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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Sutter Amador Hospital

Sutter Health · Jackson, CA

200 Mission Boulevard, Jackson, CA 95642(209) 223-7500

4 of 5

CMS star rating

52

Beds

2,590

Inpatient discharges a year

$120.8M

Net patient revenue a year

30

In-network payers

About this hospital

Sutter Amador Hospital is a 52-bed voluntary non-profit - private hospital in Jackson, CA, affiliated with Sutter Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 83 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
050014
NPI
1447494323
Health system
Sutter Health
Teaching
Teaching hospital
County
Amador County
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2019

Prices for common services

The 24 services Sutter Amador Hospital 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.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$82,186 - $89,796

from 4 insurers · median $83,947

Aetna$82,186
Insurer A*$82,678
Insurer B*$85,215
Insurer C*$89,796
Medicare $21,144Nearby hospitals $58,35844% above nearby hospitals

27 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$16,220 - $21,962

from 4 insurers · median $19,194

Aetna$20,274
Insurer A*$16,220
Insurer B*$18,114
Insurer C*$21,962

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 neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$27,717 - $32,624

from 4 insurers · median $30,653

Aetna$31,209
Insurer A*$27,717
Insurer B*$30,096
Insurer C*$32,624

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$2,350 - $6,117

from 4 insurers · median $3,629

Cigna$4,207
Insurer A*$2,350
Insurer B*$3,051
Insurer C*$6,117
Medicare $510Nearby hospitals $3,3319% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Sutter Amador Hospital

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*17
907%
34
Insurer B*22
501%
161
Insurer C*24
209%
710
Insurer D*23
184%
212

How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 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 Sutter Amador Hospital, 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
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 136 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.17%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 25 services
    • 585 affiliated clinicians
    See doctors and services
  • Finances

    $120.8M net patient revenue

    • Operating margin on patient care 1.4%
    • $7.9M unreimbursed and uncompensated care
    • $5M net income
    See finances
  • Ownership and leadership

    Owned by Sutter Health

    • Private (not for profit)
    • 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 Sutter Amador Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-1156621Sutter Roseville Medical Center42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 37 more1952350944 Sutter Valley Hospitals1366686248 Sutter Valley Hospitals1770532608 Sutter Valley Hospitalsand 46 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

200 Mission Boulevard, Jackson, CA 95642

(209) 223-7500

Get directions

Frequently asked questions

About Sutter Amador Hospital's rates and hospital price transparency.

How much does an MRI cost at Sutter Amador Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sutter Amador Hospital range from $2,272 to $4,923 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $2,272. The median at nearby comparable hospitals is $2,443. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sutter Amador Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sutter Amador Hospital range from $2,350 to $6,117 across 4 insurers. Cigna's rate is $4,207. The median at nearby comparable hospitals is $3,331. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Sutter Amador Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sutter Amador Hospital range from $1,410 to $3,146 across 3 insurers. UnitedHealthcare's rate is $3,146. The median at nearby comparable hospitals is $3,166. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Sutter Amador Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sutter Amador Hospital range from $16,220 to $21,962 across 4 insurers. Aetna's rate is $20,274. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sutter Amador Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sutter Amador Hospital range from $262 to $451 across 4 insurers. Aetna's rate is $314. The median at nearby comparable hospitals is $388. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Sutter Amador Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Sutter Amador Hospital range from $82,186 to $89,796 across 4 insurers. Aetna's rate is $82,186. The median at nearby comparable hospitals is $58,358. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Sutter Amador Hospital's CMS star rating?

Sutter Amador Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Sutter Amador Hospital a teaching hospital?

Yes. CMS counts 0.07 Medicare-funded residents per bed at Sutter Amador Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Sutter Amador Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Sutter Amador Hospital's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Sutter Amador Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (214 discharges), heart failure and shock with mcc (59 discharges), septicemia or severe sepsis without mv >96 hours without mcc (52 discharges).

For hospital finance and compliance teams

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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.

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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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  • cms-hpt.txt file and homepage footer link
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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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