Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in California
What 30 hospitals in California charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.
Average charge
$722,532
Hospital list price billed
Average payment
$110,926
Medicare + patient + other payers
Medicare paid
$98,098
Average per stay
State rank
#36 of 37
1 = lowest average payment
Hospitals in California billed an average of $722,532 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 6.5 times the average total payment of $110,926. That payment is 33% above the U.S. average of $83,705.
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 $110,926Billed $722,532
About 15¢ 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: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
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 | 139 | $898,892 | $91,466 | $86,987 |
| Stanford HospitalPalo Alto | 131 | $1,337,746 | $165,642 | $142,912 |
| USC University HospitalLos Angeles | 71 | $647,998 | $136,689 | $120,466 |
| UCLA Medical CenterLos Angeles | 67 | $398,579 | $126,137 | $111,284 |
| Scripps Memorial Hospital la JollaLa Jolla | 67 | $691,069 | $84,815 | $72,508 |
| Sutter General HospitalSacramento | 53 | $399,608 | $95,190 | $88,255 |
| Mercy General HospitalSacramento | 47 | $917,857 | $97,306 | $93,940 |
| University of California San Diego Medical CenterSan Diego | 43 | $400,313 | $109,151 | $97,253 |
| UCSF Medical CenterSan Francisco | 41 | $589,149 | $128,696 | $113,420 |
| Sequoia HospitalRedwood City | 32 | $555,660 | $91,776 | $90,094 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 29 | $448,671 | $94,913 | $83,405 |
| John Muir Medical Center - Concord CampusConcord | 28 | $947,804 | $106,741 | $91,374 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 27 | $437,622 | $126,569 | $107,078 |
| Community Hospital of the Monterey PeninsulaMonterey | 22 | $568,546 | $95,888 | $94,701 |
| Long Beach Memorial Medical CenterLong Beach | 22 | $630,974 | $97,301 | $69,321 |
| Community Regional Medical CenterFresno | 19 | $508,244 | $88,948 | $87,110 |
| Saint Agnes Medical CenterFresno | 19 | $335,110 | $86,411 | $84,040 |
| Loma Linda University Medical CenterLoma Linda | 19 | $632,865 | $112,937 | $104,608 |
| Shasta Regional Medical CenterRedding | 19 | $385,607 | $72,559 | $71,054 |
| Scripps Mercy HospitalSan Diego | 18 | $663,214 | $93,336 | $73,994 |
| Sharp Memorial HospitalSan Diego | 18 | $545,742 | $142,707 | $60,074 |
| St Helena HospitalDeer Park | 17 | $848,636 | $90,695 | $89,543 |
| Dominican HospitalSanta Cruz | 17 | $644,686 | $83,013 | $81,669 |
| French Hospital Medical CenterSan Luis Obispo | 15 | $507,650 | $85,870 | $73,557 |
| University of California Davis Medical CenterSacramento | 15 | $838,809 | $132,315 | $124,497 |
| Huntington Memorial HospitalPasadena | 14 | $598,557 | $71,961 | $70,308 |
| Alta Bates Summit Medical CenterOakland | 13 | $385,748 | $102,144 | $78,893 |
| Good Samaritan HospitalSan Jose | 13 | $1,523,959 | $121,564 | $85,657 |
| Peninsula Medical CenterBurlingame | 12 | $358,179 | $89,053 | $87,819 |
| Eisenhower Memorial HospitalRancho Mirage | 11 | $344,330 | $78,051 | $69,221 |
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
| Huntington Memorial HospitalPasadena, CA | $71,961 |
|---|---|
| Shasta Regional Medical CenterRedding, CA | $72,559 |
| Eisenhower Memorial HospitalRancho Mirage, CA | $78,051 |
| Dominican HospitalSanta Cruz, CA | $83,013 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $84,815 |
Highest
| Stanford HospitalPalo Alto, CA | $165,642 |
|---|---|
| Sharp Memorial HospitalSan Diego, CA | $142,707 |
| USC University HospitalLos Angeles, CA | $136,689 |
| University of California Davis Medical CenterSacramento, CA | $132,315 |
| UCSF Medical CenterSan Francisco, CA | $128,696 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in California?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 30 hospitals in California was billed at $722,532 on average, while the average total payment was $110,926, of which Medicare paid $98,098. 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 6.5 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.