California / Kaiser Foundation Hospital and Rehab Center
CMS certification 050073 · Vallejo, CA
Kaiser Foundation Hospital and Rehab Center: charges and Medicare payments
Kaiser Foundation Hospital and Rehab Center reported 232 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 3.99 times what it was paid — among the lower ratios in California, number 185 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: 116 stays at an average charge of $124,978, 38% above the national average. It also billed 205 outpatient services, charging 13.37 times what Medicare paid.
- 1Medicare inpatient stays 232
- 2Charge ÷ paid, inpatient 3.99×
- 3Rank in CA (highest ratio = 1) 185 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 8 DRGs that can be compared with the national average, Kaiser Foundation Hospital and Rehab Center charged more than the national average in 7 (88%). 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 | 116 | $124,978 | +38% | $30,799 |
| 291 Heart Failure and Shock with MCC | 21 | $123,258 | +119% | $17,846 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $67,920 | +38% | $16,462 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $109,944 | +91% | $17,917 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $124,840 | +65% | $20,629 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $342,168 | +49% | $89,920 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $98,064 | -14% | $35,587 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $81,685 | +16% | $63,238 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 166 | $45,682 | $3,827 |
| Level 2 Endovascular Procedures | 16 | $39,574 | $8,064 |
| Level 1 Endovascular Procedures | 12 | $41,905 | $4,329 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 11 | $13,363 | $2,288 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaiser Foundation Hospital and Rehab Center charged $124,978 on average, 13% less than the California average of $143,063, and was paid $30,799 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Kaiser Foundation Hospital and Rehab Center charged $123,258 on average, 22% more than the California average of $100,739, and was paid $17,846 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Kaiser Foundation Hospital and Rehab Center charged $67,920 on average, 11% less than the California average of $76,120, and was paid $16,462 against a state average of $12,552. For Pulmonary Edema and Respiratory Failure (DRG 189), Kaiser Foundation Hospital and Rehab Center charged $109,944 on average, 5% more than the California average of $104,292, and was paid $17,917 against a state average of $15,897. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $45,682 was 10% above the state average of $41,628. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $39,574 was 22% below the state average of $51,060. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $41,905 was 3% above the state average of $40,544. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,363 was 9% below the state average of $14,749.
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.