Acute adjustment reaction and psychosocial dysfunction in California
What 4 hospitals in California charged and were paid for a Medicare hospital stay for acute adjustment reaction and psychosocial dysfunction (DRG 880), from 2024 Medicare claims.
Average charge
$81,639
Hospital list price billed
Average payment
$13,888
Medicare + patient + other payers
Medicare paid
$10,541
Average per stay
State rank
#8 of 8
1 = lowest average payment
Hospitals in California billed an average of $81,639 for acute adjustment reaction and psychosocial dysfunction, about 5.9 times the average total payment of $13,888. That payment is 33% above the U.S. average of $10,479.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $13,888Billed $81,639
About 17¢ was paid for every $1 hospitals in California billed for this stay.
California hospitals: acute adjustment reaction and psychosocial dysfunction
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Enloe Medical CenterChico | 14 | $58,364 | $9,307 | $7,792 |
| UCSF Medical CenterSan Francisco | 13 | $63,898 | $17,305 | $13,760 |
| Loma Linda University Medical CenterLoma Linda | 11 | $108,643 | $19,483 | $12,164 |
| Los Robles Hospital & Medical CenterThousand Oaks | 11 | $105,224 | $10,085 | $8,615 |
Lowest and highest payments in California
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Enloe Medical CenterChico, CA | $9,307 |
|---|---|
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $10,085 |
| UCSF Medical CenterSan Francisco, CA | $17,305 |
| Loma Linda University Medical CenterLoma Linda, CA | $19,483 |
Highest
| Loma Linda University Medical CenterLoma Linda, CA | $19,483 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $17,305 |
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $10,085 |
| Enloe Medical CenterChico, CA | $9,307 |
Acute adjustment reaction and psychosocial dysfunction in other states
Questions
How much does acute adjustment reaction and psychosocial dysfunction cost in California?
In 2024 Medicare data, a hospital stay for acute adjustment reaction and psychosocial dysfunction (DRG 880) at 4 hospitals in California was billed at $81,639 on average, while the average total payment was $13,888, of which Medicare paid $10,541. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in California, average charges were 5.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.