Amputation for circulatory system disorders except upper limb and toe with major complications in California
What 9 hospitals in California charged and were paid for a Medicare hospital stay for amputation for circulatory system disorders except upper limb and toe with major complications (DRG 239), from 2024 Medicare claims.
Average charge
$324,611
Hospital list price billed
Average payment
$58,786
Medicare + patient + other payers
Medicare paid
$52,254
Average per stay
State rank
#9 of 12
1 = lowest average payment
Hospitals in California billed an average of $324,611 for amputation for circulatory system disorders except upper limb and toe with major complications, about 5.5 times the average total payment of $58,786. That payment is 16% above the U.S. average of $50,891.
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 $58,786Billed $324,611
About 18¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in California:
California hospitals: amputation for circulatory system disorders except upper limb and toe 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 |
|---|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles | 20 | $597,793 | $60,580 | $53,251 |
| Bakersfield Memorial HospitalBakersfield | 16 | $202,313 | $42,741 | $41,698 |
| Saint Agnes Medical CenterFresno | 15 | $134,416 | $39,343 | $37,984 |
| University of California Davis Medical CenterSacramento | 15 | $558,395 | $91,996 | $79,827 |
| University of California San Diego Medical CenterSan Diego | 14 | $245,859 | $68,738 | $51,777 |
| Community Regional Medical CenterFresno | 13 | $281,637 | $48,726 | $46,051 |
| UCSF Medical CenterSan Francisco | 13 | $467,999 | $83,315 | $70,773 |
| Kaweah Delta Medical CenterVisalia | 12 | $103,212 | $46,169 | $43,985 |
| Clovis Community Medical CenterClovis | 11 | $169,448 | $44,084 | $42,730 |
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
| Saint Agnes Medical CenterFresno, CA | $39,343 |
|---|---|
| Bakersfield Memorial HospitalBakersfield, CA | $42,741 |
| Clovis Community Medical CenterClovis, CA | $44,084 |
| Kaweah Delta Medical CenterVisalia, CA | $46,169 |
| Community Regional Medical CenterFresno, CA | $48,726 |
Highest
| University of California Davis Medical CenterSacramento, CA | $91,996 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $83,315 |
| University of California San Diego Medical CenterSan Diego, CA | $68,738 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $60,580 |
| Community Regional Medical CenterFresno, CA | $48,726 |
Amputation for circulatory system disorders except upper limb and toe with major complications in other states
Questions
How much does amputation for circulatory system disorders except upper limb and toe with major complications cost in California?
In 2024 Medicare data, a hospital stay for amputation for circulatory system disorders except upper limb and toe with major complications (DRG 239) at 9 hospitals in California was billed at $324,611 on average, while the average total payment was $58,786, of which Medicare paid $52,254. 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 5.5 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.