Hospital Costs > In California > Sutter Coast 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 | 126 | 390 / 112 | $46.404,10 | 1646 / 36 | $17.518,30 | 2610 / 186 | $16.390,50 | 2565 / 192 |
| Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 30 | $38.946,00 | 1523 / 23 | $13.544,20 | 2289 / 143 | $12.084,80 | 2283 / 128 |
| Pulmonary Edema & Respiratory Failure | 40 | 163 / 37 | $32.927,20 | 1198 / 11 | $11.192,80 | 1979 / 97 | $9.961,75 | 1973 / 95 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 71 | $33.374,00 | 1787 / 56 | $9.693,51 | 2343 / 145 | $8.920,56 | 2333 / 172 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 52 | $28.547,10 | 1871 / 23 | $10.457,90 | 2324 / 178 | $6.963,61 | 2315 / 78 |
| G.I. Hemorrhage W Cc | 33 | 185 / 58 | $28.614,70 | 1480 / 17 | $9.042,27 | 2154 / 111 | $8.057,06 | 2150 / 122 |
| Heart Failure & Shock W Mcc | 32 | 252 / 90 | $39.876,20 | 1653 / 27 | $16.433,80 | 2399 / 194 | $12.865,20 | 2388 / 154 |
| Respiratory Infections & Inflammations W Mcc | 31 | 105 / 41 | $49.299,40 | 1059 / 9 | $17.955,70 | 1705 / 112 | $17.172,20 | 1689 / 117 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 86 | $24.653,20 | 1857 / 37 | $6.857,83 | 2237 / 105 | $5.341,50 | 2222 / 83 |
| Respiratory Infections & Inflammations W Cc | 21 | 67 / 27 | $38.484,70 | 936 / 10 | $12.599,40 | 1385 / 89 | $11.794,80 | 1380 / 93 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 58 | $26.054,90 | 1941 / 48 | $6.336,95 | 2148 / 90 | $5.361,71 | 2140 / 92 |
| Cellulitis W/O Mcc | 20 | 169 / 66 | $30.878,20 | 2159 / 76 | $7.569,20 | 2325 / 107 | $6.668,40 | 2317 / 129 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 17 | 85 / 31 | $30.355,20 | 1115 / 15 | $6.852,53 | 1394 / 58 | $5.787,12 | 1390 / 73 |
| Heart Failure & Shock W Cc | 17 | 261 / 83 | $24.064,10 | 1593 / 20 | $8.970,65 | 2444 / 126 | $7.978,65 | 2438 / 130 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 51 | $26.956,60 | 1489 / 20 | $6.801,53 | 1829 / 70 | $5.942,87 | 1824 / 85 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 56 | $39.531,80 | 680 / 6 | $15.749,90 | 1437 / 91 | $14.627,80 | 1430 / 98 |
| Transient Ischemia | 14 | 111 / 42 | $30.372,50 | 1188 / 30 | $6.299,64 | 1382 / 61 | $5.191,07 | 1375 / 69 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 32 | $30.630,80 | 1632 / 41 | $7.810,08 | 1906 / 112 | $6.973,15 | 1898 / 122 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 36 | $25.643,90 | 1644 / 44 | $4.994,77 | 1745 / 51 | $4.251,38 | 1739 / 86 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 61 | $39.390,30 | 1499 / 32 | $9.752,54 | 1861 / 107 | $8.639,92 | 1857 / 119 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 44 | $45.979,50 | 895 / 17 | $15.803,70 | 1487 / 93 | $15.001,00 | 1477 / 102 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 98 | $29.420,80 | 2193 / 61 | $6.952,36 | 2379 / 108 | $6.070,91 | 2368 / 121 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 37 | $42.844,60 | 680 / 6 | $14.058,10 | 974 / 49 | $13.290,10 | 970 / 53 | Total 23 procedures | 639 | 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.