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SUTTER BAY HOSPITALS

General Acute Care Hospital, Critical Access·LAKEPORT, CA·NPI: 1952634008Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$39.5M

$39,495,014

Total Claims

458K

Beneficiaries

391K

1.2 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$4.2M
-3%
2019
$4.0M
+22%
2020
$4.9M
+52%
2021
$7.5M
+4%
2022
$7.7M
-15%
2023
$6.6M
-29%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 32% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$12.8M

51K claims · 32.3%

Your Cost: $248.83/claim|Median: $42.48
5.9× median
99281Top 5%

Emergency dept visit, minimal complexity

$7.8M

31K claims · 19.9%

Your Cost: $252.54/claim|Median: $52.03
4.9× median
74177Top 5%

CT abdomen and pelvis with contrast

$2.0M

2,896 claims · 5.1%

Your Cost: $701.07/claim|Median: $65.76
10.7× median
70450Top 1%

CT head/brain without contrast

$1.6M

2,458 claims · 4.1%

Your Cost: $662.74/claim|Median: $45.53
14.6× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$1.0M

3,967 claims · 2.6%

Your Cost: $254.44/claim|Median: $40.11
6.3× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$990K

7,914 claims · 2.5%

Your Cost: $125.06/claim|Median: $21.76
5.7× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$776K

7,737 claims · 2.0%

Your Cost: $100.30/claim|Median: $14.92
6.7× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$644K

2,518 claims · 1.6%

Your Cost: $255.92/claim|Median: $54.68
4.7× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$530K

3,016 claims · 1.3%

Your Cost: $175.73/claim|Median: $27.38
6.4× median
97110Top 25%

Therapeutic exercises, each 15 min

$520K

8,571 claims · 1.3%

Your Cost: $60.71/claim|Median: $24.49
2.5× median
96365Top 10%

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

$476K

2,919 claims · 1.2%

Your Cost: $162.94/claim|Median: $54.77
3.0× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$459K

3,230 claims · 1.2%

Your Cost: $142.10/claim|Median: $97.61
1.5× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$453K

7,415 claims · 1.1%

Your Cost: $61.06/claim|Median: $7.50
8.1× median
72148Top 5%

MRI lumbar spine without contrast

$451K

754 claims · 1.1%

Your Cost: $598.66/claim|Median: $101.03
5.9× median
77067Top 1%

Screening mammography, bilateral, including CAD

$442K

1,861 claims · 1.1%

Your Cost: $237.43/claim|Median: $39.33
6.0× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$398K

5,378 claims · 1.0%

Your Cost: $74.07/claim|Median: $35.43
2.1× median
72125Top 1%

CT cervical spine without contrast

$379K

307 claims · 1.0%

Your Cost: $1,234.34/claim|Median: $32.30
38.2× median
74176Top 10%

CT abdomen and pelvis without contrast

$377K

1,099 claims · 1.0%

Your Cost: $342.79/claim|Median: $60.19
5.7× median
73721Top 5%

MRI joint of lower extremity without contrast

$371K

557 claims · 0.9%

Your Cost: $666.71/claim|Median: $127.34
5.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$336K

5,342 claims · 0.9%

Your Cost: $62.96/claim|Median: $9.56
6.6× median
96361Normal range

IV infusion, hydration, each additional hour

$324K

4,617 claims · 0.8%

Your Cost: $70.27/claim|Median: $38.92
1.8× median
80053Top 25%

Comprehensive metabolic panel

$293K

25K claims · 0.7%

Your Cost: $11.74/claim|Median: $7.24
1.6× median
76705Top 5%

Ultrasound, abdominal, limited

$239K

1,852 claims · 0.6%

Your Cost: $129.11/claim|Median: $23.81
5.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$223K

28K claims · 0.6%

Your Cost: $8.03/claim|Median: $4.71
1.7× median
71045Top 10%

Chest X-ray, single view

$217K

6,740 claims · 0.6%

Your Cost: $32.27/claim|Median: $4.93
6.5× median
76856Top 10%

Ultrasound, pelvic, complete

$205K

1,435 claims · 0.5%

Your Cost: $142.80/claim|Median: $47.58
3.0× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$195K

3,871 claims · 0.5%

Your Cost: $50.25/claim|Median: $39.70
1.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$186K

2,133 claims · 0.5%

Your Cost: $87.22/claim|Median: $63.08
1.4× median
J3490Normal range

Unclassified drugs

$179K

31K claims · 0.5%

Your Cost: $5.76/claim|Median: $5.70
1.0× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$168K

1,656 claims · 0.4%

Your Cost: $101.64/claim|Median: $13.55
7.5× median
96360Top 25%

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

$156K

1,076 claims · 0.4%

Your Cost: $145.40/claim|Median: $61.57
2.4× median
76830Top 5%

Ultrasound, transvaginal

$155K

1,095 claims · 0.4%

Your Cost: $141.21/claim|Median: $57.47
2.5× median
71046Top 10%

Chest X-ray, 2 views

$148K

3,327 claims · 0.4%

Your Cost: $44.47/claim|Median: $8.92
5.0× median
73110Top 5%

X-ray of wrist, complete, minimum three views

$147K

1,288 claims · 0.4%

Your Cost: $114.45/claim|Median: $12.64
9.1× median
73030Top 5%

$142K

1,622 claims · 0.4%

Your Cost: $87.29/claim|Median: $10.94
8.0× median
73562Top 5%

$134K

1,603 claims · 0.3%

Your Cost: $83.86/claim|Median: $12.28
6.8× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$126K

1,576 claims · 0.3%

Your Cost: $80.06/claim|Median: $12.06
6.6× median
87637Top 25%

Respiratory virus detection, 3-5 targets, nucleic acid

$116K

828 claims · 0.3%

Your Cost: $140.05/claim|Median: $100.62
1.4× median
73130Top 5%

$115K

1,137 claims · 0.3%

Your Cost: $100.85/claim|Median: $10.69
9.4× median
97750Top 5%

$114K

1,081 claims · 0.3%

Your Cost: $105.51/claim|Median: $30.89
3.4× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$96K

9,601 claims · 0.2%

Your Cost: $10.02/claim|Median: $1.53
6.6× median
71275Top 1%

CT angiography, chest, with contrast

$91K

161 claims · 0.2%

Your Cost: $563.62/claim|Median: $92.96
6.1× median
59025Top 25%

Fetal non-stress test

$85K

1,786 claims · 0.2%

Your Cost: $47.59/claim|Median: $26.45
1.8× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$85K

434 claims · 0.2%

Your Cost: $194.87/claim|Median: $74.78
2.6× median
76770Top 5%

Ultrasound, retroperitoneal, complete

$84K

496 claims · 0.2%

Your Cost: $168.38/claim|Median: $37.35
4.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$82K

5,534 claims · 0.2%

Your Cost: $14.87/claim|Median: $9.87
1.5× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$82K

2,425 claims · 0.2%

Your Cost: $33.83/claim|Median: $23.39
1.4× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$81K

2,369 claims · 0.2%

Your Cost: $34.16/claim|Median: $24.95
1.4× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$81K

579 claims · 0.2%

Your Cost: $139.12/claim|Median: $36.79
3.8× median
97139Normal range

$79K

1,999 claims · 0.2%

Your Cost: $39.45/claim|Median: $28.71
1.4× median

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