Biopsies of musculoskeletal system and connective tissue with complications in California
What 12 hospitals in California charged and were paid for a Medicare hospital stay for biopsies of musculoskeletal system and connective tissue with complications (DRG 478), from 2024 Medicare claims.
Average charge
$221,605
Hospital list price billed
Average payment
$28,021
Medicare + patient + other payers
Medicare paid
$24,483
Average per stay
State rank
#14 of 15
1 = lowest average payment
Hospitals in California billed an average of $221,605 for biopsies of musculoskeletal system and connective tissue with complications, about 7.9 times the average total payment of $28,021. That payment is 21% above the U.S. average of $23,170.
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 $28,021Billed $221,605
About 13¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in California:
California hospitals: biopsies of musculoskeletal system and connective tissue 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 |
|---|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles | 37 | $399,516 | $31,277 | $26,553 |
| Eisenhower Memorial HospitalRancho Mirage | 25 | $119,290 | $25,319 | $23,506 |
| Sutter Roseville Medical CenterRoseville | 19 | $131,967 | $24,122 | $21,380 |
| Torrance Memorial Medical CenterTorrance | 19 | $180,036 | $22,071 | $20,091 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 17 | $102,406 | $21,420 | $20,038 |
| El Camino HospitalMountain View | 15 | $231,230 | $25,584 | $24,018 |
| Santa Barbara Cottage HospitalSanta Barbara | 14 | $129,318 | $24,918 | $23,402 |
| UCSF Medical CenterSan Francisco | 13 | $241,684 | $42,282 | $34,290 |
| Mission Hospital Regional Med CenterMission Viejo | 12 | $133,194 | $23,944 | $19,183 |
| Riverside Community HospitalRiverside | 11 | $316,189 | $30,174 | $26,373 |
| Stanford HospitalPalo Alto | 11 | $399,415 | $36,074 | $31,810 |
| USC University HospitalLos Angeles | 11 | $171,211 | $35,082 | $26,531 |
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
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $21,420 |
|---|---|
| Torrance Memorial Medical CenterTorrance, CA | $22,071 |
| Mission Hospital Regional Med CenterMission Viejo, CA | $23,944 |
| Sutter Roseville Medical CenterRoseville, CA | $24,122 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $24,918 |
Highest
| UCSF Medical CenterSan Francisco, CA | $42,282 |
|---|---|
| Stanford HospitalPalo Alto, CA | $36,074 |
| USC University HospitalLos Angeles, CA | $35,082 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $31,277 |
| Riverside Community HospitalRiverside, CA | $30,174 |
Biopsies of musculoskeletal system and connective tissue with complications in other states
Questions
How much does biopsies of musculoskeletal system and connective tissue with complications cost in California?
In 2024 Medicare data, a hospital stay for biopsies of musculoskeletal system and connective tissue with complications (DRG 478) at 12 hospitals in California was billed at $221,605 on average, while the average total payment was $28,021, of which Medicare paid $24,483. 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 7.9 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.