Hospital Costs > In California > Sutter Tracy Community 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 | 122 | 394 / 115 | $70.234,00 | 2286 / 107 | $13.775,10 | 2169 / 43 | $13.061,10 | 2131 / 64 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 53 | 154 / 59 | $41.639,00 | 2088 / 107 | $8.107,04 | 2003 / 44 | $7.308,85 | 1995 / 61 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 73 | $35.620,80 | 2390 / 113 | $7.538,08 | 2036 / 139 | $5.071,31 | 2025 / 40 |
Heart Failure & Shock W Cc | 34 | 244 / 67 | $39.408,10 | 2308 / 82 | $8.449,74 | 1926 / 101 | $6.375,00 | 1921 / 32 |
Heart Failure & Shock W Mcc | 29 | 255 / 93 | $51.601,30 | 2024 / 67 | $11.183,60 | 2004 / 39 | $10.393,50 | 1997 / 43 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 29 | 535 / 133 | $90.651,10 | 2368 / 131 | $16.192,00 | 2262 / 61 | $15.068,70 | 2218 / 96 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 82 | $34.547,60 | 2338 / 101 | $6.014,86 | 2025 / 40 | $4.853,00 | 2011 / 41 |
Cellulitis W/O Mcc | 28 | 161 / 58 | $31.463,60 | 2179 / 79 | $6.646,25 | 2057 / 33 | $5.695,39 | 2049 / 53 |
G.I. Hemorrhage W Cc | 26 | 192 / 65 | $48.901,40 | 2140 / 108 | $7.674,08 | 1877 / 30 | $6.840,85 | 1873 / 45 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 23 | 103 / 36 | $45.915,50 | 1419 / 69 | $8.700,17 | 1285 / 32 | $8.030,26 | 1282 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 56 | $29.486,30 | 2115 / 79 | $5.724,57 | 1884 / 46 | $4.622,65 | 1878 / 38 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 68 | $47.436,10 | 2505 / 121 | $7.665,73 | 2271 / 42 | $6.790,09 | 2263 / 60 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 54 | $53.761,30 | 1827 / 52 | $10.479,50 | 1966 / 76 | $9.851,71 | 1960 / 90 |
Renal Failure W Cc | 20 | 201 / 68 | $50.791,20 | 2260 / 137 | $7.319,10 | 1804 / 33 | $6.415,10 | 1794 / 34 |
Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 72 | $46.026,50 | 2094 / 58 | $8.978,50 | 2074 / 40 | $8.171,39 | 2066 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 17 | 165 / 57 | $39.442,60 | 1501 / 33 | $8.266,94 | 1621 / 33 | $7.267,41 | 1617 / 51 |
Renal Failure W Mcc | 16 | 179 / 70 | $55.780,60 | 1687 / 66 | $11.413,60 | 1638 / 27 | $10.830,10 | 1636 / 39 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $37.727,90 | 1727 / 76 | $6.439,60 | 1523 / 29 | $5.550,00 | 1514 / 36 |
Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 58 | $39.109,10 | 2045 / 71 | $8.424,73 | 1874 / 102 | $6.295,67 | 1867 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 51 | $97.206,70 | 1869 / 87 | $14.765,80 | 1667 / 42 | $13.803,60 | 1648 / 51 |
Syncope & Collapse | 14 | 155 / 53 | $28.578,20 | 1376 / 33 | $5.885,36 | 1539 / 30 | $5.281,93 | 1532 / 59 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 32 | $28.378,10 | 1660 / 27 | $5.814,43 | 1669 / 22 | $4.865,86 | 1658 / 35 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 11 | $36.842,40 | 747 / 15 | $7.288,71 | 769 / 9 | $6.593,86 | 766 / 19 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 59 | $68.479,00 | 1389 / 42 | $14.355,80 | 1479 / 32 | $14.077,60 | 1463 / 49 |
Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 79 | $44.112,10 | 1721 / 29 | $17.668,90 | 1617 / 190 | $8.953,50 | 1617 / 10 |
Transient Ischemia | 12 | 113 / 44 | $37.353,00 | 1386 / 59 | $5.688,75 | 1286 / 26 | $4.784,75 | 1280 / 43 |
Chest Pain | 12 | 139 / 60 | $24.246,00 | 1170 / 31 | $5.000,00 | 1168 / 29 | $3.896,00 | 1161 / 30 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 54 | $43.895,50 | 1978 / 110 | $6.354,67 | 1694 / 38 | $5.445,33 | 1689 / 49 |
Respiratory Infections & Inflammations W Cc | 12 | 76 / 36 | $50.745,10 | 1159 / 32 | $10.749,20 | 1215 / 40 | $9.839,83 | 1210 / 40 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 15 | $42.335,20 | 379 / 15 | $7.749,27 | 368 / 6 | $6.975,45 | 368 / 8 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 25 | $39.480,80 | 1025 / 21 | $8.014,55 | 1153 / 23 | $7.357,09 | 1151 / 36 |
Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 22 | $44.947,50 | 962 / 39 | $6.945,82 | 784 / 12 | $5.849,09 | 780 / 12 |
G.I. Hemorrhage W Mcc | 11 | 110 / 45 | $39.988,90 | 690 / 8 | $13.422,00 | 1279 / 34 | $12.786,40 | 1269 / 45 | Total 33 procedures | 749 | 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.