Hospital Costs > In California > Kaiser Foundation Hospital - San Diego, 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 | 32 | 484 / 176 | $40.039,20 | 1323 / 17 | $12.226,30 | 1539 / 8 | $11.083,60 | 1508 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 80 | $20.943,50 | 878 / 9 | $6.754,52 | 1000 / 3 | $5.660,93 | 997 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 90 | $16.519,40 | 942 / 8 | $5.103,90 | 1483 / 7 | $4.116,55 | 1472 / 15 |
| Heart Failure & Shock W Cc | 18 | 260 / 82 | $19.868,00 | 1172 / 5 | $6.390,72 | 1190 / 4 | $5.440,78 | 1187 / 6 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 58 | $34.560,10 | 1275 / 13 | $8.410,76 | 1267 / 5 | $7.344,88 | 1264 / 5 |
| Heart Failure & Shock W Mcc | 16 | 268 / 106 | $28.781,10 | 1013 / 4 | $9.257,25 | 1159 / 1 | $8.516,25 | 1156 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 52 | $14.970,60 | 512 / 1 | $5.411,21 | 1182 / 9 | $4.483,93 | 1178 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 147 | $44.812,00 | 1018 / 13 | $14.625,80 | 1922 / 12 | $13.322,90 | 1880 / 36 |
| G.I. Hemorrhage W Cc | 12 | 206 / 79 | $16.017,20 | 393 / 2 | $6.549,00 | 1507 / 1 | $5.973,00 | 1503 / 17 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 80 | $15.979,50 | 166 / 1 | $8.694,27 | 884 / 1 | $7.745,45 | 884 / 1 | Total 10 procedures | 183 | 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.