Sutter Health · Crescent City, CA
2 of 5
CMS star rating
49
Beds
1,827
Inpatient discharges a year
$121.1M
Net patient revenue a year
25
In-network payers
Sutter Coast Hospital is a 49-bed government - hospital district or authority hospital in Crescent City, CA, affiliated with Sutter Health. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 93 disclosed rate categories.
The 24 services Sutter Coast Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$6,863
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$1,080 - $3,927
from 4 insurers · median $3,558
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$20,340
negotiated rate
26 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$9,497
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$454 - $1,641
from 2 insurers · median $1,047
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$2,050 - $7,413
from 2 insurers · median $4,732
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$213 - $748
from 4 insurers · median $677
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$394 - $602
from 4 insurers · median $459
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$2,787 - $4,484
from 2 insurers · median $3,635
15 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$1,659 - $9,019
from 4 insurers · median $5,751
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$3,787 - $7,413
from 2 insurers · median $5,600
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$797 - $1,769
from 3 insurers · median $1,498
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$805 - $1,953
from 3 insurers · median $1,498
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$307 - $994
from 2 insurers · median $650
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$135 - $564
from 3 insurers · median $246
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73562
$206 - $887
from 4 insurers · median $804
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,031 - $13,228
from 2 insurers · median $8,630
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$1,800 - $7,413
from 3 insurers · median $2,322
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93971
$135 - $1,515
from 4 insurers · median $1,065
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$226 - $1,161
from 2 insurers · median $694
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$307 - $2,126
from 4 insurers · median $1,467
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$435 - $804
from 4 insurers · median $729
Common here, based on CMS Medicare volume
Mammography
CPT 77066
$729 - $1,005
from 4 insurers · median $850
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$40 - $854
from 4 insurers · median $469
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 10 | 857% | 10 | 0 |
| Insurer B* | 14 | 601% | 9 | 2 |
| Insurer C* | 21 | 239% | 15 | 5 |
| Insurer D* | 24 | 126% | 7 | 15 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sutter Coast Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$121.1M net patient revenue
Ownership and leadership
Owned by Sutter Health
The employer identification numbers (EINs) health plans and networks list for Sutter Coast Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 94-2988520(multi-state) Sutter Coast Hospital | 42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 37 more | 1700960267 Sutter Coast Hospital1306853296 Sutter Coast Hospital1457367062 Sutter Coast Hospitaland 9 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
800 East Washington Boulevard, Crescent City, CA 95531
(707) 464-8880
How Sutter Coast Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 5 measures
0 better, 4 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 9 measures
0 better, 7 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
65%
Lower than 73% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.95
Lower than 55% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
128 min
Lower than 66% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
61%
Lower than 60% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 2 of 5 | |
| Death rates | Worse on 1 of 5 measures | |
| Safety | No different on 4 measures | |
| Readmissions | Worse on 2 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 65% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.95 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 128 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 61% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Sutter Coast Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.22% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Sutter Coast Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.075 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 416 cases | 3.5 | 3.9 | 3.81 | Better than 74% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.57 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 32 cases | 9.7 | 8.5 | 8.235 | Worse than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 108 cases | 15.8 | 11 | 10.29 | Worse than 98% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 189 cases | 17.2 | 15.2 | 14.49 | Worse than 78% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 43 cases | 10.5 | 11.6 | 11.57 | Better than 70% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,201 cases | 0.38 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 69% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 171 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,503 cases | 0.2 | 0.2 | 0.21 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,449 cases | 0.26 | 0.27 | 0.261 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 263 cases | 2.21 | 2.29 | 2.308 | No Different Than the National Rate | Better than 65% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 56 cases | 1.65 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 59 cases | 8.33 | 8.88 | 9.555 | No Different Than the National Rate | Better than 64% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 299 cases | 4.27 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 88% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 41 cases | 6.01 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 74 cases | 1.7 | 1.72 | 1.796 | No Different Than the National Rate | Better than 58% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 178 cases | 0.97 | 1.02 | 1.061 | No Different Than the National Rate | Better than 67% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.09 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 109 cases | 14.1 | 1.25 | 7.901 | Worse than 67% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 169 cases | 17.4 | 3.85 | 16.67 | Worse than 69% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 499 cases | 13.5 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 76% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 79 cases | 10.7 | 10.7 | 11.39 | No Different Than the National Rate | Worse than 50% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 79 cases | 6.3 | 5.3 | 5.546 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 62 cases | 1.2 | 1 | 1.001 | No Different than expected | Worse than 89% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.19 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.94 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 82 cases | 20.8 | 21.3 | 21.41 | Better than 67% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.612 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 114 cases | 16.7 | 17.2 | 17.7 | Better than 73% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2347 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.834 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 492 | 1,370 | 5,722 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.359 | 0.9835 | 5.638 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.347 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5696 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.749 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 957 | 1,799 | 5,308 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.625 | 1.377 | 6.105 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.273 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5366 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.433 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 22 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.529 | 1.591 | 2.999 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.368 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8107 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2606 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 6 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.055 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.5911 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3103 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.305 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 7,412 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.217 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1925 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.081 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 7,064 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.771 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.383 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 283 cases | 75 | 73 | 72.2 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 283 cases | 5 | 8 | 8.78 | Better than 73% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 283 cases | 20 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 283 cases | 89 | 87 | 86.82 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 283 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 283 cases | 80 | 80 | 75.76 | Better than 49% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 283 cases | 92 | 91 | 89.84 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 283 cases | 4 | 4 | 5.713 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 283 cases | 4 | 3 | 2.855 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 283 cases | 16 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 283 cases | 76 | 79 | 75.81 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 283 cases | 90 | 91 | 89.11 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 283 cases | 6 | 5 | 7.043 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 283 cases | 3 | 3 | 2.688 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 283 cases | 18 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 283 cases | 65 | 61 | 58.95 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 283 cases | 81 | 77 | 75.75 | Better than 79% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 283 cases | 15 | 19 | 21.56 | Better than 74% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 283 cases | 4 | 3 | 2.449 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 283 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 283 cases | 87 | 86 | 84.61 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 283 cases | 12 | 13 | 15.03 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 283 cases | 4 | 3 | 3.08 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 283 cases | 88 | 87 | 84.97 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 283 cases | 12 | 14 | 16.39 | Better than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 283 cases | 88 | 86 | 83.61 | Better than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 283 cases | 73 | 74 | 70.69 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 283 cases | 7 | 7 | 8.855 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 283 cases | 20 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 283 cases | 74 | 77 | 73.94 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 283 cases | 8 | 6 | 7.637 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 283 cases | 18 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 283 cases | 82 | 85 | 81.99 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 283 cases | 4 | 3 | 4.958 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 283 cases | 14 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 283 cases | 7 | 8 | 10.01 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 283 cases | 24 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 283 cases | 69 | 72 | 67.63 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 283 cases | 88 | 88 | 86.85 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 283 cases | 3 | 3 | 3.047 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 283 cases | 78 | 74 | 72.06 | Better than 71% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 283 cases | 4 | 9 | 10.94 | Better than 90% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 283 cases | 18 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 283 cases | 77 | 75 | 71.11 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 283 cases | 7 | 5 | 7.488 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 283 cases | 16 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 283 cases | 77 | 77 | 72.49 | Better than 49% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 283 cases | 4 | 4 | 6.121 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 283 cases | 19 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 283 cases | 87 | 86 | 82.8 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 283 cases | 2 | 3 | 3.779 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 283 cases | 11 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 283 cases | 59 | 59 | 47.5 | Worse than 49% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 283 cases | 8 | 9 | 17.79 | Better than 53% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 283 cases | 33 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 283 cases | 83 | 82 | 74.85 | Better than 56% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 283 cases | 4 | 3 | 2.203 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 283 cases | 5 | 5 | 7.623 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 283 cases | 65 | 71 | 68.6 | Worse than 73% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 283 cases | 86 | 87 | 85.85 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 283 cases | 30 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 283 cases | 3 | 4 | 3.431 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 283 cases | 52 | 47 | 45.33 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 283 cases | 26 | 30 | 32.51 | Better than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 283 cases | 22 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 283 cases | 4 | 3 | 2.859 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 283 cases | 13 | 12 | 13.94 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 283 cases | 87 | 88 | 86.06 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 439 cases | 1 | 1 | 1.008 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 569 cases | 69 | 79 | 69.96 | Worse than 65% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 400 cases | 132 | 154 | 187 | Better than 69% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 378 cases | 128 | 148 | 182 | Better than 66% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 16 cases | 382 | 247 | 282 | Worse than 85% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 20,891 cases | 3 | 1 | 2.162 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 75.06 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 71 cases | 99 | 97 | 92.55 | Better than 63% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 488 cases | 16 | 15 | 13.67 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 83 cases | 61 | 65 | 68.8 | Worse than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 25 cases | 52 | 73 | 76.38 | Worse than 88% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 11 cases | 55 | 88 | 86.64 | Worse than 96% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 83 cases | 84 | 82 | 82.89 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 49 cases | 100 | 94 | 93.98 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.4 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 89.93 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 835 cases | 97 | 90 | 86.9 | Better than 79% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 452 cases | 98 | 97 | 94.78 | Better than 56% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 9.6 | 5 | 4.959 | Worse than 86% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.4 | 6.6 | 8.417 | Better than 52% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.92 | 0.99 | 1.024 | Better than 81% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 5 | 20 | 30.07 | Worse than 82% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.25 | 5 | 7.571 | Worse than 82% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 16.48 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 4.567 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 47 | 34 | 28.67 | Better than 71% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.75 | 8.75 | 7.519 | Better than 70% of US hospitals | |
| VBP safety domain scoreFY 2026 | 36.67 | 40 | 45.16 | Worse than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 9.167 | 10 | 11.79 | Worse than 55% of US hospitals | |
| VBP total performance scoreFY 2026 | 32.17 | 29.5 | 30.43 | Better than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 47.5 | 45 | 6.667 | 0 | 16 | 5 |
| VBP clinical outcomes weighted domain score | 15.83 | 11.25 | 1.667 | 0 | 4 | 1.25 |
| VBP efficiency and cost reduction domain score | 90 | Not Available | 40 | 40 | 70 | 40 |
| VBP efficiency and cost reduction weighted domain score | 30 | Not Available | 10 | 13.33 | 17.5 | 10 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 12 | 12 | 47 |
| VBP person and community engagement weighted domain score | 6.667 | Not Available | Not Available | 4 | 3 | 11.75 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 80 | 36.67 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 20 | 9.167 |
| VBP total performance score | 52.5 | Not Available | Not Available | 17.33 | 44.5 | 32.17 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9959 | 0.9969 | 1.002 | Better than 51% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 102 cases | 0.9746 | 0.9983 | 1.017 | Better than 67% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9398 | 0.9916 | 0.9788 | Better than 65% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 178 cases | 0.9816 | 0.9955 | 1.026 | Better than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.028 | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9312 | 0.9474 | 0.9326 | 0.9676 | 0.9725 | 0.9959 |
| READM-30-HF-HRRP | 0.9316 | 0.9371 | 0.9677 | 1.018 | 0.9993 | 0.9746 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | 1.072 | 1.099 | 1.015 | 0.9398 |
| READM-30-PN-HRRP | 0.8388 | 0.84 | 0.9359 | 1.003 | 1.025 | 0.9816 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Sutter Coast Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.95 | 0.489 | 0.6114 | Worse than 84% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.324 | 0.346 | 0.449 | Better than 53% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.679 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7204 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9495 | 0.9628 | 0.9656 | Better than 55% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.8116 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.4743 | -0.0453 | 0.02733 | Better than 78% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | No | No | No |
| Total HAC score | -0.56 | 0.6828 | 0 | -0.4063 | -0.9155 | -0.4743 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Hospital district or authority
Ownership type
49
Medicare-certified beds
38
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Sutter Coast Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
1,827
Inpatient discharges
Medicare 43%, Medicaid 1%
6,364
Inpatient days
45% of available bed days used
331
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839361). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Sutter Coast Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,088 | 72 | 3,204 | 6,364 |
| Discharges | 787 | 25 | 1,015 | 1,827 |
| Average length of stay | 3.9 days | 2.9 days | 3.2 days | 3.5 days |
| Average daily census | 8.5 | 0.2 | 8.8 | 17.4 |
222
Medicare Advantage days
49 discharges
1,748
Medicaid managed care days
713 discharges
728
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 33 | 5,384 | 2,781 | 45% |
| Intensive care unit | 6 | 643 | 307 | 29% |
| Nursery | 337 | |||
| Subprovider - irf | 10 | 1,783 | 1,164 | 49% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839361, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Sutter Coast Hospital treats Medicare patients for most often, in 2024. 408 Medicare discharges in 11 published DRGs; 4% surgical; 86% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 192 | $70,059 | $21,182 | $25,852 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 53 | $60,902 | $13,697 | $22,473 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $41,657 | $10,679 | $15,372 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 21 | $52,306 | $13,234 | $19,301 | 1.33 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $66,372 | $18,585 | $24,491 | 1.65 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $148,966 | $58,117 | $54,969 | 5.00 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $62,735 | $17,154 | $23,149 | 1.59 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $66,293 | $18,141 | $24,462 | 1.70 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $47,885 | $7,142 | $17,670 | 0.79 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 11 | $60,172 | $10,459 | $22,203 | 1.02 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $38,747 | $10,472 | $14,298 | 0.98 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Sutter Coast Hospital billed Medicare for most in 2024: 321 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 133 | 124 | $30,498 | $2,849 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 28 | 28 | $21,080 | $3,343 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 24 | 24 | $33,216 | $6,053 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 20 | 18 | $13,721 | $2,021 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 16 | 13 | $27,900 | $5,394 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $22,854 | $3,630 | $2,636 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 13 | $18,542 | $2,932 | $2,176 |
| Level 2 Urology and Related ServicesAPC 5372 | 14 | $5,135 | $717 | $502 | |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $10,686 | $1,686 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 11 | 11 | $16,066 | $2,981 | $2,141 |
See all 13 Medicare outpatient services at Sutter Coast Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Sutter Coast Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 832 in 2020 to 822 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 95531 | 641 | 78% | 2,289 | $37.6M | 67% | 71% |
| 97415 | 80 | 10% | 343 | $5.6M | 10% | 19% |
| 95567 | 62 | 8% | 283 | $4.8M | 81% | 68% |
| 95548 | 28 | 3% | 105 | $1.8M | 72% | 100% |
| 95543 | 11 | 1% | 43 | $748,153 | 100% | 100% |
Source: CMS Hospital Service Area file. Shares are of the 822 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Sutter Coast Hospital reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
10
Rehabilitation unit beds
38
Registered nurses
11
Licensed practical nurses
2
Pharmacists
5
Respiratory therapists
142
Other personnel
Source: CMS Provider of Services file.
209 clinicians who bill Medicare list Sutter Coast Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Lynne Bui, M.D.
Hematology & Oncology Physician
NPI 1114169323
See commercial rates for Lynne Bui, M.D.Palak Patel, MD
Geriatric Medicine (Internal Medicine) Physician
NPI 1922367572
See commercial rates for Palak Patel, MDMicah Berry, M.D.
Orthopaedic Surgery Physician
NPI 1376771980
See commercial rates for Micah Berry, M.D.Brian Belnap, D.O.
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1457360448
See commercial rates for Brian Belnap, D.O.Minal Bhanushali, MD
Neurology Physician
NPI 1265618995
See commercial rates for Minal Bhanushali, MDJesse Vos, P.A.
Medical Physician Assistant
NPI 1396994745
See commercial rates for Jesse Vos, P.A.Adam Holleran, M.D.
Orthopaedic Surgery Physician
NPI 1568627602
See commercial rates for Adam Holleran, M.D.Baxter Richardson, MD
Diagnostic Radiology Physician
NPI 1306109905
See commercial rates for Baxter Richardson, MDKendall Michels, MD
Specialist
NPI 1891830139
See commercial rates for Kendall Michels, MDFariborz Shams, D.O.
Internal Medicine Physician
NPI 1063421865
See commercial rates for Fariborz Shams, D.O.John Fjerstad, D.P.M.
Foot & Ankle Surgery Podiatrist
NPI 1477528313
See commercial rates for John Fjerstad, D.P.M.Gino Tagoylo, M.D.
Diagnostic Radiology Physician
NPI 1790982254
See commercial rates for Gino Tagoylo, M.D.Richard Schultz, M.D.
Specialist
NPI 1487738134
See commercial rates for Richard Schultz, M.D.Patrick Hungerford, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1710169099
See commercial rates for Patrick Hungerford, M.D.Michael Palmer, M.D.
Surgery Physician
NPI 1669539862
See commercial rates for Michael Palmer, M.D.Arman Pirzad, MD
Allergy & Immunology Physician
NPI 1346699667
See commercial rates for Arman Pirzad, MDMark Silver, MD
Ambulatory Family Planning Facility
NPI 1639178114
See commercial rates for Mark Silver, MDSudarshan Chatterjee, MD FACC
Interventional Cardiology Physician
NPI 1750465712
See commercial rates for Sudarshan Chatterjee, MD FACCJoin Luh, M.D.
Radiation Oncology Physician
NPI 1093809634
See commercial rates for Join Luh, M.D.James Moore, M.D.
Diagnostic Radiology Physician
NPI 1194795849
See commercial rates for James Moore, M.D.Matthew Blundell, MD
Internal Medicine Physician
NPI 1073511796
See commercial rates for Matthew Blundell, MDStuart Cataldo, MD
Internal Medicine Physician
NPI 1962507590
See commercial rates for Stuart Cataldo, MDPaul Sternenberg, MD
Orthopaedic Hand Surgery Physician
NPI 1144218231
See commercial rates for Paul Sternenberg, MDJohn Albertini, MD
Urology Physician
NPI 1528087632
See commercial rates for John Albertini, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Sutter Coast Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $398.5M | 329.1% |
| Inpatient | $117.4M | 96.9% |
| Outpatient | $281.1M | 232.1% |
| Contractual allowances and discounts | -$277.4M | -229.1% |
| Net patient revenue | $121.1M | 100.0% |
| Operating expenses | -$126M | -104.0% |
| Operating income from patient care | -$4.9M | -4.0% |
| Other income | $2.6M | 2.2% |
| Contributions and donations | $1.2M | 1.0% |
| Investment income | $168,333 | 0.1% |
| Government appropriations | $415,312 | 0.3% |
| Other | $828,271 | 0.7% |
| Net income | -$2.2M | -1.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $135.2M | 33.8% |
| Medicaid (including managed care) | $101.8M | 25.4% |
| Other payers and self-pay | $163M | 40.8% |
| Total charges | $399.9M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839361, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Sutter Coast Hospital's latest cost report.
-4.0%
Operating margin
Operating income from patient care / net patient revenue
-1.8%
Total margin
Net income / net patient revenue plus other income
1.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$65.79
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-3.2%
Return on assets
Net income for a year / total assets
-3.9%
Return on equity
Net income for a year / fund balance
2.67
Current ratio
Current assets / current liabilities
1.66
Quick ratio
Cash, temporary investments and net receivables / current liabilities
14 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
45 days
Days in patient receivables
Net patient receivables / daily net patient revenue
35 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.78
Asset turnover
Total revenue for a year / total assets
17.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839361, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Sutter Coast Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $69.4M in total assets and a $57.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $4.6M | 6.7% |
| Patient receivables, net | $14.9M | 21.4% |
| Inventory | $1.4M | 2.0% |
| Total current assets | $31.5M | 45.4% |
| Property and equipment, net of depreciation | $32M | 46.1% |
| Investments and other assets | $5.9M | 8.5% |
| Total assets | $69.4M | 100.0% |
| Current liabilities | $11.8M | 17.0% |
| Total liabilities | $12.2M | 17.6% |
| Fund balance (net assets) | $57.2M | 82.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839361, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Sutter Coast Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.9M
Bad debt
Patient bills written off as uncollectible, at charges
$9.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$39,471
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$13.6M
Total unreimbursed and uncompensated care
10.8% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 839361, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Sutter Coast Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $88.2M | $101.5M | $107.9M | $108M | $121.4M | $121.1M |
| Operating expenses | $94.3M | $96.6M | $105.8M | $106M | $114.2M | $126M |
| Operating margin | -7.0% | 4.8% | 2.0% | 1.8% | 5.9% | -4.0% |
| Net income | $6.4M | $4.4M | $2.6M | $4.3M | $7.6M | -$2.2M |
| Total assets | $46.1M | $47.1M | $50M | $50M | $65.1M | $69.4M |
| Discharges | 1,756 | 1,773 | 2,085 | 2,031 | 1,942 | 1,827 |
| Inpatient days | 5,908 | 7,360 | 8,070 | 7,257 | 7,735 | 6,364 |
| Medicare Advantage days | 113 | 194 | 256 | 242 | 290 | 222 |
| Beds | 49 | 49 | 49 | 49 | 49 | 49 |
| Employees (FTE) | 301 | 298 | 284 | 264 | 310 | 331 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839361, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Sutter Coast Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $45,475 | $15.6M | $54.7M | 0.28 | |
| Emergency | $3.9M | $10.5M | $78.6M | 0.13 | 4,012 |
| Operating room | $2.6M | $8.9M | $25.7M | 0.35 | 13,523 |
| Radiology-diagnostic | $3M | $7.4M | $80.4M | 0.09 | 6,127 |
| Laboratory | $1.6M | $6.9M | $47.8M | 0.14 | 1,352 |
| Sccc clinic | $5.2M | $5.8M | $14.5M | 0.40 | |
| Medical supplies charged to patient | $4.6M | $7.1M | 0.65 | ||
| Home health agency | $2.1M | $4.2M | $1.9M | 2.23 | |
| Physical therapy | $1.1M | $3.4M | $6.7M | 0.50 | |
| Impl. dev. charged to patients | $3.1M | $6.5M | 0.48 | ||
| Delivery room & labor room | $2.9M | $1.1M | 2.52 | 2,087 | |
| Respiratory therapy | $986,691 | $2.2M | $4.7M | 0.46 | 630 |
| Observation beds (non-distinct part | $2.1M | $4.6M | 0.45 | ||
| Clinic | $1.2M | $1.8M | $3.1M | 0.56 | |
| Infusion clinic | $794,677 | $1.7M | $4.9M | 0.34 | |
| Wound care clinic | $542,466 | $1.1M | $1.9M | 0.58 | |
| Electrocardiology | $241,871 | $653,810 | $7.8M | 0.08 | 917 |
| Speech pathology | $222,409 | $496,374 | $675,111 | 0.74 | |
| Blood storing processing & trans. | $461,653 | $1.1M | 0.41 | 300 | |
| Renal dialysis | $106,703 | $237,263 | $282,432 | 0.84 | |
| Anesthesiology | $61,183 | $6.4M | 0.01 | 184 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6.9M | $17.4M | $22.1M | 0.79 | 15,322 |
| Intensive care unit | $2.5M | $6.8M | $7.7M | 0.89 | 4,217 |
| Subprovider - irf | $1.4M | $4.8M | $8.4M | 0.58 | 966 |
| Nursery | $1.8M | $1.2M | 1.46 | 459 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5M | $26.3M | 73,374 | $77.37 | 11,230 |
| Operation of plant | $1.3M | $5.1M | 33,251 | $39.72 | 2,780 |
| Employee benefits department | $738,376 | $2.9M | 1,407 | $62.89 | 647 |
| Cap rel costs-mvble equip | $2.3M | ||||
| Nursing administration | $1.6M | $2.3M | 18,282 | $96.22 | 1,640 |
| Pharmacy | $1.4M | $2.1M | 21,780 | $67.96 | 1,142 |
| Housekeeping | $1.1M | $1.8M | 40,402 | $28.21 | 610 |
| Cap rel costs-bldg & fixt | $1.7M | 80,170 | |||
| Central services & supply | $416,217 | $1.6M | 13,537 | $30.76 | 1,598 |
| Social service | $776,947 | $1.1M | 11,567 | $67.84 | 308 |
| Cafeteria | $930,140 | 17,809 | $32.31 | 2,659 | |
| Laundry & linen service | $33,529 | $475,823 | 1,214 | $27.63 | 717 |
| Medical records & library | $293,573 | $459,714 | 4,921 | $63.89 | 1,345 |
| Dietary | $836,655 | $453,767 | 7,276 | $32.89 | 2,000 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839361, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Sutter Coast Hospital for an inpatient stay.
1.60
Case mix index
Higher than 39% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
40.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
763
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.55 | 1.55 | 1.79 | 1.78 | 1.74 | 1.67 | 1.60 |
| Wage index | 1.275 | 1.269 | 1.253 | 1.519 | 1.451 | 1.431 | 1.399 |
| Readmissions adjustment | 0.00% | -0.02% | 0.00% | -0.13% | -0.29% | -0.16% | 0.00% |
| Value-based purchasing adjustment | +0.87% | +1.37% | +1.37% | +0.39% | -0.36% | +1.98% | +0.22% |
| Medicare inpatient stays | 1,077 | 1,077 | 704 | 826 | 819 | 809 | 763 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Sutter Coast Hospital reports to Medicare as owners or with operational control.
Sutter Health
5% or greater direct ownership interest, 100%, since 1986
Sources: CMS Hospital All Owners.
The officers and board members on Sutter Coast Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 9 of 10 are shown.
| Name | Title |
|---|---|
| Ronnie Yamanaka | CFO, Sacramento Division |
| Mitch Hanna | CEO Sch & Safh (pt-yr) |
| Michael Lane | CEO, Sch (pt-yr) |
| Ellie Popadic | Senior Director, Ops |
| Jim Merrill | Director, Chair Of F&p |
| Clarke Moore | Director, Chair |
| Celia Perez | Director/secretary |
| Ronald Sandler | Director, Vice-chair |
Board members: Rachael McKinney, Carroll Christie MD, Roland Hart, Patricia Piper, John Pritchett.
Source: IRS Form 990 Part VII filed by Sutter Coast Hospital (EIN 94-2988520), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2016
340B ID DSH050417, registered as a disproportionate share hospital; 1 registered outpatient sites. Authorizing official: Khanh Nguyen, CFO, Sacramento Division.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Sutter coast acute rehab center
CCN 05T417, certified 2016, Medicare prospective payment
Sutter coast home care
CCN 057427, certified 1993, Medicare prospective payment
Sutter coast rhc
CCN 058519, certified 1996, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Sutter Coast Hospital's latest Medicare cost report (HCRIS).
About Sutter Coast Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sutter Coast Hospital range from $454 to $1,641 across 2 insurers. Aetna's rate is $1,641. The median at nearby comparable hospitals is $984. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sutter Coast Hospital range from $797 to $1,769 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $1,498. The median at nearby comparable hospitals is $1,384. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sutter Coast Hospital range from $6,863 to $6,863 across 1 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $6,863. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sutter Coast Hospital range from $394 to $602 across 4 insurers. Aetna's rate is $602. The median at nearby comparable hospitals is $361. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Sutter Coast Hospital range from $20,340 to $20,340 across 1 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $20,340. The median at nearby comparable hospitals is $55,265. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sutter Coast Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Sutter Coast Hospital for fiscal year 2027.
No. Sutter Coast Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (192 discharges), heart failure and shock with mcc (53 discharges), septicemia or severe sepsis without mv >96 hours without mcc (45 discharges).
Sutter Coast Hospital's Medicare case mix index is 1.60 for fiscal year 2027, higher than 39% of hospitals paid under the inpatient prospective payment system.
Sutter Coast Hospital reported 1,827 inpatient discharges and 6,364 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Sutter Coast Hospital reported 331 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Sutter Coast Hospital reported $121.1M in net patient revenue on $398.5M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -4.0%, and net income of -$2.2M.
Sutter Coast Hospital reported $13.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $2M of charity care at cost.
Sutter Coast Hospital's Medicare enrollment lists Michael Lane as CEO since 2024. Its 2024 IRS Form 990 lists Mitch Hanna as CEO Sch & Safh (pt-yr).
Insurers' price transparency files list Sutter Coast Hospital under employer identification number 94-2988520 ((multi-state) Sutter Coast Hospital). 42 health plans and networks list 94-2988520 for it.
Yes. HRSA's 340B database lists Sutter Coast Hospital (340B ID DSH050417) as a participating disproportionate share hospital since 2016.
209 clinicians who bill Medicare list Sutter Coast Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (20), family medicine physician (18), family nurse practitioner (18).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Sutter Coast Hospital, effective 2025.
In its Medicare enrollment, Sutter Coast Hospital reports Sutter Health as 5% or greater direct ownership interest (100%).
CMS lists 18 services at Sutter Coast Hospital, including Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department, Neonatal Nursery.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Sutter Coast Hospital came from ZIP codes 95531 (641), 97415 (80), 95567 (62).
Sutter Coast Hospital has 49 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Sutter Coast Hospital is located at 800 East Washington Boulevard, Crescent City, CA 95531. Its main phone number is (707) 464-8880.
Sutter Coast Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050417.
The National Provider Identifier (NPI) on file for Sutter Coast Hospital is 1457367062.
Sutter Coast Hospital is affiliated with Sutter Health.
Sutter Coast Hospital lists 25 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, Banner Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
93 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers