facebook tracking Carotid artery stent procedures with complications cost in California: 9 hospitals compared (DRG 035)

Carotid artery stent procedures with complications in California

What 9 hospitals in California charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.

DRG 035 Inpatient 2024 Medicare data
Average charge $139,628 Hospital list price billed
Average payment $25,222 Medicare + patient + other payers
Medicare paid $23,371 Average per stay
State rank #22 of 23 1 = lowest average payment

Hospitals in California billed an average of $139,628 for carotid artery stent procedures with complications, about 5.5 times the average total payment of $25,222. That payment is 28% above the U.S. average of $19,727.

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 $25,222Billed $139,628

About 18¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: carotid artery stent procedures with 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
Eisenhower Memorial HospitalRancho Mirage 28 $85,144 $25,140 $24,170
Bakersfield Memorial HospitalBakersfield 19 $122,784 $22,997 $22,134
Santa Barbara Cottage HospitalSanta Barbara 18 $174,590 $24,019 $22,576
University of California Davis Medical CenterSacramento 15 $212,711 $32,861 $27,038
Enloe Medical CenterChico 12 $142,770 $21,833 $20,745
Kaweah Delta Medical CenterVisalia 12 $60,733 $25,603 $23,746
El Camino HospitalMountain View 12 $183,752 $24,247 $22,199
Cedars-Sinai Medical CenterLos Angeles 12 $206,883 $27,690 $25,181
Providence Tarzana Medical CenterTarzana 12 $114,000 $22,708 $21,686
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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

Enloe Medical CenterChico, CA$21,833
Providence Tarzana Medical CenterTarzana, CA$22,708
Bakersfield Memorial HospitalBakersfield, CA$22,997
Santa Barbara Cottage HospitalSanta Barbara, CA$24,019
El Camino HospitalMountain View, CA$24,247

Highest

University of California Davis Medical CenterSacramento, CA$32,861
Cedars-Sinai Medical CenterLos Angeles, CA$27,690
Kaweah Delta Medical CenterVisalia, CA$25,603
Eisenhower Memorial HospitalRancho Mirage, CA$25,140
El Camino HospitalMountain View, CA$24,247

Carotid artery stent procedures with complications in other states

Questions

How much does carotid artery stent procedures with complications cost in California?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 9 hospitals in California was billed at $139,628 on average, while the average total payment was $25,222, of which Medicare paid $23,371. 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 5.5 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.