Sutter Solano Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Sutter Solano Medical Center, Vallejo, CA in 2024, from traditional Medicare claims. Back to the Sutter Solano Medical Center profile, with quality ratings, finances and negotiated rates.
707
Medicare inpatient discharges
In 24 published DRGs
1.73
Case mix index
IPPS FY 2027
18%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
622
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases296 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 210 | $98,629 | $22,169 | $31,068 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 40 | $63,891 | $11,063 | $20,126 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $226,727 | $57,334 | $71,419 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $103,102 | $22,073 | $32,477 | 2.04 |
Respiratory system96 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 32 | $70,152 | $14,404 | $22,098 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $99,987 | $17,024 | $31,496 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 16 | $80,043 | $13,416 | $25,213 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $84,496 | $12,339 | $26,616 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 11 | $58,686 | $9,229 | $18,486 | 0.85 |
Circulatory system82 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 51 | $71,007 | $14,464 | $22,367 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 18 | $45,942 | $9,319 | $14,472 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $60,651 | $8,115 | $19,105 | 0.74 |
Musculoskeletal system and connective tissue80 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 68 | $109,459 | $17,842 | $34,479 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 12 | $100,436 | $22,641 | $31,637 | 2.07 |
Endocrine, nutritional and metabolic52 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 29 | $79,280 | $15,232 | $24,973 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $96,788 | $17,344 | $30,488 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 11 | $46,164 | $8,770 | $14,542 | 0.78 |
Digestive system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $108,473 | $19,392 | $34,169 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 17 | $52,962 | $10,832 | $16,683 | 0.98 |
Kidney and urinary tract23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 12 | $92,675 | $14,835 | $29,193 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 11 | $52,345 | $9,751 | $16,489 | 0.90 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $47,588 | $9,519 | $14,990 | 0.88 |
Nervous system15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 15 | $79,568 | $10,438 | $25,064 | 1.02 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $67,877 | $8,130 | $21,381 | 0.90 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 147 | 106 | $14,218 | $2,648 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 144 | 124 | $38,314 | $3,084 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 97 | 92 | $11,093 | $1,851 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 43 | 43 | $37,166 | $6,514 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 33 | 33 | $19,689 | $3,654 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 23 | 21 | $11,704 | $2,181 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 18 | 18 | $25,356 | $3,255 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 18 | 16 | $15,540 | $2,332 | $1,516 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 17 | $17,528 | $1,946 | $1,264 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 15 | 15 | $22,959 | $3,451 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 14 | 13 | $36,674 | $8,652 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 14 | $27,168 | $3,965 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 14 | 12 | $28,860 | $3,996 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 13 | $43,093 | $7,149 | $4,982 |
| Level 4 Airway EndoscopyAPC 5154 | 12 | 12 | $19,529 | $4,293 | $2,833 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.