Aortic and heart assist procedures except pulsation balloon without major complications in California
What 19 hospitals in California charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.
Average charge
$301,800
Hospital list price billed
Average payment
$54,766
Medicare + patient + other payers
Medicare paid
$48,220
Average per stay
State rank
#34 of 35
1 = lowest average payment
Hospitals in California billed an average of $301,800 for aortic and heart assist procedures except pulsation balloon without major complications, about 5.5 times the average total payment of $54,766. That payment is 39% above the U.S. average of $39,522.
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 $54,766Billed $301,800
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: aortic and heart assist procedures except pulsation balloon without 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 |
|---|---|---|---|---|
| Stanford HospitalPalo Alto | 38 | $459,747 | $62,729 | $60,142 |
| Cedars-Sinai Medical CenterLos Angeles | 35 | $454,756 | $53,271 | $44,218 |
| Sutter General HospitalSacramento | 31 | $184,687 | $51,667 | $46,362 |
| USC University HospitalLos Angeles | 30 | $311,315 | $63,991 | $51,460 |
| UCSF Medical CenterSan Francisco | 17 | $334,361 | $83,725 | $55,239 |
| University of California San Diego Medical CenterSan Diego | 16 | $221,395 | $55,441 | $50,986 |
| University of California Davis Medical CenterSacramento | 16 | $349,345 | $55,984 | $53,280 |
| Community Regional Medical CenterFresno | 15 | $166,086 | $49,991 | $38,945 |
| Stanford Health Care Tri-ValleyPleasanton | 14 | $290,718 | $45,891 | $44,492 |
| St Joseph HospitalEureka | 13 | $211,963 | $44,226 | $42,599 |
| St Josephs Med Center of StocktonStockton | 13 | $217,677 | $54,228 | $52,215 |
| Providence Tarzana Medical CenterTarzana | 13 | $237,551 | $41,102 | $39,492 |
| Santa Rosa Memorial HospitalSanta Rosa | 12 | $366,397 | $46,976 | $45,280 |
| French Hospital Medical CenterSan Luis Obispo | 12 | $163,659 | $39,215 | $37,719 |
| Santa Barbara Cottage HospitalSanta Barbara | 12 | $236,353 | $57,822 | $38,168 |
| John Muir Medical Center - Concord CampusConcord | 12 | $401,064 | $47,831 | $46,065 |
| Enloe Medical CenterChico | 11 | $340,850 | $41,342 | $39,858 |
| UCLA Medical CenterLos Angeles | 11 | $174,878 | $67,396 | $64,233 |
| Eisenhower Memorial HospitalRancho Mirage | 11 | $182,974 | $45,617 | $43,890 |
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
| French Hospital Medical CenterSan Luis Obispo, CA | $39,215 |
|---|---|
| Providence Tarzana Medical CenterTarzana, CA | $41,102 |
| Enloe Medical CenterChico, CA | $41,342 |
| St Joseph HospitalEureka, CA | $44,226 |
| Eisenhower Memorial HospitalRancho Mirage, CA | $45,617 |
Highest
| UCSF Medical CenterSan Francisco, CA | $83,725 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $67,396 |
| USC University HospitalLos Angeles, CA | $63,991 |
| Stanford HospitalPalo Alto, CA | $62,729 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $57,822 |
Aortic and heart assist procedures except pulsation balloon without major complications in other states
Questions
How much does aortic and heart assist procedures except pulsation balloon without major complications cost in California?
In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 19 hospitals in California was billed at $301,800 on average, while the average total payment was $54,766, of which Medicare paid $48,220. 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.