Healthcare Cost Transparency
Every person deserves high-quality care. That’s why at Sutter, we’re constantly striving to make our healthcare costs transparent and our services affordable.
Our affordability efforts are centered on finding efficiencies, providing meaningful cost information, and integrating services to help reduce costs and improve outcomes.
Cost Estimates and Standard Charges in Acute Care Settings
Healthcare cost transparency helps you make informed decisions about your care. Per federal transparency requirements, we post a list of standard charges for each hospital annually on our website and provide access to a Cost Estimator Tool.
Our standard charges are available as CSV files and include all of our services, as well as the discounted cash prices and negotiated rates. Please note the data in the hospital list of standard charges doesn’t reflect out-of-pocket costs for insured patients. The chargemaster file also doesn’t reflect all the discounts for which uninsured patients may be eligible.
Sutter’s Cost Estimator Tool provides out-of-pocket estimates for more than 200 frequently used medical services provided by Sutter care centers and more than 300 services provided in Sutter hospitals. If you have health insurance, we also encourage you to talk to your insurance provider to better understand potential out-of-pocket costs when making care decisions.
Rate Disclaimer and Notes
- Rates and charges are effective as of December 2023.
- Due to the complexities of the price transparency requirements, Sutter may update the list of standard charges and the cost estimator tool as needed.
- The amounts on the charge list of standard charges do not reflect all discounts for which uninsured patients are eligible.
- The amounts set forth do not account for where a particular patient may have specific obligations depending upon their plan structure or where they may be in their deductible.
- We encourage you to contact your health insurance representative if you have specific questions related to potential out-of-pocket costs for care according to your insurance plan.
- The payer-specific charges do not include alternate rates for claims which may have additional or unexpected services or trauma claims.
- Services that are paid under a per member per month basis are shown at the plan’s rates that would be applicable to determining a patient cost shares.
- Not all services listed in the cost estimator tool may be available at the hospital.
- Some rates shown for pharmacy services may reflect different unit pricing.
- Some rates based on Medi-Cal or Medicare fee schedules may include other services that are part of a bundled payment.
- Services that do not have payer-specific charges may reflect services that are not paid outside of a bundled payment or may not have volume needed to calculate a payer specific rate at the hospital.
- The Medi-Cal payer-specific charges do not reflect adjustments for services provided in an emergency room or for pediatric services.
- Please check with your health plan if you need help understanding your benefits for the service chosen. Note that uninsured patients may be eligible for discounts.