Hospital Costs > In California > Kaiser Foundation Hospital Fontana, 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 | 136 | 380 / 110 | $33.840,00 | 992 / 7 | $12.687,70 | 1685 / 16 | $11.415,60 | 1653 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 74 | $17.468,90 | 558 / 3 | $7.402,17 | 1474 / 21 | $6.219,75 | 1468 / 21 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 43 | $25.168,00 | 741 / 2 | $9.026,94 | 1270 / 11 | $7.348,88 | 1267 / 6 |
| Heart Failure & Shock W Mcc | 29 | 255 / 93 | $22.202,20 | 547 / 2 | $10.500,60 | 1656 / 18 | $9.388,07 | 1651 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 23 | 541 / 138 | $38.618,10 | 679 / 4 | $13.313,10 | 1456 / 3 | $11.931,50 | 1423 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 23 | 182 / 68 | $26.172,30 | 783 / 3 | $8.951,04 | 964 / 3 | $7.841,74 | 964 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 41 | $16.512,90 | 224 / 1 | $7.755,83 | 814 / 5 | $6.612,28 | 811 / 6 |
| Renal Failure W Cc | 17 | 204 / 71 | $17.622,80 | 742 / 1 | $6.490,47 | 1222 / 8 | $5.413,88 | 1214 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 54 | $39.234,00 | 673 / 5 | $12.027,00 | 878 / 7 | $10.532,60 | 876 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 95 | $13.733,50 | 593 / 3 | $4.977,80 | 1351 / 6 | $4.010,40 | 1340 / 13 |
| Heart Failure & Shock W Cc | 13 | 265 / 87 | $21.210,60 | 1314 / 10 | $6.983,31 | 1589 / 20 | $5.862,69 | 1584 / 16 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 43 | $120.078,00 | 315 / 2 | $39.032,80 | 482 / 10 | $36.388,30 | 481 / 6 |
| Renal Failure W Mcc | 11 | 184 / 75 | $25.984,40 | 523 / 3 | $10.464,70 | 1166 / 7 | $9.310,09 | 1166 / 4 | Total 13 procedures | 382 | 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.