facebook tracking Cardiac defibrillator implant with cardiac catheterization and mcc cost in California: 1 hospitals compared (DRG 275)

Cardiac defibrillator implant with cardiac catheterization and mcc in California

What 1 hospital in California charged and were paid for a Medicare hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275), from 2024 Medicare claims.

DRG 275 Inpatient 2024 Medicare data
Average charge $1,315,133 Hospital list price billed
Average payment $107,541 Medicare + patient + other payers
Medicare paid $102,230 Average per stay
Volume 12 Medicare hospital stays

Hospitals in California billed an average of $1,315,133 for cardiac defibrillator implant with cardiac catheterization and mcc, about 12.2 times the average total payment of $107,541. That payment is 49% above the U.S. average of $72,309.

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 $107,541Billed $1,315,133

About 8¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: cardiac defibrillator implant with cardiac catheterization and mcc

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 12 $1,315,133 $107,541 $102,230
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Cardiac defibrillator implant with cardiac catheterization and mcc in other states

Questions

How much does cardiac defibrillator implant with cardiac catheterization and mcc cost in California?

In 2024 Medicare data, a hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275) at 1 hospital in California was billed at $1,315,133 on average, while the average total payment was $107,541, of which Medicare paid $102,230. 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 12.2 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.