Hospital Costs > In California > Kaiser Foundation Hospital-Santa Clara, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 48 | $23.505,60 | 220 / 1 | $11.098,20 | 1519 / 91 | $9.486,31 | 1516 / 100 |
| Heart Failure & Shock W Cc | 19 | 259 / 81 | $30.686,40 | 1990 / 35 | $12.237,60 | 2501 / 202 | $8.340,32 | 2495 / 148 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 18 | 546 / 143 | $40.854,60 | 803 / 6 | $23.301,20 | 2358 / 208 | $15.782,50 | 2313 / 126 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 30 | $95.085,40 | 438 / 4 | $28.961,40 | 892 / 57 | $26.420,20 | 887 / 54 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 35 | 161 / 37 | $59.554,90 | 442 / 4 | $21.308,90 | 1388 / 102 | $16.867,70 | 1380 / 92 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 76 | 440 / 144 | $38.076,90 | 1217 / 14 | $18.989,50 | 2442 / 213 | $14.584,40 | 2398 / 137 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 92 | $22.250,80 | 994 / 10 | $11.325,90 | 2095 / 203 | $7.615,53 | 2087 / 87 | Total 7 procedures | 190 | 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.