California / Kaiser Foundation Hospital - Roseville
CMS certification 050772 · Roseville, CA · 2 entries in CMS's price-transparency list
Kaiser Foundation Hospital - Roseville: charges and Medicare payments
Kaiser Foundation Hospital - Roseville reported 307 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 4.05 times what it was paid — among the lower ratios in California, number 180 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: 114 stays at an average charge of $142,938, 58% above the national average. It also billed 156 outpatient services, charging 11.99 times what Medicare paid.
- 1Medicare inpatient stays 307
- 2Charge ÷ paid, inpatient 4.05×
- 3Rank in CA (highest ratio = 1) 180 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, Kaiser Foundation Hospital - Roseville charged more than the national average in 10 (83%). 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 | 114 | $142,938 | +58% | $34,605 |
| 291 Heart Failure and Shock with MCC | 37 | $132,407 | +135% | $23,513 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $43,899 | -10% | $18,795 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $107,797 | +87% | $17,239 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $151,615 | +115% | $24,317 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $194,190 | +225% | $60,274 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $69,276 | +72% | $17,512 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $307,320 | +34% | $75,828 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $80,707 | -30% | $43,814 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $61,630 | +11% | $18,153 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $139,359 | +84% | $27,115 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $49,723 | +2% | $21,155 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 141 | $44,754 | $3,411 |
| Level 5 Musculoskeletal Procedures | 15 | $61,928 | $16,449 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaiser Foundation Hospital - Roseville charged $142,938 on average, 0% less than the California average of $143,063, and was paid $34,605 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Kaiser Foundation Hospital - Roseville charged $132,407 on average, 31% more than the California average of $100,739, and was paid $23,513 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Kaiser Foundation Hospital - Roseville charged $43,899 on average, 42% less than the California average of $76,120, and was paid $18,795 against a state average of $12,552. For Pulmonary Edema and Respiratory Failure (DRG 189), Kaiser Foundation Hospital - Roseville charged $107,797 on average, 3% more than the California average of $104,292, and was paid $17,239 against a state average of $15,897. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $44,754 was 8% above the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $61,928 was 43% below the state average of $109,149.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Kaiser Foundation Hospital - Roseville in Roseville, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-08 (CMS case 3645)
- Met Requirements — 2026-04-27 (CMS case 7625)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.