facebook tracking Autologous bone marrow transplant with complications cost in California: 4 hospitals compared (DRG 016)

Autologous bone marrow transplant with complications in California

What 4 hospitals in California charged and were paid for a Medicare hospital stay for autologous bone marrow transplant with complications (DRG 016), from 2024 Medicare claims.

DRG 016 Inpatient 2024 Medicare data
Average charge $452,539 Hospital list price billed
Average payment $101,134 Medicare + patient + other payers
Medicare paid $85,616 Average per stay
State rank #4 of 4 1 = lowest average payment

Hospitals in California billed an average of $452,539 for autologous bone marrow transplant with complications, about 4.5 times the average total payment of $101,134. That payment is 36% above the U.S. average of $74,516.

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 $101,134Billed $452,539

About 22¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: autologous bone marrow transplant 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
UCSF Medical CenterSan Francisco 23 $442,440 $108,862 $94,527
Cedars-Sinai Medical CenterLos Angeles 19 $562,850 $78,165 $69,813
UCLA Medical CenterLos Angeles 16 $326,868 $125,635 $96,759
University of California Davis Medical CenterSacramento 16 $461,734 $92,798 $80,428
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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

Cedars-Sinai Medical CenterLos Angeles, CA$78,165
University of California Davis Medical CenterSacramento, CA$92,798
UCSF Medical CenterSan Francisco, CA$108,862
UCLA Medical CenterLos Angeles, CA$125,635

Highest

UCLA Medical CenterLos Angeles, CA$125,635
UCSF Medical CenterSan Francisco, CA$108,862
University of California Davis Medical CenterSacramento, CA$92,798
Cedars-Sinai Medical CenterLos Angeles, CA$78,165

Autologous bone marrow transplant with complications in other states

Questions

How much does autologous bone marrow transplant with complications cost in California?

In 2024 Medicare data, a hospital stay for autologous bone marrow transplant with complications (DRG 016) at 4 hospitals in California was billed at $452,539 on average, while the average total payment was $101,134, of which Medicare paid $85,616. 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 4.5 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.