Kaiser Foundation Hosp So Sacramento
Kaiser Foundation Hospital So Sacramento charges 6.3x the Medicare reimbursement rate on average, based on analysis of 14 common procedures at this Sacramento nonprofit facility.
Sacramento, CA 95823 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
6.28x
Charge / Medicare rate
Max markup
10.31x
Worst procedure
Procedures analyzed
14
With pricing data
Outlier procedures
14.3%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $101,963 | $50,982 | — | 10.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $78,481 | $39,240 | — | 9.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $110,482 | $55,241 | — | 8.4x |
| RENAL FAILURE WITH CC | 683 | $55,846 | $27,923 | — | 6.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $150,024 | $75,012 | — | 6.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $65,959 | $32,979 | — | 6.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $493,017 | $246,508 | — | 5.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $106,523 | $53,262 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $50,816 | $25,408 | — | 5.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $327,103 | $163,551 | — | 5.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $66,700 | $33,350 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $98,345 | $49,172 | — | 4.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $101,974 | $50,987 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $78,395 | $39,198 | — | 3.7x |
How KAISER FOUNDATION HOSP SO SACRAMENTO compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use