Hospital · CCN 050335
Adventist Health Sonora
1000 Greenley Road, Sonora, CA 95370 · Tuolumne County
Part of Adventist Health · 84 beds · 2
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999
45 admission types 44 outpatient services 2 Medicare-file findings
Billed per dollar paid, all admissions
5.94×
$166.1M billed against $28.0M paid across 1,427 Medicare discharges; the national figure is 5.03×.
—
of adults in Tuolumne County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
5.7%
uninsured in the county · state 7.5%
$72K
median household income
5.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ
29.0%
obesity in the countyⓘ
12.1%
diagnosed diabetes (PLACES)
8.0%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
395
$114,170
$22,244
5.1× st 6.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
76
$75,426
$11,244
6.7× st 6.1×
291
Heart failure and shock with mcc
68
$93,924
$14,015
6.7× st 6.5×
280
Acute myocardial infarction, discharged alive with mcc
66
$91,753
$17,316
5.3× st 6.6×
193
Simple pneumonia and pleurisy with mcc
45
$90,273
$14,697
6.1× st 6.9×
190
Chronic obstructive pulmonary disease with mcc
39
$77,522
$11,976
6.5× st 7.1×
481
Hip and femur procedures except major joint with cc
38
$144,006
$25,480
5.7× st 6.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
36
$309,003
$58,114
5.3× st 6.2×
689
Kidney and urinary tract infections with mcc
35
$82,940
$12,775
6.5× st 6.3×
698
Other kidney and urinary tract diagnoses with mcc
34
$91,291
$17,989
5.1× st 6.2×
378
Gastrointestinal hemorrhage with cc
32
$83,936
$10,720
7.8× st 6.8×
177
Respiratory infections and inflammations with mcc
30
$81,219
$18,233
4.5× st 6.6×
281
Acute myocardial infarction, discharged alive with cc
30
$92,707
$10,175
9.1× st 7.8×
683
Renal failure with cc
25
$53,815
$9,752
5.5× st 6.7×
189
Pulmonary edema and respiratory failure
24
$74,418
$13,485
5.5× st 6.7×
682
Renal failure with mcc
23
$108,196
$16,363
6.6× st 6.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
20
$69,405
$8,599
8.1× st 6.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
20
$82,971
$14,356
5.8× st 5.7×
308
Cardiac arrhythmia and conduction disorders with mcc
20
$99,269
$13,170
7.5× st 6.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
19
$152,217
$22,913
6.6× st 6.9×
480
Hip and femur procedures except major joint with mcc
18
$186,624
$31,810
5.9× st 6.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
18
$97,068
$21,538
4.5× st 7.4×
455
Combined anterior and posterior spinal fusion without cc/mcc
18
$382,092
$51,826
7.4× st 5.5×
854
Infectious and parasitic diseases with o.r. procedures with cc
17
$131,366
$22,110
5.9× st 6.7×
309
Cardiac arrhythmia and conduction disorders with cc
17
$61,665
$8,125
7.6× st 7.2×
330
Major small and large bowel procedures with cc
16
$162,013
$25,710
6.3× st 6.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$66,925
$13,595
4.9× st 6.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
15
$80,284
$11,073
7.3× st 7.9×
377
Gastrointestinal hemorrhage with mcc
15
$120,310
$19,628
6.1× st 6.4×
690
Kidney and urinary tract infections without mcc
15
$63,410
$8,787
7.2× st 6.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
15
$192,156
$19,991
9.6× st 7.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
15
$111,852
$15,404
7.3× st 7.2×
389
Gastrointestinal obstruction with cc
15
$45,455
$8,658
5.3× st 6.9×
638
Diabetes with cc
14
$81,904
$12,124
6.8× st 6.3×
454
Combined anterior and posterior spinal fusion with cc
14
$465,996
$68,788
6.8× st 5.5×
329
Major small and large bowel procedures with mcc
13
$349,104
$54,572
6.4× st 6.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
12
$67,092
$9,278
7.2× st 5.7×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
12
$112,617
$21,372
5.3× st 5.6×
460
Spinal fusion except cervical without mcc
11
$308,739
$42,756
7.2× st 5.6×
482
Hip and femur procedures except major joint without cc/mcc
11
$111,513
$17,172
6.5× st 6.7×
603
Cellulitis without mcc
11
$77,513
$9,640
8.0× st 5.9×
315
Other circulatory system diagnoses with cc
11
$83,896
$10,457
8.0× st 6.7×
312
Syncope and collapse
11
$104,876
$9,569
11.0× st 7.2×
282
Acute myocardial infarction, discharged alive without cc/mcc
11
$82,183
$8,010
10.3× st 9.0×
699
Other kidney and urinary tract diagnoses with cc
11
$71,535
$11,228
6.4× st 6.1×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5372
Level 2 Urology and Related Services
556
$1,923
$898
2.1×
8011
Comprehensive Observation Services
464
$36,321
$3,586
10.1×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
313
$8,115
$2,117
3.8×
5115
Level 5 Musculoskeletal Procedures
256
$147,471
$16,873
8.7×
5431
Level 1 Nerve Procedures
210
$12,906
$2,542
5.1×
5373
Level 3 Urology and Related Services
205
$6,654
$2,653
2.5×
5114
Level 4 Musculoskeletal Procedures
145
$84,059
$9,369
9.0×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
125
$13,965
$3,598
3.9×
5112
Level 2 Musculoskeletal Procedures
120
$8,799
$2,081
4.2×
5361
Level 1 Laparoscopy and Related Services
84
$88,638
$7,598
11.7×
5302
Level 2 Upper GI Procedures
82
$19,142
$2,505
7.6×
5374
Level 4 Urology and Related Services
80
$44,279
$4,499
9.8×
5375
Level 5 Urology and Related Services
79
$56,046
$6,813
8.2×
5113
Level 3 Musculoskeletal Procedures
77
$43,922
$4,174
10.5×
5153
Level 3 Airway Endoscopy
77
$7,465
$2,235
3.3×
5183
Level 3 Vascular Procedures
76
$21,980
$4,109
5.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
63
$40,744
$4,555
8.9×
5313
Level 3 Lower GI Procedures
50
$17,991
$3,695
4.9×
5191
Level 1 Endovascular Procedures
50
$34,099
$4,236
8.1×
5165
Level 5 ENT Procedures
47
$63,012
$7,580
8.3×
5182
Level 2 Vascular Procedures
35
$13,123
$2,109
6.2×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
34
$59,721
$8,390
7.1×
5116
Level 6 Musculoskeletal Procedures
33
$169,364
$24,472
6.9×
5164
Level 4 ENT Procedures
31
$21,323
$4,239
5.0×
5163
Level 3 ENT Procedures
29
$3,324
$1,939
1.7×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
26
$21,027
$5,019
4.2×
5223
Level 3 Pacemaker and Similar Procedures
26
$64,747
$14,036
4.6×
5414
Level 4 Gynecologic Procedures
23
$17,771
$3,795
4.7×
5154
Level 4 Airway Endoscopy
14
$27,014
$4,931
5.5×
5222
Level 2 Pacemaker and Similar Procedures
14
$33,968
$11,174
3.0×
5362
Level 2 Laparoscopy and Related Services
13
$176,207
$12,617
14.0×
5232
Level 2 ICD and Similar Procedures
11
$245,652
$43,176
5.7×
5193
Level 3 Endovascular Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 282
info
inp_charge_10x_payment
average charge $82,183 is 10.3× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $104,876 is 11.0× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.