Hospital Costs > In California > Kaiser Foundation Hospital-San Jose, 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 | 63 | 453 / 153 | $58.296,30 | 2045 / 70 | $15.873,40 | 2398 / 139 | $14.223,70 | 2355 / 118 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 85 | $24.076,90 | 1168 / 15 | $9.244,25 | 2084 / 125 | $7.584,54 | 2076 / 82 |
| Pulmonary Edema & Respiratory Failure | 15 | 188 / 60 | $36.142,60 | 1336 / 16 | $11.840,00 | 1798 / 123 | $8.919,73 | 1793 / 40 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 39 | $27.722,40 | 359 / 1 | $12.980,30 | 1436 / 36 | $12.328,00 | 1424 / 44 |
| Heart Failure & Shock W Mcc | 13 | 271 / 109 | $33.930,80 | 1342 / 13 | $12.403,70 | 2231 / 92 | $11.470,80 | 2221 / 96 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 148 | $47.004,60 | 1140 / 19 | $31.463,50 | 617 / 228 | $10.484,60 | 610 / 2 | Total 6 procedures | 141 | 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.