Hospital Costs > In California > Kaiser Foundation Hospital - Antioch, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Heart Failure & Shock W Mcc | 14 | 270 / 108 | $46.565,30 | 1897 / 42 | $11.502,70 | 2127 / 57 | $10.897,00 | 2117 / 72 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 134 | $46.197,20 | 1096 / 17 | $24.847,10 | 2009 / 214 | $13.640,60 | 1967 / 47 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 53 | 463 / 160 | $55.352,80 | 1962 / 61 | $14.839,20 | 2364 / 95 | $14.019,30 | 2322 / 109 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 89 | $25.317,20 | 1281 / 20 | $9.001,85 | 1892 / 112 | $7.017,95 | 1884 / 52 | Total 4 procedures | 115 | 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.