Hospital Costs > In California > Sutter Auburn Faith Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $21.310,30 | 346 / 3 | $7.419,73 | 1017 / 9 | $6.759,36 | 1015 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 37 | $31.123,30 | 480 / 2 | $8.557,47 | 154 / 1 | $8.156,40 | 154 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $28.747,00 | 1578 / 29 | $6.268,33 | 1660 / 32 | $5.347,95 | 1655 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 40 | $43.983,20 | 1419 / 29 | $9.668,29 | 1551 / 36 | $8.891,14 | 1548 / 47 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 37 | $22.800,50 | 1540 / 25 | $4.606,58 | 1482 / 30 | $3.502,58 | 1476 / 32 |
| Cellulitis W/O Mcc | 31 | 158 / 55 | $31.555,60 | 2184 / 80 | $6.762,52 | 2077 / 46 | $5.747,81 | 2069 / 58 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 59 | $30.548,30 | 1745 / 34 | $7.482,36 | 1949 / 44 | $6.529,21 | 1942 / 48 |
| Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 56 | $34.766,30 | 1728 / 25 | $8.718,44 | 1987 / 28 | $7.933,50 | 1979 / 43 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 63 | $33.077,40 | 2282 / 89 | $6.211,72 | 2097 / 56 | $4.988,89 | 2083 / 50 |
| Extracranial Procedures W/O Cc/Mcc | 15 | 83 / 25 | $43.707,90 | 690 / 9 | $8.412,80 | 792 / 15 | $7.363,20 | 789 / 23 |
| Female Reproductive System Reconstructive Procedures | 13 | 12 / 3 | $32.848,00 | 22 / 1 | $8.141,62 | 25 / 1 | $6.937,92 | 25 / 2 |
| G.I. Hemorrhage W Cc | 32 | 186 / 59 | $33.423,70 | 1738 / 37 | $8.040,84 | 1949 / 48 | $7.092,84 | 1945 / 55 |
| G.I. Hemorrhage W Mcc | 19 | 102 / 37 | $40.886,40 | 723 / 10 | $13.428,20 | 1291 / 35 | $12.855,50 | 1281 / 46 |
| G.I. Obstruction W Cc | 21 | 71 / 31 | $30.278,00 | 1210 / 22 | $7.126,10 | 1364 / 37 | $6.088,38 | 1359 / 38 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 23 | $28.641,50 | 1092 / 37 | $5.899,33 | 970 / 61 | $3.864,67 | 967 / 29 |
| Heart Failure & Shock W Cc | 26 | 252 / 74 | $29.619,30 | 1936 / 30 | $7.957,81 | 1983 / 64 | $6.499,85 | 1978 / 36 |
| Heart Failure & Shock W Mcc | 17 | 267 / 105 | $49.756,60 | 1981 / 57 | $11.492,30 | 2087 / 56 | $10.713,00 | 2078 / 62 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 43 | $64.282,30 | 1452 / 13 | $17.290,90 | 1606 / 111 | $13.385,80 | 1587 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 55 | $36.216,80 | 1399 / 26 | $8.408,37 | 1693 / 43 | $7.581,42 | 1689 / 69 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 60 | $30.017,50 | 339 / 1 | $12.096,50 | 962 / 8 | $10.889,30 | 958 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 26 | $28.128,80 | 1023 / 8 | $7.287,05 | 1067 / 73 | $4.482,59 | 1063 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 84 | $28.855,60 | 2171 / 57 | $6.178,04 | 2164 / 46 | $5.358,84 | 2153 / 64 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 13 | $50.748,50 | 420 / 9 | $10.672,80 | 454 / 27 | $7.924,62 | 453 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 162 | 402 / 61 | $62.025,80 | 1768 / 53 | $16.747,40 | 2330 / 82 | $15.553,70 | 2285 / 115 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 38 | $101.373,00 | 1220 / 24 | $19.999,80 | 1306 / 36 | $18.859,10 | 1292 / 56 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 25 | $177.046,00 | 954 / 18 | $43.355,10 | 1122 / 45 | $42.145,50 | 1120 / 48 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 48 | $39.912,70 | 1303 / 48 | $8.535,00 | 1254 / 26 | $7.902,27 | 1251 / 39 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 60 | $28.852,10 | 2089 / 74 | $5.665,47 | 1857 / 41 | $4.577,47 | 1851 / 33 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 31 | $33.630,50 | 986 / 31 | $7.793,45 | 1108 / 30 | $6.920,73 | 1104 / 45 |
| Pulmonary Edema & Respiratory Failure | 36 | 167 / 40 | $59.613,50 | 1922 / 71 | $9.906,25 | 1850 / 41 | $9.103,58 | 1845 / 53 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 18 | $33.495,70 | 930 / 8 | $7.851,25 | 1107 / 18 | $7.245,92 | 1104 / 43 |
| Renal Failure W Cc | 18 | 203 / 70 | $38.631,60 | 2007 / 70 | $7.523,00 | 1963 / 41 | $6.852,78 | 1953 / 61 |
| Renal Failure W Mcc | 16 | 179 / 70 | $69.747,90 | 1886 / 101 | $13.331,50 | 1893 / 93 | $12.655,40 | 1889 / 111 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 109 | 407 / 122 | $59.095,20 | 2065 / 73 | $14.215,80 | 2195 / 65 | $13.141,20 | 2156 / 67 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 46 | 161 / 65 | $34.750,40 | 1849 / 64 | $8.329,72 | 2021 / 55 | $7.382,24 | 2013 / 69 |
| Simple Pneumonia & Pleurisy W Cc | 33 | 170 / 57 | $36.618,40 | 2236 / 55 | $7.789,85 | 2286 / 53 | $6.839,55 | 2278 / 65 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 67 | $55.128,50 | 2020 / 60 | $10.911,40 | 2002 / 40 | $10.154,10 | 2002 / 52 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 33 | $30.213,00 | 1619 / 39 | $5.753,00 | 1546 / 28 | $4.542,33 | 1538 / 31 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 13 | 33 / 10 | $37.699,70 | 172 / 8 | $7.992,77 | 180 / 9 | $6.784,15 | 180 / 15 | Total 39 procedures | 1.027 | 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.