Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in California
What 9 hospitals in California charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216), from 2024 Medicare claims.
Average charge
$905,821
Hospital list price billed
Average payment
$167,844
Medicare + patient + other payers
Medicare paid
$138,685
Average per stay
State rank
#20 of 20
1 = lowest average payment
Hospitals in California billed an average of $905,821 for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit, about 5.4 times the average total payment of $167,844. That payment is 56% above the U.S. average of $107,634.
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 $167,844Billed $905,821
About 19¢ 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: cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
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 |
|---|---|---|---|---|
| USC University HospitalLos Angeles | 42 | $827,375 | $195,877 | $163,008 |
| Stanford HospitalPalo Alto | 24 | $1,715,805 | $241,297 | $179,307 |
| Sutter General HospitalSacramento | 17 | $479,609 | $129,480 | $108,278 |
| UCLA Medical CenterLos Angeles | 14 | $536,113 | $166,241 | $148,164 |
| Scripps Memorial Hospital la JollaLa Jolla | 14 | $767,250 | $96,020 | $94,973 |
| UCSF Medical CenterSan Francisco | 13 | $709,970 | $159,096 | $148,118 |
| Alta Bates Summit Medical CenterOakland | 12 | $475,424 | $128,209 | $92,439 |
| Cedars-Sinai Medical CenterLos Angeles | 12 | $1,609,453 | $175,022 | $129,038 |
| Glendale Adventist Medical CtrGlendale | 11 | $677,084 | $99,040 | $97,580 |
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
| Scripps Memorial Hospital la JollaLa Jolla, CA | $96,020 |
|---|---|
| Glendale Adventist Medical CtrGlendale, CA | $99,040 |
| Alta Bates Summit Medical CenterOakland, CA | $128,209 |
| Sutter General HospitalSacramento, CA | $129,480 |
| UCSF Medical CenterSan Francisco, CA | $159,096 |
Highest
| Stanford HospitalPalo Alto, CA | $241,297 |
|---|---|
| USC University HospitalLos Angeles, CA | $195,877 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $175,022 |
| UCLA Medical CenterLos Angeles, CA | $166,241 |
| UCSF Medical CenterSan Francisco, CA | $159,096 |
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit cost in California?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit (DRG 216) at 9 hospitals in California was billed at $905,821 on average, while the average total payment was $167,844, of which Medicare paid $138,685. 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 5.4 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.