facebook tracking Chemotherapy with acute leukemia as secondary diagnosis with complications or high dose chemotherap cost in California: 2 hospitals compared (DRG 838)

Chemotherapy with acute leukemia as secondary diagnosis with complications or high dose chemotherap in California

What 2 hospitals in California charged and were paid for a Medicare hospital stay for chemotherapy with acute leukemia as secondary diagnosis with complications or high dose chemotherap (DRG 838), from 2024 Medicare claims.

DRG 838 Inpatient 2024 Medicare data
Average charge $116,516 Hospital list price billed
Average payment $30,764 Medicare + patient + other payers
Medicare paid $26,660 Average per stay
Volume 22 Medicare hospital stays

Hospitals in California billed an average of $116,516 for chemotherapy with acute leukemia as secondary diagnosis with complications or high dose chemotherap, about 3.8 times the average total payment of $30,764. That payment is 14% above the U.S. average of $27,095.

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 $30,764Billed $116,516

About 26¢ 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: chemotherapy with acute leukemia as secondary diagnosis with complications or high dose chemotherap

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
UCI Health-OrangeOrange 11 $58,872 $31,173 $28,284
University of California Davis Medical CenterSacramento 11 $174,160 $30,356 $25,037
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Chemotherapy with acute leukemia as secondary diagnosis with complications or high dose chemotherap in other states

Questions

How much does chemotherapy with acute leukemia as secondary diagnosis with complications or high dose chemotherap cost in California?

In 2024 Medicare data, a hospital stay for chemotherapy with acute leukemia as secondary diagnosis with complications or high dose chemotherap (DRG 838) at 2 hospitals in California was billed at $116,516 on average, while the average total payment was $30,764, of which Medicare paid $26,660. 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 3.8 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.