facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in California: 24 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in California

What 24 hospitals in California charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $121,533 Hospital list price billed
Average payment $21,644 Medicare + patient + other payers
Medicare paid $18,675 Average per stay
State rank #25 of 29 1 = lowest average payment

Hospitals in California billed an average of $121,533 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 5.6 times the average total payment of $21,644. That payment is 14% above the U.S. average of $18,910.

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 $21,644Billed $121,533

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 of lower limb for endocrine, nutritional and metabolic disorders with 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
Clovis Community Medical CenterClovis 34 $99,221 $18,488 $16,735
Memorial Medical CenterModesto 27 $111,471 $20,151 $18,941
Sutter Roseville Medical CenterRoseville 24 $99,519 $22,870 $16,155
Saint Agnes Medical CenterFresno 22 $84,502 $19,794 $17,975
Salinas Valley Memorial HospitalSalinas 21 $186,169 $23,602 $22,514
Mercy San Juan Medical CenterCarmichael 21 $112,441 $20,671 $19,622
Community Regional Medical CenterFresno 19 $90,616 $20,129 $18,166
Kaweah Delta Medical CenterVisalia 17 $70,530 $23,442 $21,296
Rideout Memorial HospitalMarysville 17 $117,775 $22,184 $18,572
Dominican HospitalSanta Cruz 17 $162,477 $19,930 $18,754
Enloe Medical CenterChico 16 $150,111 $24,399 $15,474
Mercy Medical Center ReddingRedding 16 $91,733 $19,528 $18,152
Eisenhower Memorial HospitalRancho Mirage 16 $94,061 $21,347 $16,431
Sutter General HospitalSacramento 13 $75,026 $21,345 $19,738
Mercy Medical Ctr MercedMerced 13 $161,968 $22,252 $19,959
Santa Clara Valley Medical CenterSan Jose 12 $103,996 $24,181 $22,472
Scripps Mercy HospitalSan Diego 12 $115,097 $21,855 $17,915
Sonora Community HospitalSonora 12 $112,617 $21,372 $20,148
Stanford HospitalPalo Alto 12 $352,064 $39,918 $26,653
Adventist Health BakersfieldBakersfield 12 $78,956 $17,087 $15,585
Marian Medical CenterSanta Maria 11 $81,414 $19,121 $15,578
USC Arcadia HospitalArcadia 11 $151,956 $16,657 $12,100
Sutter Medical Center of Santa RosaSanta Rosa 11 $123,073 $26,024 $23,368
John Muir Medical Center - Concord CampusConcord 11 $193,904 $20,470 $19,285
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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

USC Arcadia HospitalArcadia, CA$16,657
Adventist Health BakersfieldBakersfield, CA$17,087
Clovis Community Medical CenterClovis, CA$18,488
Marian Medical CenterSanta Maria, CA$19,121
Mercy Medical Center ReddingRedding, CA$19,528

Highest

Stanford HospitalPalo Alto, CA$39,918
Sutter Medical Center of Santa RosaSanta Rosa, CA$26,024
Enloe Medical CenterChico, CA$24,399
Santa Clara Valley Medical CenterSan Jose, CA$24,181
Salinas Valley Memorial HospitalSalinas, CA$23,602

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in California?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 24 hospitals in California was billed at $121,533 on average, while the average total payment was $21,644, of which Medicare paid $18,675. 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 5.6 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.