Hospital Costs > In California > Kaiser Foundation Hospital - So Sacramento, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 15 | 263 / 85 | $22.579,30 | 1449 / 14 | $7.611,60 | 2076 / 41 | $6.679,93 | 2071 / 45 |
| Heart Failure & Shock W Mcc | 24 | 260 / 98 | $36.708,40 | 1489 / 18 | $12.426,40 | 2164 / 93 | $11.078,00 | 2154 / 80 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 62 | $38.697,70 | 1475 / 30 | $8.339,08 | 1617 / 37 | $7.263,75 | 1613 / 50 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 17 | 547 / 144 | $60.699,50 | 1717 / 50 | $17.658,80 | 2393 / 109 | $16.128,10 | 2348 / 141 |
| Pulmonary Edema & Respiratory Failure | 30 | 173 / 45 | $40.758,80 | 1524 / 24 | $10.225,20 | 1846 / 64 | $9.092,00 | 1841 / 50 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 44 | $30.882,40 | 1532 / 45 | $6.931,25 | 1548 / 62 | $5.633,58 | 1539 / 41 |
| Renal Failure W Cc | 13 | 208 / 75 | $27.985,90 | 1598 / 23 | $7.976,69 | 1922 / 67 | $6.725,00 | 1912 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 77 | 439 / 143 | $46.147,90 | 1632 / 35 | $15.179,90 | 2332 / 108 | $13.810,70 | 2290 / 101 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 18 | 189 / 91 | $34.523,70 | 1842 / 62 | $8.947,22 | 2009 / 107 | $7.337,78 | 2001 / 64 | Total 9 procedures | 218 | 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.