Sutter Solano Medical Center
SUTTER SOLANO MEDICAL CENTER in Vallejo, CA charges 5.0x the Medicare reimbursement rate on average across 23 analyzed procedures, reflecting typical pricing patterns for nonprofit-private hospitals.
Vallejo, CA 94589 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.04x
Charge / Medicare rate
Max markup
7.81x
Worst procedure
Procedures analyzed
23
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 |
|---|---|---|---|---|---|
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $76,166 | $38,083 | — | 7.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $75,368 | $37,684 | — | 7.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $42,300 | $21,150 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $83,384 | $41,692 | — | 6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $79,726 | $39,863 | — | 5.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $77,235 | $38,618 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $83,414 | $41,707 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $77,867 | $38,933 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $78,252 | $39,126 | — | 5.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $110,529 | $55,265 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $46,799 | $23,399 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $104,356 | $52,178 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $53,466 | $26,733 | — | 4.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $38,282 | $19,141 | — | 4.6x |
| RENAL FAILURE WITH MCC | 682 | $70,736 | $35,368 | — | 4.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $107,599 | $53,800 | — | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $91,367 | $45,683 | — | 4.2x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $114,376 | $57,188 | — | 4.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $95,231 | $47,615 | — | 4.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $203,187 | $101,593 | — | 3.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $180,768 | $90,384 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $75,232 | $37,616 | — | 3.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $63,961 | $31,981 | — | 3.3x |
How SUTTER SOLANO MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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