California / Kaiser Foundation Hospital - Sacramento
CMS certification 050425 · Sacramento, CA · 2 entries in CMS's price-transparency list
Kaiser Foundation Hospital - Sacramento: charges and Medicare payments
Kaiser Foundation Hospital - Sacramento reported 425 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 3.98 times what it was paid — among the lower ratios in California, number 186 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: 155 stays at an average charge of $114,580, 27% above the national average. It also billed 267 outpatient services, charging 9.64 times what Medicare paid.
- 1Medicare inpatient stays 425
- 2Charge ÷ paid, inpatient 3.98×
- 3Rank in CA (highest ratio = 1) 186 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 13 DRGs that can be compared with the national average, Kaiser Foundation Hospital - Sacramento charged more than the national average in 11 (85%). 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 | 155 | $114,580 | +27% | $25,760 |
| 291 Heart Failure and Shock with MCC | 54 | $69,550 | +23% | $21,113 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $58,584 | +19% | $17,217 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $74,088 | +33% | $15,400 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $97,619 | +70% | $28,882 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $72,410 | +3% | $26,808 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $74,866 | +2% | $20,538 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $97,031 | -3% | $22,280 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $79,337 | +57% | $14,186 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $86,940 | +15% | $30,627 |
| 101 Seizures without MCC | 12 | $45,320 | -7% | $11,485 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 11 | $241,858 | +4% | $56,952 |
| 683 Renal Failure with CC | 11 | $58,031 | +43% | $13,231 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 179 | $35,165 | $3,759 |
| Level 1 Intraocular Procedures | 43 | $15,103 | $3,106 |
| Level 2 Endovascular Procedures | 22 | $31,393 | $7,850 |
| Level 3 Urology and Related Services | 12 | $16,649 | $2,798 |
| Level 3 Vascular Procedures | 11 | $19,316 | $3,762 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Kaiser Foundation Hospital - Sacramento charged $114,580 on average, 20% less than the California average of $143,063, and was paid $25,760 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Kaiser Foundation Hospital - Sacramento charged $69,550 on average, 31% less than the California average of $100,739, and was paid $21,113 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Kaiser Foundation Hospital - Sacramento charged $58,584 on average, 23% less than the California average of $76,120, and was paid $17,217 against a state average of $12,552. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Kaiser Foundation Hospital - Sacramento charged $74,088 on average, 23% less than the California average of $96,351, and was paid $15,400 against a state average of $12,570. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,165 was 16% below the state average of $41,628. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,103 was 28% below the state average of $20,986. For Level 2 Endovascular Procedures (outpatient APC 5192), its average charge of $31,393 was 39% below the state average of $51,060. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $16,649 was 6% below the state average of $17,793.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Kaiser Foundation Hospital - Sacramento in Sacramento, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-07 (CMS case 3640)
- Met Requirements — 2026-04-16 (CMS case 7515)
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.