Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

SUTTER BAY HOSPITALS

General Acute Care Hospital·SAN FRANCISCO, CA·NPI: 1740348929Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $20.0M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.0M

$19,994,500

Total Claims

304K

Beneficiaries

252K

1.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-5%
2019
$1.0M
+89%
2020
$2.0M
+42%
2021
$2.8M
+26%
2022
$3.5M
+60%
2023
$5.7M
-33%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 11% of total spending.

99285Top 1%

Emergency dept visit, high/urgent complexity

$2.1M

1,485 claims · 10.5%

Your Cost: $1,414.24/claim|Median: $85.65
16.5× median
99281Normal range

Emergency dept visit, minimal complexity

$1.6M

18K claims · 7.8%

Your Cost: $84.76/claim|Median: $52.03
1.6× median
99284Top 1%

Emergency dept visit, high complexity

$1.3M

2,641 claims · 6.7%

Your Cost: $503.67/claim|Median: $69.51
7.2× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$833K

5,417 claims · 4.2%

Your Cost: $153.77/claim|Median: $21.76
7.1× median
74177Top 10%

CT abdomen and pelvis with contrast

$786K

1,837 claims · 3.9%

Your Cost: $428.03/claim|Median: $65.76
6.5× median
70450Top 5%

CT head/brain without contrast

$701K

2,804 claims · 3.5%

Your Cost: $250.11/claim|Median: $45.53
5.5× median
99283Top 10%

Emergency dept visit, moderate complexity

$675K

3,975 claims · 3.4%

Your Cost: $169.80/claim|Median: $42.48
4.0× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$620K

2,844 claims · 3.1%

Your Cost: $218.00/claim|Median: $40.11
5.4× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$611K

5,516 claims · 3.1%

Your Cost: $110.76/claim|Median: $35.43
3.1× median
0450Top 25%

Emergency room visit

$570K

7,212 claims · 2.8%

Your Cost: $78.98/claim|Median: $44.95
1.8× median
92507Top 10%

Speech/hearing/language treatment

$465K

4,940 claims · 2.3%

Your Cost: $94.21/claim|Median: $49.45
1.9× median
78815Top 1%

PET imaging for limited area

$426K

173 claims · 2.1%

Your Cost: $2,459.74/claim|Median: $325.10
7.6× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$425K

4,457 claims · 2.1%

Your Cost: $95.25/claim|Median: $14.92
6.4× median
99199Top 10%

Unlisted special service, procedure, or report

$422K

3,459 claims · 2.1%

Your Cost: $122.06/claim|Median: $5.39
22.6× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$420K

9,493 claims · 2.1%

Your Cost: $44.25/claim|Median: $7.50
5.9× median
80053Top 25%

Comprehensive metabolic panel

$396K

22K claims · 2.0%

Your Cost: $18.12/claim|Median: $7.24
2.5× median
87636Top 1%

Respiratory virus detection, 6-11 targets, nucleic acid

$385K

1,322 claims · 1.9%

Your Cost: $290.86/claim|Median: $97.61
3.0× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$367K

11K claims · 1.8%

Your Cost: $32.80/claim|Median: $28.63
1.1× median
87637Top 1%

Respiratory virus detection, 3-5 targets, nucleic acid

$359K

1,209 claims · 1.8%

Your Cost: $296.99/claim|Median: $100.62
3.0× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$353K

3,686 claims · 1.8%

Your Cost: $95.66/claim|Median: $39.70
2.4× median
93306Top 1%

Echocardiography, transthoracic, complete, with Doppler

$351K

600 claims · 1.8%

Your Cost: $584.76/claim|Median: $54.68
10.7× median
96365Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$323K

1,716 claims · 1.6%

Your Cost: $188.30/claim|Median: $54.77
3.4× median
99201Top 10%

Office/outpatient visit, new patient, straightforward

$311K

2,375 claims · 1.6%

Your Cost: $131.00/claim|Median: $27.38
4.8× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$281K

24K claims · 1.4%

Your Cost: $11.64/claim|Median: $4.71
2.5× median
71045Top 5%

Chest X-ray, single view

$255K

5,633 claims · 1.3%

Your Cost: $45.22/claim|Median: $4.93
9.2× median
96361Normal range

IV infusion, hydration, each additional hour

$239K

3,051 claims · 1.2%

Your Cost: $78.31/claim|Median: $38.92
2.0× median
Q3014Top 5%

Telehealth originating site facility fee

$224K

6,009 claims · 1.1%

Your Cost: $37.27/claim|Median: $15.37
2.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$202K

3,934 claims · 1.0%

Your Cost: $51.26/claim|Median: $24.49
2.1× median
71046Top 10%

Chest X-ray, 2 views

$161K

3,326 claims · 0.8%

Your Cost: $48.38/claim|Median: $8.92
5.4× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$159K

1,058 claims · 0.8%

Your Cost: $150.39/claim|Median: $75.28
2.0× median
82077Top 5%

$152K

2,988 claims · 0.8%

Your Cost: $50.76/claim|Median: $4.44
11.4× median
J3490Normal range

Unclassified drugs

$140K

5,500 claims · 0.7%

Your Cost: $25.53/claim|Median: $5.70
4.5× median
97039Top 25%

$134K

3,072 claims · 0.7%

Your Cost: $43.70/claim|Median: $16.74
2.6× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$130K

1,114 claims · 0.7%

Your Cost: $116.70/claim|Median: $61.57
1.9× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$120K

944 claims · 0.6%

Your Cost: $126.89/claim|Median: $38.23
3.3× median
84484Top 10%

Troponin, quantitative

$113K

7,141 claims · 0.6%

Your Cost: $15.84/claim|Median: $4.84
3.3× median
83880Top 5%

$110K

2,058 claims · 0.6%

Your Cost: $53.45/claim|Median: $11.81
4.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$103K

1,158 claims · 0.5%

Your Cost: $89.20/claim|Median: $63.08
1.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$102K

1,563 claims · 0.5%

Your Cost: $65.29/claim|Median: $9.56
6.8× median
72125Top 10%

CT cervical spine without contrast

$101K

452 claims · 0.5%

Your Cost: $222.67/claim|Median: $32.30
6.9× median
76700Top 10%

Ultrasound, abdominal, complete

$87K

500 claims · 0.4%

Your Cost: $174.25/claim|Median: $50.69
3.4× median
71275Top 5%

CT angiography, chest, with contrast

$85K

169 claims · 0.4%

Your Cost: $504.50/claim|Median: $92.96
5.4× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$78K

4,683 claims · 0.4%

Your Cost: $16.66/claim|Median: $3.42
4.9× median
0510Top 25%

Revenue code, clinic services

$75K

1,865 claims · 0.4%

Your Cost: $40.43/claim|Median: $28.38
1.4× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$70K

4,780 claims · 0.4%

Your Cost: $14.74/claim|Median: $1.53
9.6× median
92523Normal range

Evaluation of speech sound production with language comprehension

$69K

955 claims · 0.3%

Your Cost: $71.85/claim|Median: $110.87
0.6× median
74176Top 10%

CT abdomen and pelvis without contrast

$67K

186 claims · 0.3%

Your Cost: $359.36/claim|Median: $60.19
6.0× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$64K

2,468 claims · 0.3%

Your Cost: $25.77/claim|Median: $9.87
2.6× median
71260Top 1%

CT chest with contrast

$63K

120 claims · 0.3%

Your Cost: $525.59/claim|Median: $48.36
10.9× median
71250Top 1%

CT scan of chest without contrast

$58K

112 claims · 0.3%

Your Cost: $519.85/claim|Median: $39.11
13.3× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in General Acute Care Hospital

Yale New Haven Hospital

New Haven, CT

$1.08B

Montefiore Medical Center

Bronx, NY

$961.1M

The Cleveland Clinic Foundation

Cleveland, OH

$863.5M

Nationwide Children's Hospital

Columbus, OH

$777.5M

Boston Medical Center Corporation

Boston, MA

$768.5M

← All providersAll providers in California →How we detect fraud →