Hospital Costs > In California > Kaiser Foundation Hospital And Rehab Center, 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 | 99 | 417 / 127 | $42.685,40 | 1456 / 23 | $15.530,00 | 2336 / 123 | $13.832,20 | 2294 / 103 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 86 | $29.628,30 | 1598 / 36 | $8.791,74 | 2099 / 92 | $7.625,39 | 2091 / 88 |
| Heart Failure & Shock W Mcc | 23 | 261 / 99 | $37.241,20 | 1519 / 20 | $19.551,50 | 2017 / 213 | $10.456,70 | 2009 / 47 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 139 | $48.571,30 | 1223 / 24 | $17.687,50 | 2417 / 111 | $16.443,00 | 2371 / 154 |
| Heart Failure & Shock W Cc | 19 | 259 / 81 | $25.782,90 | 1728 / 23 | $9.440,58 | 2119 / 144 | $6.785,00 | 2113 / 52 |
| Pulmonary Edema & Respiratory Failure | 18 | 185 / 57 | $30.209,20 | 1053 / 8 | $10.223,70 | 1876 / 63 | $9.257,00 | 1871 / 60 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 59 | $29.686,90 | 1133 / 9 | $10.194,90 | 1666 / 125 | $7.476,93 | 1662 / 61 |
| G.I. Hemorrhage W Cc | 14 | 204 / 77 | $29.551,70 | 1528 / 20 | $8.442,64 | 1963 / 73 | $7.128,71 | 1959 / 61 |
| Renal Failure W Mcc | 11 | 184 / 75 | $32.680,60 | 932 / 11 | $12.085,50 | 1681 / 50 | $11.072,00 | 1679 / 52 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 60 | $40.328,20 | 708 / 7 | $13.420,80 | 1219 / 38 | $12.256,50 | 1213 / 43 | Total 10 procedures | 255 | 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.