facebook tracking Acute myocardial infarction, expired with major complications cost in California: 7 hospitals compared (DRG 283)

Acute myocardial infarction, expired with major complications in California

What 7 hospitals in California charged and were paid for a Medicare hospital stay for acute myocardial infarction, expired with major complications (DRG 283), from 2024 Medicare claims.

DRG 283 Inpatient 2024 Medicare data
Average charge $191,381 Hospital list price billed
Average payment $31,425 Medicare + patient + other payers
Medicare paid $26,922 Average per stay
State rank #18 of 18 1 = lowest average payment

Hospitals in California billed an average of $191,381 for acute myocardial infarction, expired with major complications, about 6.1 times the average total payment of $31,425. That payment is 49% above the U.S. average of $21,068.

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 $31,425Billed $191,381

About 16¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: acute myocardial infarction, expired with major complications

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
Rideout Memorial HospitalMarysville 16 $248,147 $31,967 $29,801
Mercy General HospitalSacramento 13 $127,056 $23,167 $21,985
UCSF Medical CenterSan Francisco 13 $323,589 $57,823 $39,633
Sutter General HospitalSacramento 12 $133,109 $27,996 $24,935
Santa Rosa Memorial HospitalSanta Rosa 12 $140,937 $23,087 $19,895
Kaweah Delta Medical CenterVisalia 11 $119,072 $31,201 $29,231
Marinhealth Medical CenterGreenbrae 11 $219,497 $22,258 $21,071
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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

Marinhealth Medical CenterGreenbrae, CA$22,258
Santa Rosa Memorial HospitalSanta Rosa, CA$23,087
Mercy General HospitalSacramento, CA$23,167
Sutter General HospitalSacramento, CA$27,996
Kaweah Delta Medical CenterVisalia, CA$31,201

Highest

UCSF Medical CenterSan Francisco, CA$57,823
Rideout Memorial HospitalMarysville, CA$31,967
Kaweah Delta Medical CenterVisalia, CA$31,201
Sutter General HospitalSacramento, CA$27,996
Mercy General HospitalSacramento, CA$23,167

Acute myocardial infarction, expired with major complications in other states

Questions

How much does acute myocardial infarction, expired with major complications cost in California?

In 2024 Medicare data, a hospital stay for acute myocardial infarction, expired with major complications (DRG 283) at 7 hospitals in California was billed at $191,381 on average, while the average total payment was $31,425, of which Medicare paid $26,922. 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 6.1 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.