Kaiser Foundation Hospital - Sacramento
Kaiser Foundation Hospital - Sacramento charges 5.6x the Medicare reimbursement rate across 16 analyzed procedures, with 6% classified as pricing outliers for this nonprofit facility.
Sacramento, CA 95825 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
5.62x
Charge / Medicare rate
Max markup
6.86x
Worst procedure
Procedures analyzed
16
With pricing data
Outlier procedures
6.3%
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 |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $91,372 | $45,686 | — | 6.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $224,790 | $112,395 | — | 6.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $85,814 | $42,907 | — | 6.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $92,872 | $46,436 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $179,651 | $89,826 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $56,924 | $28,462 | — | 6.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $91,060 | $45,530 | — | 6.4x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $31,015 | $15,508 | — | 5.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $74,823 | $37,412 | — | 5.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $66,090 | $33,045 | — | 5.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $78,755 | $39,378 | — | 5.4x |
| SEIZURES WITHOUT MCC | 101 | $49,320 | $24,660 | — | 5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $45,642 | $22,821 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $95,659 | $47,830 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $168,315 | $84,158 | — | 3.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $55,266 | $27,633 | — | 2.9x |
How KAISER FOUNDATION HOSPITAL - 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