facebook tracking Carotid artery stent procedures without complications cost in California: 13 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in California

What 13 hospitals in California charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $108,788 Hospital list price billed
Average payment $19,611 Medicare + patient + other payers
Medicare paid $18,169 Average per stay
State rank #31 of 33 1 = lowest average payment

Hospitals in California billed an average of $108,788 for carotid artery stent procedures without complications, about 5.5 times the average total payment of $19,611. That payment is 24% above the U.S. average of $15,778.

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 $19,611Billed $108,788

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

California hospitals: carotid artery stent procedures without 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 84 $83,722 $19,957 $18,830
Bakersfield Memorial HospitalBakersfield 30 $107,398 $18,656 $17,263
Kaweah Delta Medical CenterVisalia 29 $52,798 $20,575 $17,992
Community Regional Medical CenterFresno 23 $66,256 $20,447 $19,086
El Camino HospitalMountain View 19 $134,053 $20,165 $18,870
Santa Barbara Cottage HospitalSanta Barbara 18 $129,932 $18,889 $17,544
Los Robles Hospital & Medical CenterThousand Oaks 17 $246,947 $18,645 $17,204
Enloe Medical CenterChico 15 $124,588 $17,362 $16,165
Salinas Valley Memorial HospitalSalinas 14 $141,936 $21,167 $19,768
Cedars-Sinai Medical CenterLos Angeles 14 $200,997 $22,062 $19,804
Providence Tarzana Medical CenterTarzana 12 $107,760 $18,080 $16,666
Hoag Memorial Hospital PresbyterianNewport Beach 11 $75,813 $17,373 $16,177
Sutter Roseville Medical CenterRoseville 11 $101,789 $18,886 $17,676
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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$17,362
Hoag Memorial Hospital PresbyterianNewport Beach, CA$17,373
Providence Tarzana Medical CenterTarzana, CA$18,080
Los Robles Hospital & Medical CenterThousand Oaks, CA$18,645
Bakersfield Memorial HospitalBakersfield, CA$18,656

Highest

Cedars-Sinai Medical CenterLos Angeles, CA$22,062
Salinas Valley Memorial HospitalSalinas, CA$21,167
Kaweah Delta Medical CenterVisalia, CA$20,575
Community Regional Medical CenterFresno, CA$20,447
El Camino HospitalMountain View, CA$20,165

Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in California?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 13 hospitals in California was billed at $108,788 on average, while the average total payment was $19,611, of which Medicare paid $18,169. 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.