Short Term Acute Care HospitalVoluntary Non-Profit - Private

Kaiser Foundation Hospital - San Diego Zion Medical Center

Kaiser Permanente · San Diego, CA

4647 Zion Avenue, San Diego, CA 92120(619) 528-5000

4 of 5

CMS star rating

572

Beds

23,722

Inpatient discharges a year

$1.2B

Net patient revenue a year

In-network payers

About this hospital

Kaiser Foundation Hospital - San Diego Zion Medical Center is a 572-bed voluntary non-profit - private hospital in San Diego, CA, affiliated with Kaiser Permanente. Below you'll find publicly disclosed negotiated rates and facility details, including 6 in-network payers.

Rural referral center
Reclassified as rural
Disproportionate share hospital

CCN: 050515
NPI: 1013062769
Health system: Kaiser Permanente
Teaching: Teaching hospital
County: San Diego County
Metro area: San Diego-Chula Vista-Carlsbad, CA MSA
Medicare contractor: Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since: 1967
Last CMS survey: 2018

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

Book a call about hospital compliance MRFs

No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

CenteneGroup Health Cooperative of South Central WisconsinHealthNetHometown HealthKaiser PermanenteSentara Health Plans (Optima Health)

More about this hospital

Quality
4 of 5 stars
- No Medicare readmissions penalty
See quality ratings
Doctors and services
Accredited by The Joint Commission
- Teaching hospital
- 52 services, including trauma & transplant care
- 519 affiliated clinicians
See doctors and services
Finances
$1.2B net patient revenue
- Operating margin on patient care 1.9%
- $53.4M unreimbursed and uncompensated care
- $27.3M net income
See finances
Ownership and leadership
Owned by Kaiser Foundation Hospitals
- Private (not for profit)
- Gregory A Adams, chief executive
See ownership and leadership

Location

4647 Zion Avenue, San Diego, CA 92120

(619) 528-5000

Get directions

Quality ratings (CMS Care Compare)

How Kaiser Foundation Hospital - San Diego Zion Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 6 measures
3 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
77%
Higher than 69% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.01
Higher than 68% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Sepsis care
85%
Higher than 92% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better

Measure details and reporting periods

Measure	Result	Period
Overall star ratingCMS: Overall hospital quality star rating	4 of 5
Death rates	No different on 2 measures
Safety	Better on 3 of 6 measures
Readmissions	No different on 3 measures
Patient survey ratingCMS: Summary star rating	4 of 5	2024-10-01 to 2025-09-30
Would definitely recommendCMS: "YES", patients would definitely recommend the hospital	77%	2024-10-01 to 2025-09-30
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Penalized	2026
Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90)	1.01	2022-07-01 to 2024-06-30
Sepsis careCMS: Appropriate care for severe sepsis and septic shock	85%	2024-10-01 to 2025-09-30

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Kaiser Foundation Hospital - San Diego Zion Medical Center's inpatient payments for its readmissions, quality and cost results.

No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+2.37% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Kaiser Foundation Hospital - San Diego Zion Medical Center, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	This hospital	US median	CA average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 279 cases	3.8	4.1	4.075		Better than 62% of US hospitals
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 5,878 cases	3.8	3.9	3.81		Better than 56% of US hospitals
Death rate for heart attack patients2022-07-01 to 2025-06-30	Not Available		11.57
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available		2.379
Death rate for COPD patients2022-07-01 to 2025-06-30	Not Available		8.235
Death rate for heart failure patients2022-07-01 to 2025-06-30 · 28 cases	13.3	11	10.29		Worse than 87% of US hospitals
Death rate for pneumonia patients2022-07-01 to 2025-06-30	Not Available		14.49
Death rate for stroke patients2023-07-01 to 2025-06-30 · 332 cases	12.3	11.6	11.57		Worse than 60% of US hospitals
Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,270 cases	0.61	0.51	0.4818	No Different Than the National Rate	Worse than 68% of US hospitals
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30	Not Available		171	Number of Cases Too Small
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,732 cases	0.19	0.2	0.21	No Different Than the National Rate	Better than 66% of US hospitals
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,721 cases	0.25	0.27	0.261	No Different Than the National Rate	Better than 71% of US hospitals
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 421 cases	2.35	2.29	2.308	No Different Than the National Rate	Worse than 66% of US hospitals
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 186 cases	1.61	1.63	1.668	No Different Than the National Rate	Better than 58% of US hospitals
Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 181 cases	9.39	8.88	9.555	No Different Than the National Rate	Worse than 60% of US hospitals
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 434 cases	3.73	3.4	3.521	No Different Than the National Rate	Worse than 72% of US hospitals
Postoperative sepsis rate2022-07-01 to 2024-06-30 · 179 cases	5.41	5.105	5.495	No Different Than the National Rate	Worse than 65% of US hospitals
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 115 cases	1.69	1.72	1.796	No Different Than the National Rate	Better than 63% of US hospitals
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 400 cases	1.5	1.02	1.061	No Different Than the National Rate	Worse than 95% of US hospitals

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	This hospital	US median	CA average	CMS comparison	US rank
Hospital return days for heart attack patients2022-07-01 to 2025-06-30	Not Available		11.09
Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 30 cases	33.1	1.25	7.901		Worse than 85% of US hospitals
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30	Not Available		16.67
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31	Not Available		12.91	Number of Cases Too Small
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available		11.39	Number of Cases Too Small
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available		5.546	Number of Cases Too Small
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31	Not Available		1.001	Number of cases too small
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 158 cases	13	14.4	14.43		Better than 95% of US hospitals
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available		11.19
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 285 cases	20	19.8	19.94		Worse than 57% of US hospitals
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,165 cases	20.6	21.3	21.41		Better than 73% of US hospitals
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 300 cases	5	5.8	5.612		Better than 91% of US hospitals
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 960 cases	17.5	17.2	17.7		Worse than 60% of US hospitals

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	This hospital	US median	CA average	CMS comparison	US rank
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	0.034	0.172	0.2347	Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	0.675	1.504	1.834	Better than the National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	8,724	1,370	5,722	Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	9.792	0.9835	5.638	Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	2	0	3.347	Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	0.204	0.484	0.5696	Better than the National Benchmark	Better than 73% of US hospitals
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	0.331	0.138	0.2147	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	1.498	1.392	1.749	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	8,117	1,799	5,308	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	9.245	1.377	6.105	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	7	0	3.273	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	0.757	0.399	0.5366	No Different than National Benchmark	Worse than 78% of US hospitals
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	0.2	0.2345	0.32	No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	1.518	2.135	2.433	No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	268	61	112	No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	6.357	1.591	2.999	No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	4	1	2.368	No Different than National Benchmark
SSI - Colon Surgery2024-10-01 to 2025-09-30	0.629	0.7155	0.8107	No Different than National Benchmark	Better than 55% of US hospitals
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.2606
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		3.273
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	93	38	73.49
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	0.668	0.328	0.6136
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	0	0	0.5911
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available		0.7863
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	0.008	0.193	0.3103	Better than the National Benchmark
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	0.809	1.855	2.305	Better than the National Benchmark
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	119,675	14,451	52,601	Better than the National Benchmark
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	6.099	0.567	3.111	Better than the National Benchmark
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	1	0	2.166	Better than the National Benchmark
MRSA Bacteremia2024-10-01 to 2025-09-30	0.164	0.597	0.7784	Better than the National Benchmark	Better than 80% of US hospitals
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	0.458	0.127	0.1925	Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	0.84	0.747	0.9502	Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	107,321	13,646	48,317	Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	66.95	5.683	27.04	Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	42	2	9.99	Better than the National Benchmark
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	0.627	0.279	0.383	Better than the National Benchmark	Worse than 84% of US hospitals

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	This hospital	US median	CA average	US rank
Room was "always" clean2024-10-01 to 2025-09-30 · 1,483 cases	73	73	72.2	Worse than 49% of US hospitals
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,483 cases	8	8	8.78	Better than 47% of US hospitals
Room was "usually" clean2024-10-01 to 2025-09-30 · 1,483 cases	19	18	19.02
Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,483 cases	88	87	86.82	Better than 57% of US hospitals
Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,483 cases	4	4	3.514	Better than 47% of US hospitals
Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,483 cases	79	80	75.76	Worse than 51% of US hospitals
Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,483 cases	92	91	89.84	Better than 51% of US hospitals
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,483 cases	4	4	5.713	Worse than 42% of US hospitals
Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,483 cases	4	3	2.855	Better than 51% of US hospitals
Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,483 cases	17	16	18.53
Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,483 cases	81	79	75.81	Better than 59% of US hospitals
Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,483 cases	92	91	89.11	Better than 63% of US hospitals
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,483 cases	5	5	7.043	Better than 44% of US hospitals
Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,483 cases	4	3	2.688	Better than 63% of US hospitals
Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,483 cases	14	16	17.15
Staff "always" explained2024-10-01 to 2025-09-30 · 1,483 cases	64	61	58.95	Better than 64% of US hospitals
Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,483 cases	80	77	75.75	Better than 72% of US hospitals
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,483 cases	17	19	21.56	Better than 63% of US hospitals
Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,483 cases	3	3	2.449	Better than 47% of US hospitals
Staff "usually" explained2024-10-01 to 2025-09-30 · 1,483 cases	19	19	19.48
Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,483 cases	90	86	84.61	Better than 86% of US hospitals
No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,483 cases	10	13	15.03	Better than 78% of US hospitals
Discharge information - star rating2024-10-01 to 2025-09-30 · 1,483 cases	4	3	3.08	Better than 55% of US hospitals
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,483 cases	90	87	84.97	Better than 78% of US hospitals
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,483 cases	10	14	16.39	Better than 83% of US hospitals
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,483 cases	90	86	83.61	Better than 83% of US hospitals
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,483 cases	76	74	70.69	Better than 61% of US hospitals
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,483 cases	6	7	8.855	Better than 53% of US hospitals
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,483 cases	18	19	20.45
Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,483 cases	81	77	73.94	Better than 71% of US hospitals
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,483 cases	5	6	7.637	Better than 53% of US hospitals
Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,483 cases	14	17	18.43
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,483 cases	87	85	81.99	Better than 62% of US hospitals
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,483 cases	3	3	4.958	Better than 49% of US hospitals
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,483 cases	10	11	13.06
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,483 cases	7	8	10.01	Better than 52% of US hospitals
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,483 cases	16	20	22.36
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,483 cases	77	72	67.63	Better than 70% of US hospitals
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,483 cases	90	88	86.85	Better than 66% of US hospitals
Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,483 cases	4	3	3.047	Better than 55% of US hospitals
Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,483 cases	78	74	72.06	Better than 71% of US hospitals
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,483 cases	8	9	10.94	Better than 60% of US hospitals
Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,483 cases	14	16	17
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,483 cases	74	75	71.11	Worse than 52% of US hospitals
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,483 cases	6	5	7.488	Worse than 51% of US hospitals
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,483 cases	20	20	21.4
Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,483 cases	78	77	72.49	Better than 56% of US hospitals
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,483 cases	4	4	6.121	Better than 45% of US hospitals
Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,483 cases	18	19	21.39
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,483 cases	85	86	82.8	Worse than 56% of US hospitals
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,483 cases	2	3	3.779	Better than 50% of US hospitals
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,483 cases	13	11	13.42
"Always" quiet at night2024-10-01 to 2025-09-30 · 1,483 cases	57	59	47.5	Worse than 57% of US hospitals
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,483 cases	9	9	17.79	Worse than 47% of US hospitals
"Usually" quiet at night2024-10-01 to 2025-09-30 · 1,483 cases	34	31	34.71
Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,483 cases	82	82	74.85	Better than 48% of US hospitals
Quietness - star rating2024-10-01 to 2025-09-30 · 1,483 cases	3	3	2.203	Worse than 44% of US hospitals
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 1,483 cases	4	5	7.623	Better than 57% of US hospitals
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,483 cases	77	71	68.6	Better than 69% of US hospitals
Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,483 cases	90	87	85.85	Better than 68% of US hospitals
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,483 cases	19	23	23.77
Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,483 cases	4	4	3.431	Better than 42% of US hospitals
Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,483 cases	50	47	45.33	Better than 63% of US hospitals
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,483 cases	26	30	32.51	Better than 69% of US hospitals
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,483 cases	24	22	22.16
Summary star rating2024-10-01 to 2025-09-30 · 1,483 cases	4	3	2.859	Better than 60% of US hospitals
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,483 cases	11	12	13.94	Better than 59% of US hospitals
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,483 cases	89	88	86.06	Better than 59% of US hospitals

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	This hospital	US median	CA average	US rank
Emergency department volume2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available		8.289
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 5,997 cases	0	1	1.008	The best result, shared by 34% of US hospitals
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available		0.1852
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 6,867 cases	77	79	69.96	Worse than 54% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		187
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		182
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		282
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		411
Left before being seen2024-01-01 to 2024-12-31	Not Available		2.162
Head CT results2024-10-01 to 2025-09-30	Not Available		75.06
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31	Not Available		92.55
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available		80
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31	Not Available		48.75
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 7,174 cases	9	15	13.67	Better than 86% of US hospitals
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 324 cases	85	65	68.8	Better than 92% of US hospitals
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 71 cases	83	73	76.38	Better than 72% of US hospitals
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 43 cases	93	88	86.64	Better than 65% of US hospitals
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 325 cases	93	82	82.89	Better than 90% of US hospitals
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 168 cases	99	94	93.98	Better than 86% of US hospitals
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 278 cases	94	98	93.4	Worse than 83% of US hospitals
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 76 cases	72	75	70.68	Worse than 58% of US hospitals
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31	Not Available		89.93
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		86.9
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31	Not Available		94.78

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	This hospital	US median	CA average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	1.6	5	4.959		Better than 88% of US hospitals
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	Not Available		8.417

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	This hospital	US median	CA average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	0.87	0.99	1.024		Better than 92% of US hospitals

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	This hospital	US median	CA average	US rank
VBP clinical outcomes domain scoreFY 2026	Not Available		30.07
VBP clinical outcomes weighted domain scoreFY 2026	Not Available		7.571
VBP efficiency and cost reduction domain scoreFY 2026	80	10	16.48	Better than 94% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	26.67	2.5	4.567	Better than 99% of US hospitals
VBP person and community engagement domain scoreFY 2026	60	34	28.67	Better than 86% of US hospitals
VBP person and community engagement weighted domain scoreFY 2026	20	8.75	7.519	Better than 95% of US hospitals
VBP safety domain scoreFY 2026	50	40	45.16	Better than 64% of US hospitals
VBP safety weighted domain scoreFY 2026	16.67	10	11.79	Better than 86% of US hospitals
VBP total performance scoreFY 2026	63.33	29.5	30.43	Better than 99% of US hospitals

By fiscal year	FY 2021	FY 2023	FY 2024	FY 2025	FY 2026
VBP clinical outcomes domain score	Not Available	Not Available	Not Available	Not Available	Not Available
VBP clinical outcomes weighted domain score	Not Available	Not Available	Not Available	Not Available	Not Available
VBP efficiency and cost reduction domain score	100	50	100	100	80
VBP efficiency and cost reduction weighted domain score	33.33	12.5	33.33	33.33	26.67
VBP person and community engagement domain score	42	Not Available	32	25	60
VBP person and community engagement weighted domain score	14	Not Available	10.67	8.333	20
VBP safety domain score	34	Not Available	22	20	50
VBP safety weighted domain score	11.33	Not Available	7.333	6.667	16.67
VBP total performance score	58.67	Not Available	51.33	48.33	63.33

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	This hospital	US median	CA average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30	N/A		1.015
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		1.005
READM-30-COPD-HRRP2021-07-01 to 2024-06-30	N/A		1.002
READM-30-HF-HRRP2021-07-01 to 2024-06-30	0.97	0.9983	1.017	Better than 70% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	N/A		0.9788
READM-30-PN-HRRP2021-07-01 to 2024-06-30	N/A		1.026

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-CABG-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-COPD-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-HF-HRRP	0.9932	N/A	1.023	1.043	1.023	0.97
READM-30-HIP-KNEE-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-PN-HRRP	1.018	1.045	N/A	N/A	N/A	N/A

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	This hospital	US median	CA average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	1.21	0.489	0.6114	Worse than 91% of US hospitals
CDI standardized infection ratio2023-01-01 to 2024-12-31	0.59	0.346	0.449	Worse than 81% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	0.118	0.559	0.679	Better than 85% of US hospitals
HAC Reduction Program payment reductionFY 2026	Yes
MRSA standardized infection ratio2023-01-01 to 2024-12-31	0.406	0.6405	0.7204	Better than 72% of US hospitals
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	1.015	0.9628	0.9656	Worse than 68% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	1.859	0.7945	0.8116	Worse than 92% of US hospitals
Total HAC scoreFY 2026	0.4316	-0.0453	0.02733	Worse than 77% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No	N/A	No	Yes	Yes
Total HAC score	0.0962	0.0873	0	0.196	0.4402	0.4316

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2024)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
659
Medicare-certified beds
219
Registered nurses (full-time equivalent)
1967
In Medicare since

54 services at Kaiser Foundation Hospital - San Diego Zion Medical Center

Emergency and trauma: Shock trauma servicesDesignated Trauma CenterEmergency DepartmentEmergency Psychiatric Care
Intensive care: Coronary Care UnitNeonatal ICU (Neonatal Intensive Care Unit)Pediatric ICUSurgical ICU (Medical Surgical Intensive Care Unit)Surgical ICU (Surgical Intensive Care Unit)
Heart: Cardiac Catheterization LabCardiac Thoracic Surgery
Surgery: AnesthesiaInpatient SurgicalNeurosurgicalOphthalmic SurgeryOR (Operating Room)Orthopedic SurgeryOutpatient SurgeryPostoperative Recovery RoomReconstructive Surgery
Imaging: CT ScanDiagnostic RadiologyMRI (Magnetic Resonance Imaging)Nuclear MedicinePET Scan (Positron Emissions Tomography Scan)Therapeutic Radiology
Cancer: Chemotherapy
Transplant and dialysis: Medicare transplant centerAcute Renal DialysisMedicare Certified TransplantationOrgan Transplantation
Women and children: Clinical LaboratoryNeonatal NurseryObstetrics / Child BirthPediatric Care
Behavioral health: Alcohol and/or Drug ServiceGeriatric PsychiatricOutpatient Psychiatric CarePsychiatric Care of Children and/or Adolescents
Rehabilitation and therapy: AudiologyCARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation)OT (Occupational Therapy)Outpatient RehabilitationPT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CareESWL (Extracorporeal Shockwave Lithotripter)Gerontological SpecialtyOptometricOutpatientPharmacySocial CareUrgent Care Center

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Kaiser Foundation Hospital - San Diego Zion Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

23,722
Inpatient discharges
Medicare 3%, Medicaid 1%
103,948
Inpatient days
46% of available bed days used
2,329
Employees (full-time equivalent)
61
Interns and residents (full-time equivalent)

Source: CMS cost report (HCRIS) (report 836806). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Kaiser Foundation Hospital - San Diego Zion Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	3,827	4,633	95,488	103,948
Discharges	823	185	22,714	23,722
Average length of stay	4.7 days	25.0 days	4.2 days	4.4 days
Average daily census	10.5	12.7	261.6	284.8

47,036
Medicare Advantage days
10,880 discharges
8,679
Medicaid managed care days
132 discharges
19,655
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	499	81,032	3,596	41%
Intensive care unit	44	9,375	231	58%
Nursery		6,104

Source: CMS cost report (HCRIS, Form 2552-10), report 836806, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Kaiser Foundation Hospital - San Diego Zion Medical Center treats Medicare patients for most often, in 2024. 407 Medicare discharges in 15 published DRGs; 12% surgical; 75% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	126	$83,181	$14,242	$25,620	1.98
Heart failure and shock with MCCMS-DRG 291, medical	56	$61,735	$11,421	$19,014	1.28
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	55	$40,853	$7,292	$12,583	1.03
Pulmonary edema and respiratory failureMS-DRG 189, medical	21	$60,010	$10,031	$18,483	1.23
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	21	$61,744	$10,227	$19,017	1.65
Respiratory infections and inflammations with MCCMS-DRG 177, medical	16	$54,827	$12,304	$16,887	1.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	15	$51,854	$8,961	$15,971	1.33
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	14	$56,296	$10,038	$17,339	1.10
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	13	$64,285	$10,762	$19,800	2.11
Kidney and urinary tract infections without MCCMS-DRG 690, medical	13	$34,762	$6,668	$10,707	0.81
Major small and large bowel procedures with CCMS-DRG 330, surgical	12	$73,130	$7,801	$22,524	2.37
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	12	$278,506	$54,329	$85,780	5.00
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	11	$61,649	$12,193	$18,988	1.59
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	11	$89,570	$20,185	$27,588	2.07
Diabetes with CCMS-DRG 638, medical	11	$46,020	$8,151	$14,174	0.90

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Kaiser Foundation Hospital - San Diego Zion Medical Center billed Medicare for most in 2024: 294 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	168	131	$31,616	$2,582	$2,090
Level 1 Intraocular ProceduresAPC 5491	46	38	$9,342	$2,122	$1,752
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	28	27	$10,719	$1,439	$1,220
Level 5 Musculoskeletal ProceduresAPC 5115	22	20	$53,186	$13,558	$10,772
Level 3 Vascular ProceduresAPC 5183	15	15	$29,486	$3,037	$2,405
Level 2 Endovascular ProceduresAPC 5192	15	13	$28,473	$5,484	$4,338

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Kaiser Foundation Hospital - San Diego Zion Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 9,187 in 2020 to 11,369 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
92071	469	4%	1,814	$17.5M	20%	21%
92021	463	4%	2,109	$19.9M	15%	15%
92114	458	4%	1,997	$19.9M	17%	15%
91910	410	4%	1,770	$17M	13%	15%
91977	410	4%	1,734	$17.3M	18%	15%
91911	408	4%	1,619	$15.6M	11%	12%
92154	364	3%	1,552	$15.4M	12%	12%
92040	346	3%	1,489	$14.6M	18%	20%
91942	345	3%	1,446	$13.8M	21%	17%
92020	336	3%	1,475	$14.1M	12%	15%
92019	335	3%	1,347	$13.1M	18%	20%
92117	308	3%	1,182	$11.3M	16%	18%
92120	283	2%	1,133	$12.5M	24%	27%
91950	269	2%	1,087	$11.6M	11%	10%
92119	253	2%	1,132	$10.5M	24%	22%
91941	234	2%	949	$9.8M	20%	18%
92139	223	2%	918	$10.2M	17%	13%
91945	221	2%	1,035	$11.2M	20%	16%
92115	218	2%	854	$8.2M	14%	14%
92105	208	2%	934	$8.9M	11%	10%
92111	195	2%	809	$7.7M	13%	14%
92173	167	1%	738	$7.2M	10%	7%
92126	158	1%	741	$6.9M	8%	10%
91913	151	1%	620	$6.4M	12%	20%
91902	149	1%	674	$6.2M	17%	18%

Source: CMS Hospital Service Area file. Shares are of the 11,369 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Kaiser Foundation Hospital - San Diego Zion Medical Center reported at its latest Medicare certification survey (2018). Counts are people, not full-time equivalents.

42
Operating rooms
2
Endoscopy rooms
3
Off-site locations

219
Registered nurses
145
Licensed practical nurses
30
Nurse anesthetists (CRNAs)
91
Pharmacists
84
Respiratory therapists
11
Physical therapists
4
Occupational therapists
8
Speech pathologists and audiologists
88
Radiology technicians
11
Nuclear medicine technicians
55
Laboratory technicians
13
Dietitians
12
Social workers

Source: CMS Provider of Services file.

Doctors and clinicians

519 clinicians who bill Medicare list Kaiser Foundation Hospital - San Diego Zion Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Internal Medicine Physician 95
Emergency Medicine Physician 52
Student in an Organized Health Care Education/Training Program 50
Diagnostic Radiology Physician 32
Family Medicine Physician 26
Hospitalist Physician 17
Cardiovascular Disease Physician 16
Surgery Physician 14
Anesthesiology Physician 13
Gastroenterology Physician 13

Jason Bailey
Diagnostic Radiology Physician
NPI 1265708341
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Carolyn Kelly, FNP
Family Nurse Practitioner
NPI 1639283286
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Daniel Yoon, M.D.
Diagnostic Radiology Physician
NPI 1619219771
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Eric Chiang, MD
Body Imaging Physician
NPI 1841348828
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Swend Holland, MD
Anatomic Pathology & Clinical Pathology Physician
NPI 1205903192
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Olga Diaz
Emergency Medicine Physician
NPI 1598128217
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Ryan Phan, MD
Ophthalmology Physician
NPI 1588027213
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Tina Hardley, MD
Vascular & Interventional Radiology Physician
NPI 1518034529
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Vincent Perez, MD
Diagnostic Radiology Physician
NPI 1881779197
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Jason Cord, M.D.
Diagnostic Radiology Physician
NPI 1972544286
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Matthew Tan, MD
Body Imaging Physician
NPI 1205907193
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Melanie Kubik, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1386962082
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Sam Samaan, MD
Diagnostic Radiology Physician
NPI 1194955666
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Andrew Robbins, MD
Body Imaging Physician
NPI 1326196304
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Madison Ginn, DO
Emergency Medicine Physician
NPI 1417586801
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Daniel Lasoff, M.D.
Emergency Medicine Physician
NPI 1669730925
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Hermineh Aramin
Cytopathology Physician
NPI 1821451444
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Kathryn Anderson, MD
Emergency Medicine Physician
NPI 1730640707
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Jong Yun, MD
Diagnostic Radiology Physician
NPI 1760464051
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Jehnan Liu, M.D. PH.D.
Emergency Medicine Physician
NPI 1255694238
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Erich Lidstone, M.D., PH.D.
Emergency Medicine Physician
NPI 1578958021
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Andrew Kaddis, M.D.
Emergency Medicine Physician
NPI 1144600446
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Tracy Lee, D.O.
Internal Medicine Physician
NPI 1215469028
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Riku Moriguchi, MD
Emergency Medicine Physician
NPI 1255892048
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Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Kaiser Foundation Hospital - San Diego Zion Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$4.7B	391.7%
Inpatient	$2B	165.7%
Outpatient	$2.7B	225.9%
Contractual allowances and discounts	-$3.5B	-291.7%
Net patient revenue	$1.2B	100.0%
Operating expenses	-$1.2B	-98.1%
Operating income from patient care	$23.5M	1.9%
Other income	$3.8M	0.3%
Contributions and donations	$30,000	0.0%
Other	$3.8M	0.3%
Net income	$27.3M	2.3%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$74.5M	1.6%
Medicaid (including managed care)	$383.9M	8.1%
Other payers and self-pay	$4.3B	90.3%
Total charges	$4.7B	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 836806, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Kaiser Foundation Hospital - San Diego Zion Medical Center's latest cost report.

1.9%
Operating margin
Operating income from patient care / net patient revenue
2.3%
Total margin
Net income / net patient revenue plus other income
6.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
54% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$69.04
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)

Source: CMS cost report (HCRIS, Form 2552-10), report 836806, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Kaiser Foundation Hospital - San Diego Zion Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.

$13.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.7M
Bad debt
Patient bills written off as uncollectible, at charges
$39.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$53.4M
Total unreimbursed and uncompensated care
4.5% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 836806, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Kaiser Foundation Hospital - San Diego Zion Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024	Dec 2025
Net patient revenue		$1.2B	$1.2B	$1.2B	$1.2B	$1.2B
Operating expenses		$1.2B	$1.2B	$1.2B	$1.2B	$1.2B
Operating margin		2.1%	4.0%	-5.3%	3.0%	1.9%
Net income	$1	$28M	$53.3M	-$58M	$39.7M	$27.3M
Discharges	22,697	24,064	24,806	24,446	23,271	23,722
Inpatient days	96,191	106,024	107,981	110,065	100,811	103,948
Medicare Advantage days	35,402	40,702	43,162	49,472	44,142	47,036
Beds	596	596	596	596	596	572
Employees (FTE)	2,433	2,470	2,496	2,379	2,343	2,329

Source: CMS cost report (HCRIS, Form 2552-10), report 836806, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Kaiser Foundation Hospital - San Diego Zion Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 38 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$24.9M	$121.1M	$1.1B	0.11	119,112
Emergency		$120.9M	$506.7M	0.24	71,902
Radiology-diagnostic		$100.7M	$875.6M	0.11	73,298
Laboratory		$73.5M	$633.5M	0.12	35,188
Impl. dev. charged to patients		$62.8M	$94.3M	0.67
Drugs charged to patients		$61.2M	$146.5M	0.42
Observation beds (non-distinct part		$55.5M	$168.2M	0.33
Recovery room	$24M	$54.1M	$103.5M	0.52	27,067
Home health agency	$20.5M	$39.5M	$25M	1.58	1,680
Delivery room & labor room	$16.5M	$38.8M	$49.4M	0.79	25,658
Respiratory therapy		$22.2M	$88M	0.25	5,537
Medical supplies charged to patient		$20.8M	$39.4M	0.53
Physical therapy		$8.1M	$17.2M	0.47	21,107
Renal dialysis	$2.9M	$6.3M	$14.8M	0.42	428
Speech pathology		$1.7M	$4.8M	0.36
Occupational therapy		$1.5M	$6.9M	0.22	287
Electrocardiology		$733,131	$69.3M	0.01	4,586

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$108.4M	$284.1M	$560.9M	0.51	214,737
Intensive care unit	$15.3M	$44.9M	$83.7M	0.54	27,014
Neonatal intensive care unit	$12.8M	$30.7M	$85.2M	0.36	15,873
Nursery	$44,641	$9.5M	$20.6M	0.46	12,572

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$39.6M	$222M	573,477	$84.48	48,055
Employee benefits department		$156.1M			3,761
Operation of plant	$8.1M	$59M	150,877	$53.36	10,352
Cap rel costs-bldg & fixt		$42.1M			1,386,081
Housekeeping	$17.8M	$21.8M	551,058	$32.24	14,869
Central services & supply	$6.2M	$19.6M	309,653	$37.99	56,434
Nursing administration	$14.8M	$14.9M	184,340	$74.85	13,686
Cap rel costs-mvble equip		$14.3M
Pharmacy	$12.6M	$12.6M	168,344	$74.91	14,121
Dietary	$7.6M	$8.1M	145,817	$36.97	12,255
Social service	$175,040	$5M	4,579	$38.23	4,200
Medical records & library		$3M	75,200	$39.65	4,031
Maintenance & repairs		$2.7M	27,835	$66.71	4,955
I&r services-salary & fringes apprv	$1.7M	$1.8M			189
I&r services-other prgm costs apprv	$171,721	$1.7M			4,578
Laundry & linen service		$972,705			5,238
Cafeteria		$346,626	63,462	$32.08	26,999

Source: CMS cost report (HCRIS, Form 2552-10), report 836806, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Kaiser Foundation Hospital - San Diego Zion Medical Center for an inpatient stay.

1.78
Case mix index
Higher than 60% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.03 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
17.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
806
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.79	1.78	1.96	1.85	1.86	1.74	1.78
Wage index	1.275	1.269	1.274	1.519	1.451	1.431	1.399
Readmissions adjustment	-0.06%	-0.03%	-0.06%	-0.03%	-0.04%	-0.02%	0.00%
Value-based purchasing adjustment	+1.25%	+1.76%	+1.76%	-0.28%	+2.87%	+2.33%	+2.37%
Medicare inpatient stays	882	882	758	837	796	821	806

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About Kaiser Foundation Hospital - San Diego Zion Medical Center's rates and hospital price transparency.

What is Kaiser Foundation Hospital - San Diego Zion Medical Center's CMS star rating?

Kaiser Foundation Hospital - San Diego Zion Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Kaiser Foundation Hospital - San Diego Zion Medical Center a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Kaiser Foundation Hospital - San Diego Zion Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Kaiser Foundation Hospital - San Diego Zion Medical Center for readmissions?

No. Kaiser Foundation Hospital - San Diego Zion Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Kaiser Foundation Hospital - San Diego Zion Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (126 discharges), heart failure and shock with mcc (56 discharges), septicemia or severe sepsis without mv >96 hours without mcc (55 discharges).

What is Kaiser Foundation Hospital - San Diego Zion Medical Center's case mix index?

Kaiser Foundation Hospital - San Diego Zion Medical Center's Medicare case mix index is 1.78 for fiscal year 2027, higher than 60% of hospitals paid under the inpatient prospective payment system.

How many patients does Kaiser Foundation Hospital - San Diego Zion Medical Center admit?

Kaiser Foundation Hospital - San Diego Zion Medical Center reported 23,722 inpatient discharges and 103,948 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Kaiser Foundation Hospital - San Diego Zion Medical Center have?

Kaiser Foundation Hospital - San Diego Zion Medical Center reported 2,329 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Kaiser Foundation Hospital - San Diego Zion Medical Center make?

Kaiser Foundation Hospital - San Diego Zion Medical Center reported $1.2B in net patient revenue on $4.7B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 1.9%, and net income of $27.3M.

How much charity and uncompensated care does Kaiser Foundation Hospital - San Diego Zion Medical Center provide?

Kaiser Foundation Hospital - San Diego Zion Medical Center reported $53.4M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $13.2M of charity care at cost.

Who is the CEO of Kaiser Foundation Hospital - San Diego Zion Medical Center?

Kaiser Foundation Hospital - San Diego Zion Medical Center's Medicare enrollment lists Gregory A Adams as Chairman & CEO since 2019.

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{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}

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Kaiser Foundation Hospital - San Diego Zion Medical Center

About this hospital

Negotiated Rates

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More about this hospital

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

54 services at Kaiser Foundation Hospital - San Diego Zion Medical Center

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

54 services at Kaiser Foundation Hospital - San Diego Zion Medical Center

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts