facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in California: 23 hospitals compared (DRG 220)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in California

What 23 hospitals in California charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.

DRG 220 Inpatient 2024 Medicare data
Average charge $541,291 Hospital list price billed
Average payment $80,791 Medicare + patient + other payers
Medicare paid $60,676 Average per stay
State rank #32 of 33 1 = lowest average payment

Hospitals in California billed an average of $541,291 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 6.7 times the average total payment of $80,791. That payment is 46% above the U.S. average of $55,508.

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 $80,791Billed $541,291

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:

DRG 219 $83,705 DRG 219 · U.S. average DRG 220 $80,791 DRG 220 · this page DRG 221 $42,892 DRG 221 · U.S. average

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
Stanford HospitalPalo Alto 99 $897,454 $103,649 $82,797
Cedars-Sinai Medical CenterLos Angeles 62 $687,298 $63,764 $60,027
Sutter General HospitalSacramento 48 $291,300 $72,334 $57,504
John Muir Medical Center - Concord CampusConcord 27 $690,334 $83,005 $54,929
Scripps Memorial Hospital la JollaLa Jolla 26 $580,170 $54,228 $47,797
Hoag Memorial Hospital PresbyterianNewport Beach 25 $318,107 $50,685 $49,070
USC University HospitalLos Angeles 23 $401,122 $83,798 $66,869
Mercy General HospitalSacramento 21 $652,400 $76,941 $50,584
Scripps Mercy HospitalSan Diego 20 $584,458 $59,986 $58,065
Community Regional Medical CenterFresno 19 $343,594 $55,436 $53,707
El Camino HospitalMountain View 19 $444,016 $60,445 $54,909
Dominican HospitalSanta Cruz 18 $532,220 $60,615 $50,606
Loma Linda University Medical CenterLoma Linda 16 $460,504 $74,730 $69,449
Santa Barbara Cottage HospitalSanta Barbara 16 $269,610 $55,425 $53,576
UCLA Medical CenterLos Angeles 15 $311,487 $89,570 $74,691
UCSF Medical CenterSan Francisco 15 $374,873 $89,551 $75,617
Kaiser Foundation Hospital - San FranciscoSan Francisco 13 $198,991 $229,463 $14,053
Kaiser Foundation Hospital - los AngelesLos Angeles 13 $128,908 $186,335 $16,711
Eisenhower Memorial HospitalRancho Mirage 13 $280,184 $56,275 $54,242
Sequoia HospitalRedwood City 12 $491,623 $59,444 $57,741
University of California Davis Medical CenterSacramento 12 $671,448 $104,808 $89,253
Santa Rosa Memorial HospitalSanta Rosa 11 $586,051 $61,341 $59,857
Huntington Memorial HospitalPasadena 11 $300,956 $51,437 $45,116
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization: all states All California hospitals California hospital finances
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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$50,685
Huntington Memorial HospitalPasadena, CA$51,437
Scripps Memorial Hospital la JollaLa Jolla, CA$54,228
Santa Barbara Cottage HospitalSanta Barbara, CA$55,425
Community Regional Medical CenterFresno, CA$55,436

Highest

Kaiser Foundation Hospital - San FranciscoSan Francisco, CA$229,463
Kaiser Foundation Hospital - los AngelesLos Angeles, CA$186,335
University of California Davis Medical CenterSacramento, CA$104,808
Stanford HospitalPalo Alto, CA$103,649
UCLA Medical CenterLos Angeles, CA$89,570

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Connecticut · $67,763 Maine · $68,670 Maryland · $96,342 Massachusetts · $62,437 Minnesota · $58,045 New York · $67,171 Rhode Island · $69,059 Washington · $61,129

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 220) at 23 hospitals in California was billed at $541,291 on average, while the average total payment was $80,791, of which Medicare paid $60,676. 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 6.7 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.