Hospital Costs > In California > Kaiser Foundation Hospital - Roseville, 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 | 78 | 438 / 142 | $44.044,30 | 1525 / 28 | $14.541,10 | 1872 / 78 | $11.958,90 | 1837 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 50 | 514 / 117 | $45.990,70 | 1087 / 15 | $21.416,50 | 1983 / 191 | $13.547,60 | 1941 / 43 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 80 | $27.512,20 | 1463 / 31 | $7.479,38 | 1633 / 24 | $6.475,24 | 1626 / 29 |
| Heart Failure & Shock W Cc | 19 | 259 / 81 | $33.974,70 | 2140 / 55 | $7.393,26 | 2025 / 29 | $6.569,68 | 2020 / 39 | Total 4 procedures | 176 | 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.