Hospital Costs > In California > Kaiser Foundation Hospital - Anaheim, 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 | 40 | 476 / 169 | $39.578,60 | 1300 / 16 | $12.943,70 | 1587 / 20 | $11.199,10 | 1555 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 20 | 544 / 141 | $43.629,60 | 960 / 11 | $16.265,00 | 1798 / 67 | $12.889,20 | 1758 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 91 | $18.905,40 | 678 / 6 | $7.753,11 | 1509 / 30 | $6.270,00 | 1503 / 22 |
| Heart Failure & Shock W Cc | 14 | 264 / 86 | $23.156,50 | 1504 / 17 | $6.686,07 | 722 / 13 | $5.084,36 | 721 / 2 |
| G.I. Hemorrhage W Cc | 12 | 206 / 79 | $22.133,20 | 952 / 7 | $7.391,42 | 1391 / 18 | $5.806,42 | 1388 / 12 | Total 5 procedures | 104 | 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.