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Sutter Tracy Community Memorial Hospital

Sutter Health
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Hospital Overview
Facility Details

CCN

050313

NPI

1821442864

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

77

Contact Information

Address

1420 North Tracy Boulevard

Tracy, CA 95376

Phone

(209) 835-1500

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

HCPCS

National Codes Established for State Medicaid Agencies

Range: T1000 - T5999

Percentage of Bill Charged

Aetna

Outpatient

CPT

Radiology Procedures

Range: 70010 - 79999

Negotiated

Very High

Aetna

Outpatient

HCPCS

Drugs Administered Other than Oral Method

Range: J0120 - J8999

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board Ward

Range: 0150 - 0159

Per Diem

Very High

Aetna

Outpatient

CPT

Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board (3 and 4 beds)

Range: 0130 - 0139

Per Diem

Very High

Aetna

Outpatient

HCPCS

Diagnostic Radiology Services

Range: R0070 - R0076

Percentage of Bill Charged

Aetna

Facility

RC

EKG/ECG Electrocardiogram

Range: 0730 - 0739

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Alcohol and Drug Abuse Treatment

Range: H0001 - H2037

Per Diem

Very High

Aetna

Outpatient

HCPCS

Hearing Services

Range: V5008 - V5364

Percentage of Bill Charged

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