Hospital Costs > In California > Sutter Delta Medical Center, 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 | 191 | 325 / 84 | $80.362,10 | 2437 / 142 | $16.622,60 | 2523 / 161 | $15.439,30 | 2479 / 167 |
Heart Failure & Shock W Cc | 90 | 188 / 21 | $46.012,90 | 2478 / 123 | $9.365,78 | 2541 / 142 | $8.628,36 | 2535 / 161 |
Chronic Obstructive Pulmonary Disease W Mcc | 86 | 116 / 12 | $56.234,20 | 2302 / 112 | $10.736,60 | 2378 / 130 | $10.007,30 | 2370 / 145 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 84 | 123 / 37 | $47.488,40 | 2211 / 132 | $9.884,70 | 2328 / 158 | $8.814,56 | 2318 / 165 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 76 | 199 / 37 | $40.269,60 | 2484 / 138 | $7.433,58 | 2454 / 138 | $6.237,22 | 2439 / 141 |
Heart Failure & Shock W Mcc | 68 | 216 / 60 | $64.115,00 | 2256 / 108 | $14.059,80 | 2390 / 155 | $12.769,80 | 2379 / 150 |
Kidney & Urinary Tract Infections W/O Mcc | 54 | 179 / 57 | $35.927,20 | 2402 / 116 | $7.393,02 | 2451 / 131 | $6.410,50 | 2440 / 139 |
Renal Failure W Cc | 48 | 173 / 40 | $48.110,10 | 2225 / 121 | $9.002,56 | 2199 / 120 | $8.096,56 | 2189 / 132 |
G.I. Hemorrhage W Cc | 47 | 171 / 47 | $41.258,90 | 1985 / 77 | $9.482,49 | 2190 / 131 | $8.308,96 | 2186 / 133 |
Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 27 | $54.354,50 | 2300 / 137 | $8.994,67 | 2256 / 121 | $8.132,76 | 2249 / 137 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 44 | $47.253,10 | 2503 / 119 | $9.232,24 | 2575 / 135 | $8.235,37 | 2566 / 150 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 47 | $77.399,90 | 2323 / 133 | $13.398,80 | 2348 / 139 | $12.630,10 | 2342 / 150 |
Chest Pain | 37 | 114 / 36 | $37.839,50 | 1549 / 94 | $6.119,43 | 1468 / 84 | $5.078,14 | 1460 / 91 |
Syncope & Collapse | 37 | 132 / 30 | $39.642,20 | 1689 / 83 | $7.180,57 | 1711 / 98 | $6.198,95 | 1703 / 98 |
Red Blood Cell Disorders W/O Mcc | 34 | 109 / 22 | $41.928,20 | 1793 / 96 | $7.790,18 | 1793 / 94 | $6.902,24 | 1784 / 100 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 33 | 531 / 130 | $89.435,00 | 2352 / 128 | $20.562,20 | 2508 / 179 | $17.710,50 | 2462 / 182 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 50 | $35.785,90 | 2278 / 113 | $6.862,17 | 2287 / 120 | $6.015,23 | 2279 / 132 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 31 | $63.622,00 | 1437 / 64 | $10.814,40 | 1458 / 89 | $8.729,40 | 1455 / 77 |
Cellulitis W/O Mcc | 29 | 160 / 57 | $40.418,60 | 2420 / 144 | $8.103,52 | 2447 / 136 | $7.394,00 | 2439 / 166 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 39 | $48.066,40 | 2041 / 126 | $7.724,41 | 1980 / 116 | $6.918,48 | 1975 / 132 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 48 | $68.343,00 | 2036 / 99 | $11.332,10 | 2045 / 109 | $10.616,30 | 2039 / 120 |
Respiratory Infections & Inflammations W Mcc | 26 | 110 / 46 | $72.406,30 | 1432 / 49 | $16.732,00 | 1623 / 91 | $15.625,00 | 1607 / 88 |
Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 11 | $52.737,00 | 1216 / 49 | $9.878,48 | 1318 / 71 | $9.058,00 | 1316 / 79 |
Respiratory Infections & Inflammations W Cc | 25 | 63 / 23 | $47.725,80 | 1109 / 23 | $11.920,80 | 1332 / 72 | $10.955,60 | 1327 / 75 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 35 | $36.786,10 | 1223 / 37 | $10.435,00 | 1532 / 97 | $9.654,38 | 1529 / 106 |
Renal Failure W Mcc | 23 | 172 / 63 | $62.370,10 | 1787 / 80 | $14.045,30 | 1952 / 117 | $13.204,90 | 1948 / 128 |
Transient Ischemia | 22 | 103 / 34 | $35.230,50 | 1332 / 48 | $7.144,64 | 1467 / 98 | $5.584,77 | 1459 / 87 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 22 | 70 / 33 | $296.067,00 | 992 / 89 | $64.425,50 | 973 / 124 | $51.273,50 | 972 / 100 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 22 | 102 / 44 | $202.992,00 | 1272 / 50 | $43.240,70 | 1317 / 61 | $42.353,00 | 1307 / 71 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 24 | $42.059,10 | 1002 / 30 | $11.774,00 | 1269 / 96 | $9.962,10 | 1264 / 82 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 28 | $44.538,90 | 712 / 9 | $13.385,80 | 940 / 32 | $12.781,00 | 936 / 40 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 51 | $96.904,00 | 1128 / 39 | $20.591,30 | 1370 / 94 | $16.510,10 | 1362 / 84 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 46 | $99.949,70 | 1890 / 93 | $16.499,70 | 1830 / 93 | $15.294,90 | 1811 / 100 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 55 | $58.215,50 | 1848 / 103 | $10.028,90 | 1898 / 119 | $8.957,74 | 1894 / 132 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 27 | $36.143,70 | 1872 / 65 | $6.991,11 | 1911 / 78 | $5.977,21 | 1900 / 84 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 30 | $29.355,90 | 1743 / 64 | $5.707,37 | 1797 / 85 | $4.565,47 | 1791 / 96 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 33 | $74.435,50 | 1502 / 61 | $15.193,10 | 1615 / 98 | $14.179,20 | 1602 / 101 |
G.I. Obstruction W Cc | 18 | 74 / 34 | $34.301,80 | 1329 / 36 | $8.385,83 | 1555 / 88 | $7.060,50 | 1550 / 90 |
Bronchitis & Asthma W Cc/Mcc | 18 | 58 / 15 | $49.727,10 | 1003 / 50 | $8.418,00 | 967 / 48 | $7.410,00 | 963 / 57 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 49 | $36.088,30 | 1389 / 32 | $10.209,60 | 1778 / 109 | $9.426,53 | 1774 / 121 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 9 | $43.815,10 | 825 / 30 | $8.927,31 | 845 / 36 | $7.463,31 | 842 / 36 |
Seizures W/O Mcc | 16 | 92 / 26 | $34.729,10 | 1058 / 36 | $7.467,81 | 1096 / 52 | $6.153,06 | 1094 / 52 |
Other Digestive System Diagnoses W Cc | 16 | 81 / 26 | $45.098,50 | 1203 / 63 | $9.037,31 | 1263 / 83 | $8.055,31 | 1259 / 92 |
Medical Back Problems W/O Mcc | 16 | 105 / 41 | $36.931,40 | 1190 / 44 | $8.118,69 | 1370 / 78 | $7.364,69 | 1365 / 97 |
Permanent Cardiac Pacemaker Implant W Cc | 16 | 61 / 19 | $79.709,20 | 619 / 14 | $22.218,80 | 864 / 49 | $21.242,80 | 860 / 54 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 37 | $104.532,00 | 1555 / 49 | $19.842,90 | 1614 / 61 | $19.094,90 | 1600 / 70 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 39 | $44.076,30 | 1422 / 31 | $11.350,70 | 1730 / 97 | $10.220,10 | 1727 / 102 |
Other Circulatory System Diagnoses W Mcc | 15 | 101 / 35 | $93.856,80 | 1232 / 71 | $19.113,70 | 1294 / 99 | $18.221,90 | 1286 / 103 |
Diabetes W Cc | 15 | 77 / 20 | $37.959,40 | 1361 / 46 | $8.055,73 | 1442 / 76 | $7.172,53 | 1437 / 85 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 14 | 48 / 17 | $43.256,50 | 751 / 39 | $7.300,50 | 715 / 35 | $6.262,79 | 713 / 41 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 14 | $37.420,10 | 469 / 13 | $8.175,00 | 520 / 29 | $7.153,46 | 519 / 28 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 28 | $34.808,70 | 1183 / 56 | $6.160,46 | 1225 / 65 | $5.234,92 | 1222 / 79 |
Signs & Symptoms W Mcc | 13 | 28 / 7 | $64.366,30 | 267 / 5 | $10.558,20 | 222 / 2 | $9.726,15 | 222 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 13 | 155 / 58 | $71.941,20 | 1283 / 54 | $15.577,30 | 1439 / 84 | $14.651,80 | 1432 / 99 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 18 | $53.386,50 | 1188 / 47 | $9.005,33 | 1197 / 43 | $8.298,67 | 1194 / 66 |
G.I. Hemorrhage W Mcc | 12 | 109 / 44 | $60.179,20 | 1200 / 38 | $15.619,70 | 1459 / 88 | $14.521,00 | 1449 / 91 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 33 | $32.635,10 | 1770 / 56 | $6.740,58 | 1838 / 81 | $5.833,92 | 1825 / 89 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 21 | $34.369,20 | 908 / 19 | $8.540,17 | 1012 / 47 | $7.334,83 | 1009 / 41 |
Signs & Symptoms W/O Mcc | 12 | 79 / 26 | $31.711,20 | 1067 / 33 | $8.762,42 | 1121 / 80 | $5.591,83 | 1118 / 53 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 20 | $53.830,90 | 887 / 35 | $11.588,50 | 962 / 52 | $10.704,20 | 958 / 53 |
Diabetes W Mcc | 11 | 46 / 16 | $66.041,30 | 673 / 29 | $12.774,00 | 672 / 33 | $12.110,70 | 671 / 37 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 14 | $29.361,10 | 741 / 13 | $6.419,82 | 797 / 30 | $5.657,64 | 796 / 38 | Total 62 procedures | 1.862 | 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.