California / Kaiser Foundation Hosp So Sacramento
CMS certification 050674 · Sacramento, CA
Kaiser Foundation Hosp So Sacramento: charges and Medicare payments
Kaiser Foundation Hosp So Sacramento reported 396 Medicare inpatient stays across 14 DRGs in 2024. Across them it charged 4.01 times what it was paid — among the lower ratios in California, number 184 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 156 stays at an average charge of $119,327, 32% above the national average. It also billed 387 outpatient services, charging 13.11 times what Medicare paid.
- 1Medicare inpatient stays 396
- 2Charge ÷ paid, inpatient 4.01×
- 3Rank in CA (highest ratio = 1) 184 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 14 DRGs that can be compared with the national average, Kaiser Foundation Hosp So Sacramento charged more than the national average in 13 (93%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 156 | $119,327 | +32% | $30,403 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 43 | $50,335 | +3% | $18,300 |
| 291 Heart Failure and Shock with MCC | 37 | $93,187 | +65% | $21,232 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $115,013 | +100% | $17,518 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 22 | $96,939 | +28% | $25,239 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $86,485 | +55% | $24,282 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $81,837 | +16% | $22,779 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $111,759 | -2% | $37,886 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $266,312 | +167% | $90,012 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $147,356 | +46% | $48,358 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $81,350 | +11% | $17,934 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $114,538 | +92% | $20,528 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $69,913 | +89% | $13,388 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 11 | $767,384 | +137% | $152,419 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 283 | $51,830 | $3,739 |
| Level 3 Vascular Procedures | 27 | $26,926 | $3,873 |
| Level 2 Endovascular Procedures | 24 | $31,187 | $7,850 |
| Level 3 Urology and Related Services | 15 | $19,921 | $2,797 |
| Level 5 Musculoskeletal Procedures | 13 | $78,350 | $18,035 |
| Level 1 Laparoscopy and Related Services | 13 | $58,589 | $6,953 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 12 | $17,681 | $2,085 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaiser Foundation Hosp So Sacramento charged $119,327 on average, 17% less than the California average of $143,063, and was paid $30,403 against a state average of $23,020. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Kaiser Foundation Hosp So Sacramento charged $50,335 on average, 34% less than the California average of $76,120, and was paid $18,300 against a state average of $12,552. For Heart Failure and Shock with MCC (DRG 291), Kaiser Foundation Hosp So Sacramento charged $93,187 on average, 7% less than the California average of $100,739, and was paid $21,232 against a state average of $15,556. For Pulmonary Edema and Respiratory Failure (DRG 189), Kaiser Foundation Hosp So Sacramento charged $115,013 on average, 10% more than the California average of $104,292, and was paid $17,518 against a state average of $15,897. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $51,830 was 25% above the state average of $41,628. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $26,926 was 11% below the state average of $30,190. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $31,187 was 39% below the state average of $51,060. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $19,921 was 12% above the state average of $17,793.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.