Hospital Costs > In California > Sutter Davis Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 15 | 174 / 71 | $28.293,00 | 2060 / 56 | $8.854,87 | 2201 / 165 | $6.111,07 | 2193 / 90 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 62 | $42.536,50 | 2122 / 94 | $8.516,27 | 2172 / 108 | $7.473,00 | 2165 / 116 |
| G.I. Hemorrhage W Cc | 17 | 201 / 74 | $36.470,80 | 1839 / 50 | $8.653,06 | 2044 / 83 | $7.470,47 | 2040 / 83 |
| Heart Failure & Shock W Mcc | 12 | 272 / 110 | $43.075,00 | 1784 / 35 | $11.616,10 | 2139 / 66 | $10.970,40 | 2129 / 76 |
| Hip & Femur Procedures Except Major Joint W Cc | 11 | 132 / 55 | $56.395,10 | 1257 / 4 | $15.900,30 | 1788 / 75 | $14.860,10 | 1769 / 84 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 97 | $27.606,90 | 2102 / 48 | $6.738,25 | 2284 / 91 | $5.702,42 | 2273 / 91 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 14 | $41.273,30 | 328 / 4 | $10.999,20 | 547 / 31 | $9.858,08 | 546 / 38 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 45 | 519 / 120 | $64.477,60 | 1848 / 58 | $18.280,60 | 2463 / 131 | $17.047,20 | 2417 / 168 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 157 | $57.405,60 | 2019 / 67 | $15.240,60 | 2409 / 111 | $14.323,90 | 2366 / 123 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 78 | $32.127,40 | 1740 / 51 | $9.137,10 | 2232 / 118 | $8.199,61 | 2223 / 134 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 69 | $35.428,90 | 2199 / 51 | $8.048,67 | 2344 / 73 | $7.026,38 | 2335 / 83 |
| Transurethral Prostatectomy W/O Cc/Mcc | 13 | 16 / 3 | $21.285,80 | 29 / 1 | $7.110,15 | 68 / 3 | $5.548,77 | 68 / 4 | Total 12 procedures | 257 | 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.