facebook tracking Bone diseases and arthropathies without major complications cost in California: 13 hospitals compared (DRG 554)

Bone diseases and arthropathies without major complications in California

What 13 hospitals in California charged and were paid for a Medicare hospital stay for bone diseases and arthropathies without major complications (DRG 554), from 2024 Medicare claims.

DRG 554 Inpatient 2024 Medicare data
Average charge $68,744 Hospital list price billed
Average payment $10,472 Medicare + patient + other payers
Medicare paid $8,171 Average per stay
State rank #17 of 19 1 = lowest average payment

Hospitals in California billed an average of $68,744 for bone diseases and arthropathies without major complications, about 6.6 times the average total payment of $10,472. That payment is 19% above the U.S. average of $8,815.

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 $10,472Billed $68,744

About 15¢ 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: bone diseases and arthropathies 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
Cedars-Sinai Medical CenterLos Angeles 30 $131,835 $11,506 $8,803
Centinela Hospital Medical CenterInglewood 29 $25,790 $8,837 $7,482
Grossmont HospitalLa Mesa 21 $46,279 $8,893 $7,141
Stanford HospitalPalo Alto 20 $151,792 $16,257 $11,940
Los Angeles Community HospitalLos Angeles 19 $33,492 $8,890 $7,516
Sharp Memorial HospitalSan Diego 17 $58,466 $12,400 $6,742
Hollywood Community Hospital of HollywoodLos Angeles 15 $43,005 $8,917 $7,393
Scripps Memorial Hospital - EncinitasEncinitas 15 $40,704 $8,151 $6,722
Torrance Memorial Medical CenterTorrance 14 $69,855 $8,171 $7,122
UCSF Medical CenterSan Francisco 14 $71,453 $15,608 $11,865
El Camino HospitalMountain View 12 $72,441 $9,478 $8,101
Enloe Medical CenterChico 11 $55,329 $8,076 $6,592
Community Hospital of the Monterey PeninsulaMonterey 11 $56,439 $9,378 $8,043
Advertisement

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.

Highest

Stanford HospitalPalo Alto, CA$16,257
UCSF Medical CenterSan Francisco, CA$15,608
Sharp Memorial HospitalSan Diego, CA$12,400
Cedars-Sinai Medical CenterLos Angeles, CA$11,506
El Camino HospitalMountain View, CA$9,478

Bone diseases and arthropathies without major complications in other states

Questions

How much does bone diseases and arthropathies without major complications cost in California?

In 2024 Medicare data, a hospital stay for bone diseases and arthropathies without major complications (DRG 554) at 13 hospitals in California was billed at $68,744 on average, while the average total payment was $10,472, of which Medicare paid $8,171. 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 6.6 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.