Hospital Costs > In California > Kaiser Foundation Hospital - Oakland/Richmond, 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 | 94 | 422 / 131 | $44.391,50 | 1543 / 30 | $19.766,70 | 2564 / 232 | $15.765,50 | 2520 / 180 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 72 | $27.157,80 | 1438 / 30 | $12.022,80 | 2280 / 214 | $8.501,29 | 2271 / 152 |
| Heart Failure & Shock W Mcc | 34 | 250 / 88 | $38.760,80 | 1592 / 22 | $16.270,50 | 2412 / 190 | $12.935,60 | 2401 / 157 |
| Heart Failure & Shock W Cc | 34 | 244 / 67 | $30.727,40 | 1993 / 36 | $11.416,20 | 2496 / 196 | $8.281,47 | 2490 / 145 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 55 | $21.181,80 | 549 / 2 | $10.277,20 | 1733 / 127 | $7.833,11 | 1729 / 82 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 54 | $67.087,60 | 1236 / 42 | $21.705,20 | 1484 / 142 | $15.614,90 | 1477 / 112 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 58 | $26.507,90 | 822 / 5 | $14.013,10 | 1962 / 153 | $9.801,76 | 1956 / 89 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 41 | $26.117,20 | 1321 / 32 | $9.616,67 | 1798 / 133 | $6.933,13 | 1789 / 102 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 15 | 549 / 146 | $46.020,70 | 1089 / 16 | $26.780,90 | 2160 / 218 | $14.376,50 | 2117 / 71 |
| Renal Failure W Mcc | 14 | 181 / 72 | $24.124,60 | 412 / 2 | $14.840,20 | 1888 / 131 | $12.609,10 | 1884 / 108 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 55 | $21.561,40 | 1170 / 9 | $8.212,55 | 1856 / 135 | $6.095,27 | 1851 / 90 |
| Cellulitis W/O Mcc | 11 | 178 / 75 | $22.553,30 | 1692 / 23 | $9.059,00 | 2191 / 175 | $6.070,09 | 2183 / 86 | Total 12 procedures | 319 | 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.