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HCHospitalCostData

Kaiser Foundation Hospital

99 MONTECILLO RD, San Rafael, CA 94903

Kaiser Foundation Hospital in San Rafael, CA has an average Medicare payment of $19,968 and a Value Score of C (62/100). Compare prices for 18 procedures. Based on CMS inpatient data.

Acute Care Hospitals|Voluntary non-profit - Private|(415) 444-2000
C
Value Score
62/100
$20K
Avg Payment
★★★★☆
Quality Rating
18
Procedures Priced
Yes
Emergency Services

About Kaiser Foundation Hospital

On the CMS Hospital Compare scale, Kaiser Foundation Hospital carries 4 stars: above the national median across the bundle of safety, mortality, and patient-experience measures the agency uses. The CMS Hospital Compare measures break roughly evenly between better- and worse-than-benchmark performance, which is the modal pattern across U.S. hospitals.

Average payment per documented procedure at Kaiser Foundation Hospital is $19,968 — among the higher-cost facilities in the dataset. Kaiser Foundation Hospital's value rating (62/100) reflects solid quality-for-cost performance: not the absolute best on either dimension alone, but a strong combination.

Ownership is non-profit, the dominant pattern in U.S. acute care. Non-profit hospitals generally reinvest operating margins rather than distribute them; the federal CMS measure set treats them identically to other ownership categories for reporting purposes. 18 distinct procedures are documented in CMS payment files for Kaiser Foundation Hospital. Top examples: Pulmonary Edema and Respiratory Failure, Heart Failure and Shock with MCC, Simple Pneumonia and Pleurisy with CC. The facility operates a 24-hour emergency department.

Source: CMS Provider Data Catalog — Hospital Compare quality measures, CMS Inpatient Payment data files.

Procedure Prices

Procedure (DRG)Total Payment
Pulmonary Edema and Respiratory Failure
DRG 189 · Respiratory
$14,587
Heart Failure and Shock with MCC
DRG 291 · Cardiac
$19,646
Simple Pneumonia and Pleurisy with CC
DRG 194 · Respiratory
$14,610
Cervical Spinal Fusion without CC/MCC
DRG 473 · Orthopedic
$29,543
Spinal Fusion (Non-Cervical) with MCC
DRG 460 · Orthopedic
$58,113
Kidney and Urinary Tract Infections without MCC
DRG 690 · Renal
$12,382
Hip and Femur Procedures Except Major Joint with MCC
DRG 480 · Orthopedic
$29,719
Major Hip and Knee Joint Replacement
DRG 470 · Orthopedic
$24,317
Cardiac Arrhythmia and Conduction Disorders with MCC
DRG 308 · Cardiac
$11,692
Signs and Symptoms without MCC
DRG 948 · Other
$8,174
Transient Ischemia
DRG 069 · Neurological
$9,813
GI Hemorrhage with MCC
DRG 378 · Digestive
$18,052
Cesarean Section without CC/MCC
DRG 766 · Obstetric
$13,231
Simple Pneumonia and Pleurisy with MCC
DRG 193 · Respiratory
$19,650
Cellulitis with MCC
DRG 603 · Infectious
$12,380
Septicemia or Severe Sepsis without Ventilator
DRG 871 · Infectious
$13,494
Syncope and Collapse
DRG 312 · Neurological
$12,749
Percutaneous Cardiovascular Procedure with Drug-Eluting Stent
DRG 247 · Cardiac
$37,274

Pricing data from CMS Hospital Price Transparency. Quality ratings from CMS Hospital Compare.

How Kaiser Foundation Hospital Compares

Kaiser Foundation Hospital has an average Medicare payment of $19,968, 7% below the California state average of $21,491. That is 26% higher than the national hospital average of $15,878. Most of its procedures fall under Orthopedic, where the typical payment is $26,891 (26% below this hospital's average). Its Value Score of C (62/100) reflects a blend of price percentile, CMS quality rating, and patient outcome measures.

Kaiser Foundation Hospital Cost & Quality FAQ

Kaiser Foundation Hospital has an average payment of $19,968 across 18 priced procedures. Costs vary significantly by procedure, compare individual prices in the procedure table above.

Kaiser Foundation Hospital has a CMS star rating of 4 out of 5. Quality measures include mortality rates, safety incidents, and readmission rates from Medicare data.

Kaiser Foundation Hospital has a Value Score of C (62/100). This score combines cost efficiency, quality ratings, and patient outcomes to help compare hospitals. Voluntary non-profit - Private facilities like this one are acute care hospitals.

Yes, Kaiser Foundation Hospital offers emergency services. The hospital is located at 99 MONTECILLO RD, San Rafael, CA 94903. Phone: (415) 444-2000.

Hospital payment data reflects Medicare inpatient claims. Value Scores combine cost efficiency, CMS star ratings, and patient outcome measures. Actual out-of-pocket costs may vary based on insurance and individual circumstances.