What is the charity care policy at Kaiser Permanente Northern California?

Kaiser Permanente Northern California is mandated by IRS Code Section 501(r) to offer financial assistance: "Medical Financial Assistance (MFA) program up to 400% FPL".

What protections does the Federal No Surprises Act provide?

The No Surprises Act (42 U.S.C. § 300gg-111) protects patients from surprise balance billing for emergency services and out-of-network providers at in-network facilities. Patients are only responsible for standard in-network cost-sharing amounts.

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Kaiser Permanente Northern California • CPT 22612 Markup Audit

Chargemaster pricing intelligence and legal dispute analysis for Arthrodesis / Lumbar Spinal Fusion Single Level at Kaiser Permanente Northern California (California).

Pricing Comparison & Markup Alert

Average Hospital Billed

$68,000

CMS Medicare Benchmark

$4,200

Hospital Markup Multiple

16.2x

Hospital Billing Aggression Markup: 310%

Charity Care Policy: Medical Financial Assistance (MFA) program up to 400% FPL

Federal Protection: No Surprises Act (42 U.S.C. § 300gg-111) protects patients from unlawful balance billing and surprise out-of-network provider markups.

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