Hospital Costs > In California > Kaiser Foundation Hospital - South Bay, 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 | 41 | 475 / 168 | $32.923,80 | 937 / 6 | $12.240,90 | 1618 / 9 | $11.265,40 | 1586 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 92 | $18.555,70 | 638 / 5 | $7.121,35 | 1465 / 14 | $6.202,18 | 1459 / 20 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 62 | $25.356,90 | 754 / 3 | $7.979,31 | 1123 / 1 | $7.133,62 | 1121 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 13 | 551 / 148 | $37.716,70 | 624 / 2 | $14.217,00 | 1822 / 5 | $12.956,50 | 1781 / 28 |
| Heart Failure & Shock W Cc | 11 | 267 / 89 | $17.497,60 | 877 / 3 | $6.225,27 | 870 / 2 | $5.187,64 | 869 / 3 | Total 5 procedures | 95 | 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.