Hospital Costs > In California > Sutter Amador Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 110 | 406 / 121 | $65.184,20 | 2203 / 91 | $16.494,10 | 2542 / 159 | $15.582,40 | 2498 / 172 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 38 | 526 / 125 | $73.839,80 | 2089 / 81 | $18.275,80 | 2474 / 130 | $17.131,40 | 2428 / 173 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 73 | $38.288,40 | 1979 / 83 | $9.095,22 | 2251 / 116 | $8.309,92 | 2242 / 141 |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 60 | $41.933,30 | 2381 / 88 | $8.325,40 | 2395 / 89 | $7.199,00 | 2386 / 96 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 61 | $51.445,80 | 2213 / 92 | $9.952,34 | 2242 / 91 | $9.039,79 | 2234 / 98 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 64 | $44.237,10 | 1731 / 30 | $12.364,90 | 2221 / 101 | $11.473,70 | 2215 / 111 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 84 | $33.488,40 | 2303 / 93 | $6.311,00 | 2206 / 68 | $5.239,00 | 2191 / 72 |
| Heart Failure & Shock W Mcc | 25 | 259 / 97 | $47.515,10 | 1921 / 46 | $12.737,60 | 2293 / 112 | $11.772,50 | 2283 / 115 |
| G.I. Hemorrhage W Cc | 24 | 194 / 67 | $36.441,00 | 1837 / 49 | $8.545,83 | 2080 / 78 | $7.640,50 | 2076 / 95 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 46 | $70.942,80 | 1562 / 26 | $16.831,60 | 1875 / 101 | $15.812,30 | 1855 / 110 |
| Heart Failure & Shock W Cc | 18 | 260 / 82 | $34.788,70 | 2168 / 61 | $8.442,94 | 2383 / 99 | $7.708,72 | 2377 / 109 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 57 | $54.354,60 | 1838 / 54 | $10.362,90 | 1918 / 70 | $9.491,83 | 1912 / 74 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 91 | $31.151,50 | 2261 / 78 | $6.558,78 | 2257 / 77 | $5.620,11 | 2246 / 85 |
| Cellulitis W/O Mcc | 18 | 171 / 68 | $29.880,10 | 2121 / 70 | $7.157,89 | 2255 / 79 | $6.350,78 | 2247 / 111 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 56 | $37.932,40 | 2017 / 63 | $7.958,94 | 2101 / 77 | $7.106,24 | 2094 / 89 |
| Medical Back Problems W/O Mcc | 13 | 108 / 44 | $32.705,80 | 1106 / 34 | $7.196,15 | 1214 / 52 | $6.076,15 | 1210 / 61 |
| Syncope & Collapse | 13 | 156 / 54 | $28.147,80 | 1356 / 32 | $8.819,46 | 1429 / 139 | $4.934,23 | 1422 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 61 | $44.917,20 | 1631 / 49 | $9.179,23 | 1792 / 75 | $8.157,69 | 1788 / 96 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 28 | $158.857,00 | 857 / 8 | $47.236,50 | 1159 / 60 | $43.898,70 | 1157 / 55 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 40 | $45.031,40 | 991 / 13 | $14.615,00 | 1611 / 80 | $14.113,70 | 1598 / 100 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $28.758,50 | 1585 / 31 | $5.967,00 | 1701 / 41 | $5.159,00 | 1693 / 61 |
| Diabetes W Cc | 12 | 80 / 23 | $37.012,40 | 1345 / 44 | $7.038,67 | 1269 / 37 | $6.030,67 | 1264 / 42 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 36 | $37.735,40 | 1304 / 40 | $8.559,58 | 1138 / 107 | $4.665,92 | 1134 / 23 |
| Transient Ischemia | 11 | 114 / 45 | $36.123,20 | 1352 / 50 | $5.920,73 | 1358 / 38 | $5.039,27 | 1351 / 60 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 43 | $44.241,50 | 1426 / 32 | $10.229,10 | 1637 / 66 | $9.455,27 | 1634 / 77 | Total 25 procedures | 576 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.