253 $253 7.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $4,199 $4,199 7.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $159 $159 2.9×
Transcranial Doppler Intracran Art Emboli Detect (93892) $4,034 $4,034 26.3×
Tte w/doppler, complete (93306) $4,223 $4,223 5.3×
Tte W/O Doppler Complete (93307) $2,776 $2,776 7.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $578 $578 7.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $170 $170 7.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $484 $484 7.0×
Upr/L Xtremity Art 2 Levels (93922) $1,093 $1,093 5.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,677 $1,677 5.3×
Vent Mgmt Inpat Init Day (94002) $5,981 $5,981 6.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,298 $4,298 4.7×
Visual Evoked Potential Test (95930) $1,169 $1,169 3.7×
Vital capacity, total (94150) $243 $243 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $200 $200 6.4×
Xtrnl Ocular Photog W/I&R Docmt Medical Progre (92285) $622 $622 11.3×

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.