Hospital Costs > In California > Kaiser Foundation Hospital - Los Angeles, 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 | 37 | 479 / 172 | $42.410,90 | 1441 / 21 | $18.487,00 | 2134 / 208 | $12.938,90 | 2097 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 83 | $25.121,80 | 1267 / 19 | $11.954,80 | 2088 / 212 | $7.599,15 | 2080 / 83 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 24 | $17.954,10 | 220 / 2 | $10.740,50 | 1122 / 84 | $7.199,17 | 1120 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 63 | $29.848,00 | 1147 / 12 | $11.332,10 | 1614 / 151 | $7.253,55 | 1610 / 48 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 11 | 553 / 150 | $35.566,50 | 499 / 1 | $17.205,50 | 2139 / 97 | $14.246,90 | 2096 / 66 | Total 5 procedures | 97 | 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.