Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

KAISER FOUNDATION HOSPITALS

General Acute Care Hospital·SAN DIEGO, CA·NPI: 1013062769Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $93.2M is at the below 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$93.2M

$93,219,954

Total Claims

2.7M

Beneficiaries

2.3M

1.2 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$6.6M
+103%
2019
$13.5M
+24%
2020
$16.8M
-27%
2021
$12.2M
+21%
2022
$14.8M
-4%
2023
$14.2M
+6%
2024
$15.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 39% of total spending.

99283Top 1%

Emergency dept visit, moderate complexity

$36.1M

89K claims · 38.7%

Your Cost: $403.24/claim|Median: $42.48
9.5× median
G0378Top 25%

Hospital observation service, per hour

$7.3M

12K claims · 7.8%

Your Cost: $626.66/claim|Median: $99.39
6.3× median
99284Top 1%

Emergency dept visit, high complexity

$7.1M

12K claims · 7.6%

Your Cost: $586.88/claim|Median: $69.51
8.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$2.7M

10K claims · 2.9%

Your Cost: $264.80/claim|Median: $65.76
4.0× median
99291Top 1%

Critical care, first 30-74 minutes

$2.6M

2,846 claims · 2.8%

Your Cost: $930.14/claim|Median: $101.24
9.2× median
99282Top 5%

Emergency dept visit, low complexity

$2.0M

8,280 claims · 2.1%

Your Cost: $241.58/claim|Median: $37.72
6.4× median
66984Top 1%

Extracapsular cataract removal with IOL insertion

$1.7M

600 claims · 1.8%

Your Cost: $2,800.16/claim|Median: $268.70
10.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.2M

29K claims · 1.3%

Your Cost: $41.93/claim|Median: $35.80
1.2× median
78452Top 5%

Myocardial perfusion imaging, SPECT, multiple studies

$1.1M

1,924 claims · 1.2%

Your Cost: $562.98/claim|Median: $106.14
5.3× median
70553Top 25%

MRI brain without contrast, then with contrast

$1.0M

3,254 claims · 1.1%

Your Cost: $310.49/claim|Median: $133.68
2.3× median
70450Top 25%

CT head/brain without contrast

$895K

9,971 claims · 1.0%

Your Cost: $89.74/claim|Median: $45.53
2.0× median
78815Top 25%

PET imaging for limited area

$878K

1,017 claims · 0.9%

Your Cost: $863.05/claim|Median: $325.10
2.7× median
0450Normal range

Emergency room visit

$799K

14K claims · 0.9%

Your Cost: $58.37/claim|Median: $44.95
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$722K

51K claims · 0.8%

Your Cost: $14.22/claim|Median: $9.87
1.4× median
71045Top 10%

Chest X-ray, single view

$721K

18K claims · 0.8%

Your Cost: $40.88/claim|Median: $4.93
8.3× median
71046Top 10%

Chest X-ray, 2 views

$713K

14K claims · 0.8%

Your Cost: $49.74/claim|Median: $8.92
5.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$627K

142K claims · 0.7%

Your Cost: $4.43/claim|Median: $4.71
0.9× median
76705Top 25%

Ultrasound, abdominal, limited

$622K

7,474 claims · 0.7%

Your Cost: $83.25/claim|Median: $23.81
3.5× median
86900Top 5%

$616K

11K claims · 0.7%

Your Cost: $55.04/claim|Median: $2.55
21.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$572K

22K claims · 0.6%

Your Cost: $26.11/claim|Median: $97.61
0.3× median
99499Top 5%

Unlisted evaluation and management service

$508K

2,663 claims · 0.5%

Your Cost: $190.69/claim|Median: $30.88
6.2× median
70551Normal range

MRI brain without contrast

$504K

2,819 claims · 0.5%

Your Cost: $178.64/claim|Median: $85.39
2.1× median
82306Top 25%

Vitamin D, 25 hydroxy

$489K

18K claims · 0.5%

Your Cost: $27.19/claim|Median: $18.18
1.5× median
76856Top 25%

Ultrasound, pelvic, complete

$468K

5,151 claims · 0.5%

Your Cost: $90.79/claim|Median: $47.58
1.9× median
82565Normal range

Creatinine blood test

$460K

151K claims · 0.5%

Your Cost: $3.04/claim|Median: $1.94
1.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$454K

2,881 claims · 0.5%

Your Cost: $157.49/claim|Median: $60.19
2.6× median
86885Top 5%

$448K

6,309 claims · 0.5%

Your Cost: $71.08/claim|Median: $5.28
13.5× median
77067Top 10%

Screening mammography, bilateral, including CAD

$446K

3,771 claims · 0.5%

Your Cost: $118.35/claim|Median: $39.33
3.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$432K

55K claims · 0.5%

Your Cost: $7.82/claim|Median: $5.50
1.4× median
80061Normal range

Lipid panel

$432K

37K claims · 0.5%

Your Cost: $11.65/claim|Median: $8.41
1.4× median
76830Top 25%

Ultrasound, transvaginal

$426K

4,668 claims · 0.5%

Your Cost: $91.30/claim|Median: $57.47
1.6× median
85027Normal range

Complete blood count (CBC), automated

$423K

78K claims · 0.5%

Your Cost: $5.45/claim|Median: $3.72
1.5× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$421K

13K claims · 0.5%

Your Cost: $31.54/claim|Median: $24.95
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$420K

13K claims · 0.5%

Your Cost: $31.50/claim|Median: $23.39
1.3× median
80051Normal range

Electrolyte panel blood test

$395K

119K claims · 0.4%

Your Cost: $3.33/claim|Median: $1.56
2.1× median
72148Top 25%

MRI lumbar spine without contrast

$391K

2,101 claims · 0.4%

Your Cost: $185.94/claim|Median: $101.03
1.8× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$355K

6,028 claims · 0.4%

Your Cost: $58.86/claim|Median: $38.35
1.5× median
73721Normal range

MRI joint of lower extremity without contrast

$346K

1,588 claims · 0.4%

Your Cost: $217.75/claim|Median: $127.34
1.7× median
84460Normal range

$325K

90K claims · 0.3%

Your Cost: $3.62/claim|Median: $2.58
1.4× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$293K

8,281 claims · 0.3%

Your Cost: $35.36/claim|Median: $35.43
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$288K

20K claims · 0.3%

Your Cost: $14.45/claim|Median: $21.76
0.7× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$257K

4,632 claims · 0.3%

Your Cost: $55.52/claim|Median: $12.06
4.6× median
83970Top 25%

Parathormone (parathyroid hormone) blood test

$237K

7,367 claims · 0.3%

Your Cost: $32.12/claim|Median: $10.20
3.1× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$230K

10K claims · 0.2%

Your Cost: $22.39/claim|Median: $18.03
1.2× median
87505Normal range

$230K

2,654 claims · 0.2%

Your Cost: $86.82/claim|Median: $62.35
1.4× median
82728Normal range

Ferritin

$229K

20K claims · 0.2%

Your Cost: $11.46/claim|Median: $6.00
1.9× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$226K

2,650 claims · 0.2%

Your Cost: $85.37/claim|Median: $37.35
2.3× median
83880Normal range

$221K

16K claims · 0.2%

Your Cost: $14.17/claim|Median: $11.81
1.2× median
71275Normal range

CT angiography, chest, with contrast

$215K

1,417 claims · 0.2%

Your Cost: $151.81/claim|Median: $92.96
1.6× median
81220Normal range

CFTR gene analysis, common variants

$208K

793 claims · 0.2%

Your Cost: $262.19/claim|Median: $183.31
1.4× median