Sutter Amador Hospital
Sutter Amador Hospital in Jackson, California charges 4.6x the Medicare reimbursement rate on average, based on analysis of 20 common medical procedures at this nonprofit facility.
Jackson, CA 95642 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
4.61x
Charge / Medicare rate
Max markup
6.64x
Worst procedure
Procedures analyzed
20
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| SYNCOPE AND COLLAPSE | 312 | $62,319 | $31,160 | — | 6.6x |
| RENAL FAILURE WITH CC | 683 | $56,559 | $28,279 | — | 5.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $64,492 | $32,246 | — | 5.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $45,088 | $22,544 | — | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $43,367 | $21,683 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $44,337 | $22,169 | — | 5.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $71,313 | $35,657 | — | 5.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $55,975 | $27,988 | — | 5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $56,695 | $28,347 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $70,325 | $35,163 | — | 4.7x |
| CELLULITIS WITHOUT MCC | 603 | $42,523 | $21,261 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $82,213 | $41,107 | — | 4.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $106,359 | $53,180 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $81,546 | $40,773 | — | 3.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $54,669 | $27,335 | — | 3.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $82,534 | $41,267 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $87,165 | $43,583 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $66,388 | $33,194 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $70,874 | $35,437 | — | 3.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $42,103 | $21,052 | — | 3.2x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use