Hospital Costs > In California > Kaiser Foundation Hospital - Downey, 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 | 52 | 464 / 161 | $31.671,00 | 866 / 5 | $11.903,00 | 1453 / 5 | $10.947,30 | 1425 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 137 | $40.183,90 | 769 / 5 | $15.342,20 | 1297 / 30 | $11.580,00 | 1265 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 93 | $18.514,40 | 636 / 4 | $6.870,00 | 1217 / 5 | $5.900,31 | 1212 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 80 | $25.319,60 | 726 / 2 | $8.994,64 | 1262 / 4 | $8.250,36 | 1262 / 6 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 79 | $18.101,10 | 928 / 3 | $6.530,64 | 1392 / 6 | $5.413,64 | 1386 / 5 |
| Renal Failure W Cc | 11 | 210 / 77 | $27.462,50 | 1576 / 21 | $6.319,27 | 1069 / 2 | $5.252,91 | 1061 / 6 | Total 6 procedures | 125 | 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.