52/100
#1,191 nationally
Kaiser Foundation Hospital - San Diego
4647 Zion Ave, San Diego, CA 92120 · (619) 528-5000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Kaiser Foundation Hospital - San Diego billed $3.36 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 21
- inpatient and outpatient combined
- Rank in CA
- #22
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 73% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 37% of U.S. hospitals.
Better than 45% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
168 | $31,616 | $3,249 | +63% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
126 | $83,181 | $28,452 | +27% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
56 | $61,735 | $16,478 | +42% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
55 | $40,853 | $15,274 | +4% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
46 | $9,342 | $2,719 | -21% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
28 | $10,719 | $1,844 | +6% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
22 | $53,186 | $15,190 | -15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
21 | $60,010 | $21,206 | +24% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
21 | $61,744 | $20,529 | +9% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
16 | $54,827 | $17,055 | about average |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$31,616 | $3,249 | +63% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$278,506 | $72,721 | +57% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$29,486 | $3,843 | +54% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$61,735 | $16,478 | +42% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$56,296 | $13,079 | +35% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$46,020 | $10,632 | +33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$83,181 | $28,452 | +27% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$60,010 | $21,206 | +24% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$73,130 | $56,927 | -27% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$64,285 | $43,218 | -25% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$9,342 | $2,719 | -21% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$28,473 | $6,891 | -18% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$53,186 | $15,190 | -15% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$54,827 | $17,055 | about average |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$61,649 | $17,597 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$40,853 | $15,274 | +4% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.