Hospital Costs > In California > Kaiser Foundation Hospital - Fremont, 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 | 42 | 474 / 167 | $51.279,40 | 1836 / 47 | $15.447,60 | 2368 / 120 | $14.041,00 | 2326 / 111 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 91 | $26.156,80 | 1352 / 24 | $8.575,06 | 2042 / 72 | $7.442,28 | 2034 / 73 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 63 | $31.594,40 | 1130 / 10 | $10.821,20 | 1785 / 85 | $8.856,08 | 1780 / 39 |
Heart Failure & Shock W Mcc | 11 | 273 / 111 | $29.828,50 | 1072 / 6 | $11.773,60 | 2126 / 71 | $10.884,40 | 2116 / 71 | Total 4 procedures | 83 | 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.