Hospital Costs > In California > Kaiser Foundation Hospital - Sacramento, 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 | 67 | 449 / 151 | $54.874,70 | 1940 / 59 | $15.641,40 | 2216 / 132 | $13.211,40 | 2176 / 69 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 132 | $51.205,20 | 1346 / 27 | $20.675,90 | 2074 / 183 | $13.916,70 | 2032 / 55 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 85 | $36.823,30 | 1926 / 75 | $8.655,83 | 2010 / 79 | $7.347,21 | 2002 / 65 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 54 | $35.414,00 | 1310 / 15 | $9.845,95 | 1760 / 34 | $8.727,86 | 1755 / 34 |
| Heart Failure & Shock W Mcc | 13 | 271 / 109 | $40.056,20 | 1662 / 29 | $11.302,50 | 1986 / 45 | $10.326,10 | 1979 / 40 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 35 | $43.263,10 | 693 / 7 | $11.987,30 | 783 / 23 | $10.711,00 | 781 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 42 | $51.295,00 | 656 / 4 | $17.145,80 | 1358 / 17 | $16.142,10 | 1345 / 19 | Total 7 procedures | 180 | 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.