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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Adventist Health Sonora

Adventist Health · Sonora, CA

1000 Greenley Road, Sonora, CA 95370(209) 536-5000

3 of 5

CMS star rating

152

Beds

3,883

Inpatient discharges a year

$346.6M

Net patient revenue a year

40

In-network payers

About this hospital

Adventist Health Sonora is a 152-bed voluntary non-profit - church hospital in Sonora, CA, affiliated with Adventist Health. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 198 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
050335
NPI
1780673376
Health system
Adventist Health
Teaching
Teaching hospital
County
Tuolumne County
Metro area
Sonora, CA MicroSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services Adventist Health Sonora most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$292 - $3,535

from 2 insurers · median $1,914

UnitedHealthcare$292
Insurer A*$3,535
Medicare $490Nearby hospitals $4,23455% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$690 - $16,210

from 3 insurers · median $6,777

Anthem / Blue Shield$6,777
Insurer A*$690
Insurer B*$16,210
Medicare $1,274Nearby hospitals $1,349402% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$34,414 - $218,695

from 4 insurers · median $99,409

Aetna$64,963
Insurer A*$34,414
Insurer B*$133,854
Insurer C*$218,695
Medicare $38,378Nearby hospitals $114,65213% below nearby hospitals

26 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$12,015 - $28,114

from 4 insurers · median $18,244

Cigna$28,114
Insurer A*$12,015
Insurer B*$17,207
Insurer C*$19,281

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

How the insurers pay at Adventist Health Sonora

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
571%
192
Insurer B*10
524%
31
Insurer C*22
418%
172
Insurer D*18
83%
19

How we chose these services: 9 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Adventist Health Sonora, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 171 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 20 services
    • 511 affiliated clinicians
    See doctors and services
  • Finances

    $346.6M net patient revenue

    • Operating margin on patient care -5.2%
    • $4.8M unreimbursed and uncompensated care
    • $44.3M net income
    See finances
  • Ownership and leadership

    Owned by Adventist Health System/west

    • Church
    • Gregory D Mcculloch, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Adventist Health Sonora in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-1415069(multi-state) Sonora Community Hospital63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1780673376 Sonora Community Hospital1962493791 Sonora Community Hospital1821089749 Sonora Community Hospitaland 36 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1000 Greenley Road, Sonora, CA 95370

(209) 536-5000

Get directions

Frequently asked questions

About Adventist Health Sonora's rates and hospital price transparency.

How much does an MRI cost at Adventist Health Sonora?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Adventist Health Sonora range from $792 to $7,067 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $2,272. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Adventist Health Sonora?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Adventist Health Sonora range from $292 to $3,535 across 2 insurers. UnitedHealthcare's rate is $292. The median at nearby comparable hospitals is $4,234. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Adventist Health Sonora?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Adventist Health Sonora range from $797 to $16,462 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,793. The median at nearby comparable hospitals is $1,489. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Adventist Health Sonora?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Adventist Health Sonora range from $12,015 to $28,114 across 4 insurers. Cigna's rate is $28,114. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Adventist Health Sonora?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Adventist Health Sonora range from $87 to $677 across 4 insurers. Aetna's rate is $677. The median at nearby comparable hospitals is $288. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Adventist Health Sonora's CMS star rating?

Adventist Health Sonora has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Adventist Health Sonora a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Adventist Health Sonora for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Adventist Health Sonora for readmissions?

No. Adventist Health Sonora has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Adventist Health Sonora?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (395 discharges), septicemia or severe sepsis without mv >96 hours without mcc (76 discharges), heart failure and shock with mcc (68 discharges).

What is Adventist Health Sonora's case mix index?

Adventist Health Sonora's Medicare case mix index is 1.78 for fiscal year 2027, higher than 60% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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