Supplies, drugs & other prices at Sutter Tracy Community Hospital

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

38 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,fu (C8924) $2,112 $2,112 4.6×
Adm tocilizu covid-19 1st (M0249) $1,093 $1,093 1.9×
Adm tocilizu covid-19 2nd (M0250) $1,189 $1,189 2.0×
Admin hepatitis b vaccine (G0010) $139 $139 2.3×
Admin influenza virus vac (G0008) $182 $182 2.9×
Admin pneumococcal vaccine (G0009) $170 $170 2.8×
Catheterize for urine spec (P9612)
range across 2 matching MRF lines
$135–$140 $135–$140 varies
Chemo extend iv infus w/pump (G0498) $1,306 $1,306 3.0×
Direct refer hospital observ (G0379) $1,035 $1,035 1.3×
Elec stim other than wound (G0283) $150 $150 11.8×
Fecal blood scrn immunoassay (G0328) $114 $114 6.3×
Hep c screen high risk/other (G0472) $158 $158 3.4×
Hepb screen high risk indiv (G0499) $169 $169 6.0×
Hospital outpt clinic visit (G0463)
range across 14 matching MRF lines
$122–$995 $122–$995 varies
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$4,829–$7,244 $4,829–$7,244 varies
Mra w/cont, abd (C8900) $4,158 $4,158 9.0×
Mra w/cont, lwr ext (C8912)
range across 3 matching MRF lines
$4,956–$7,434 $4,956–$7,434 varies
Mra w/cont, pelvis (C8918) $3,893 $3,893 8.5×
Mra w/o cont, abd (C8901) $4,726 $4,726 15.0×
Mra w/o cont, chest (C8910) $5,604 $5,604 17.8×
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 10.1×
Mra w/o fol w/cont, abd (C8902) $6,548 $6,548 14.2×
Mra w/o fol w/cont, chest (C8911) $7,230 $7,230 15.7×
Mra w/o fol w/cont, lwr ext (C8914) $6,897 $6,897 15.0×
Mra w/o fol w/cont, pelvis (C8920) $8,358 $8,358 18.2×
Mra, w/o&w/dye, upper extr (C8936) $5,785 $5,785 12.6×
Mri w/o fol w/cont, breast, (C8908) $6,731 $6,731 14.6×
Mri w/o fol w/cont, brst, un (C8905) $6,115 $6,115 13.3×
Njx platelet plasma (0232T) $9,732 $9,732 16.5×
Prolonged iv inf, req pump (C8957) $697 $697 2.5×
Prostate biopsy, any mthd (G0416) $505.06 $505.06 1.1×
Psa screening (G0103) $239 $239 12.4×
Tee w or w/o fol w/cont, mon (C8927) $16,417 $16,417 15.9×
Tee w or w/o fol w/cont,cong (C8926) $8,094 $8,094 7.8×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$177–$266 $177–$266 varies
Tte w or wo fol wcon,doppler (C8929) $5,589 $5,589 5.4×
Unsched dialysis esrd pt hos (G0257) $2,368 $2,368 2.6×

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.