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Kaiser Foundation Hospitals

General Acute Care Hospital·Sacramento, CA·NPI: 1528138088Share

Compared to General Acute Care Hospital Peers

Total spending distribution among 156 providers in this specialty

P25MedianP75P90

This provider's total spending of $128.1M is at the 25th percentile among 156 General Acute Care Hospital providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$128.1M

$128,113,204

Total Claims

2.7M

Beneficiaries

2.3M

1.2 claims/patient

Avg Cost/Claim

$47

#916 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Kaiser Foundation Hospitals is a General Acute Care Hospital provider based in Sacramento, CA. From the 2018–2024 period, this provider received $128.1M in Medicaid payments across 2.7M claims.

Why This Matters

This provider received $128.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,014 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 81% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$12.0M
+37%
2019
$16.4M
+24%
2020
$20.4M
-10%
2021
$18.4M
+4%
2022
$19.2M
+6%
2023
$20.2M
+7%
2024
$21.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 21% of total spending.

99284Top 1%

Emergency dept visit, high complexity

$26.9M

39K claims · 21.0%

Your Cost: $694.60/claim|Median: $69.51
10.0× median
99283Top 1%

Emergency dept visit, moderate complexity

$22.0M

46K claims · 17.2%

Your Cost: $475.49/claim|Median: $42.48
11.2× median
99282Top 5%

Emergency dept visit, low complexity

$10.4M

40K claims · 8.1%

Your Cost: $262.52/claim|Median: $37.72
7.0× median
99285Top 1%

Emergency dept visit, high/urgent complexity

$9.1M

14K claims · 7.1%

Your Cost: $663.68/claim|Median: $85.65
7.8× median
G0378Top 25%

Hospital observation service, per hour

$5.2M

8K claims · 4.1%

Your Cost: $686.91/claim|Median: $99.39
6.9× median
0450Normal range

Emergency room visit

$4.7M

95K claims · 3.7%

Your Cost: $49.63/claim|Median: $44.95
1.1× median
74177Top 10%

CT abdomen and pelvis with contrast

$3.9M

13K claims · 3.1%

Your Cost: $297.85/claim|Median: $65.76
4.5× median
71046Top 5%

Chest X-ray, 2 views

$2.3M

37K claims · 1.8%

Your Cost: $61.87/claim|Median: $8.92
6.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$2.2M

17K claims · 1.7%

Your Cost: $130.54/claim|Median: $52.03
2.5× median
70450Top 25%

CT head/brain without contrast

$2.0M

18K claims · 1.6%

Your Cost: $113.80/claim|Median: $45.53
2.5× median
88305Top 10%

Surgical pathology, gross and microscopic examination

$1.8M

19K claims · 1.4%

Your Cost: $93.30/claim|Median: $35.80
2.6× median
99199Top 10%

Unlisted special service, procedure, or report

$1.7M

33K claims · 1.3%

Your Cost: $51.81/claim|Median: $5.39
9.6× median
99291Top 1%

Critical care, first 30-74 minutes

$1.5M

1K claims · 1.2%

Your Cost: $1,055.94/claim|Median: $101.24
10.4× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.3M

7K claims · 1.0%

Your Cost: $191.96/claim|Median: $60.19
3.2× median
76705Top 10%

Ultrasound, abdominal, limited

$1.2M

11K claims · 0.9%

Your Cost: $104.81/claim|Median: $23.81
4.4× median
71045Top 10%

Chest X-ray, single view

$1.1M

26K claims · 0.9%

Your Cost: $43.52/claim|Median: $4.93
8.8× median
71260Top 10%

CT chest with contrast

$1.0M

5K claims · 0.8%

Your Cost: $202.90/claim|Median: $48.36
4.2× median
77067Top 10%

Screening mammography, bilateral, including CAD

$977K

9K claims · 0.8%

Your Cost: $112.37/claim|Median: $39.33
2.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$866K

13K claims · 0.7%

Your Cost: $64.78/claim|Median: $100.62
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$687K

134K claims · 0.5%

Your Cost: $5.14/claim|Median: $4.71
1.1× median
70551Top 25%

MRI brain without contrast

$656K

3K claims · 0.5%

Your Cost: $252.57/claim|Median: $85.39
3.0× median
76830Top 10%

Ultrasound, transvaginal

$656K

6K claims · 0.5%

Your Cost: $114.01/claim|Median: $57.47
2.0× median
76856Top 25%

Ultrasound, pelvic, complete

$648K

6K claims · 0.5%

Your Cost: $111.63/claim|Median: $47.58
2.4× median
99499Top 25%

Unlisted evaluation and management service

$644K

9K claims · 0.5%

Your Cost: $73.00/claim|Median: $30.88
2.4× median
72125Top 25%

CT cervical spine without contrast

$633K

5K claims · 0.5%

Your Cost: $139.64/claim|Median: $32.30
4.3× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$576K

9K claims · 0.4%

Your Cost: $65.71/claim|Median: $12.06
5.5× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$575K

47K claims · 0.4%

Your Cost: $12.14/claim|Median: $7.50
1.6× median
73564Top 5%

$557K

5K claims · 0.4%

Your Cost: $110.15/claim|Median: $15.00
7.3× median
76815Top 5%

Ultrasound, pregnant uterus, limited

$533K

4K claims · 0.4%

Your Cost: $122.98/claim|Median: $36.79
3.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$504K

25K claims · 0.4%

Your Cost: $20.53/claim|Median: $21.76
0.9× median

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