facebook tracking Circulatory disorders except AMI, with cardiac catheterization with major complications cost in California: 84 hospitals compared (DRG 286)

Circulatory disorders except AMI, with cardiac catheterization with major complications in California

What 84 hospitals in California charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.

DRG 286 Inpatient 2024 Medicare data
Average charge $216,375 Hospital list price billed
Average payment $32,590 Medicare + patient + other payers
Medicare paid $27,308 Average per stay
State rank #47 of 47 1 = lowest average payment

Hospitals in California billed an average of $216,375 for circulatory disorders except ami, with cardiac catheterization with major complications, about 6.6 times the average total payment of $32,590. That payment is 48% above the U.S. average of $21,968.

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 $32,590Billed $216,375

About 15¢ 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: circulatory disorders except ami, with cardiac catheterization with major 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
Cedars-Sinai Medical CenterLos Angeles 93 $451,856 $38,112 $31,231
Scripps Memorial Hospital la JollaLa Jolla 64 $210,847 $26,140 $20,458
University of California San Diego Medical CenterSan Diego 62 $153,353 $39,875 $27,340
Enloe Medical CenterChico 62 $213,484 $21,236 $19,551
University of California Davis Medical CenterSacramento 61 $226,936 $38,245 $31,172
Sutter General HospitalSacramento 51 $123,948 $27,052 $24,338
Stanford HospitalPalo Alto 48 $1,113,900 $131,553 $108,948
UCLA Medical CenterLos Angeles 40 $423,792 $108,866 $78,831
Eisenhower Memorial HospitalRancho Mirage 40 $146,141 $26,476 $20,277
UCSF Medical CenterSan Francisco 38 $292,838 $46,143 $33,982
Rideout Memorial HospitalMarysville 37 $174,949 $24,462 $21,161
Sutter Roseville Medical CenterRoseville 36 $146,947 $24,247 $21,397
Glendale Adventist Medical CtrGlendale 35 $172,292 $23,958 $22,380
Temecula Valley HospitalTemecula 34 $131,663 $27,348 $24,640
USC University HospitalLos Angeles 32 $268,594 $61,458 $39,185
Grossmont HospitalLa Mesa 30 $122,144 $25,936 $17,968
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 30 $178,135 $40,040 $31,235
Kaweah Delta Medical CenterVisalia 29 $60,766 $24,086 $22,136
Mercy General HospitalSacramento 28 $193,712 $25,003 $23,877
Santa Barbara Cottage HospitalSanta Barbara 28 $106,237 $22,776 $21,226
Saint Agnes Medical CenterFresno 27 $93,605 $23,630 $21,708
Dominican HospitalSanta Cruz 27 $220,026 $24,473 $23,143
Mercy San Juan Medical CenterCarmichael 25 $139,276 $22,975 $21,701
St Josephs Med Center of StocktonStockton 24 $206,364 $28,956 $27,195
Loma Linda University Medical CenterLoma Linda 24 $165,481 $33,990 $28,775
Marinhealth Medical CenterGreenbrae 24 $226,253 $24,447 $23,223
St Johns Regional Medical CenterOxnard 23 $168,478 $27,722 $22,701
Northridge Hospital Medical CenterNorthridge 23 $174,856 $23,089 $21,871
Hoag Memorial Hospital PresbyterianNewport Beach 23 $99,493 $21,210 $19,952
Mercy Medical Center ReddingRedding 23 $205,562 $25,254 $23,724
Memorial Medical CenterModesto 23 $124,447 $22,013 $19,378
Sharp Memorial HospitalSan Diego 22 $231,405 $27,278 $23,285
Sharp Chula Vista Medical CenterChula Vista 22 $154,436 $21,957 $21,067
Long Beach Memorial Medical CenterLong Beach 22 $208,173 $24,570 $19,490
Community Regional Medical CenterFresno 21 $152,862 $24,898 $23,346
Emanuel Medical Center INCTurlock 21 $267,072 $21,236 $19,915
Adventist Health BakersfieldBakersfield 21 $122,878 $22,064 $19,194
Loma Linda University Medical Center-MurrietaMurrieta 21 $136,549 $24,633 $22,823
Community Hospital of the Monterey PeninsulaMonterey 20 $135,928 $24,117 $22,566
Santa Rosa Memorial HospitalSanta Rosa 19 $132,268 $27,425 $21,008
French Hospital Medical CenterSan Luis Obispo 19 $128,509 $21,076 $19,874
Stanford Health Care Tri-ValleyPleasanton 19 $320,906 $40,903 $39,228
Salinas Valley Memorial HospitalSalinas 19 $196,590 $29,687 $22,835
San Francisco General HospitalSan Francisco 18 $200,776 $44,210 $40,881
St Mary Medical CenterApple Valley 18 $88,020 $22,278 $21,059
Good Samaritan HospitalSan Jose 18 $392,114 $25,755 $20,583
Providence Little Company of Mary Med Ctr TorranceTorrance 17 $166,137 $22,339 $20,579
Huntington Memorial HospitalPasadena 17 $161,164 $22,098 $20,633
Alta Bates Summit Medical CenterOakland 16 $189,417 $28,355 $26,273
San Antonio Community HospitalUpland 16 $162,939 $21,425 $20,099
PIH Health Hospital-WhittierWhittier 16 $140,019 $23,509 $16,292
UCI Health-OrangeOrange 16 $259,690 $50,984 $43,017
Northbay Medical CenterFairfield 16 $280,211 $26,145 $25,301
John Muir Medical Center - Concord CampusConcord 16 $212,049 $25,527 $23,958
West Hills Hospital & Medical CenterWest Hills 15 $253,317 $21,069 $19,763
Scripps Memorial Hospital - EncinitasEncinitas 15 $157,697 $19,582 $18,457
Desert Valley HospitalVictorville 15 $67,425 $20,981 $19,658
Sutter Medical Center of Santa RosaSanta Rosa 14 $118,069 $25,566 $23,798
Torrance Memorial Medical CenterTorrance 14 $208,902 $22,742 $18,602
Los Angeles General Medical CenterLos Angeles 14 $117,916 $48,079 $39,528
Lac/Harbor-UCLA Med CenterTorrance 14 $262,675 $52,033 $38,175
Community Memorial Hospital - VenturaVentura 14 $67,406 $24,972 $22,989
Riverside Community HospitalRiverside 13 $249,968 $27,513 $23,490
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 13 $114,742 $27,903 $21,975
Washington HospitalFremont 13 $246,681 $25,979 $24,411
Doctors Medical CenterModesto 13 $351,462 $22,969 $21,592
Henry Mayo Newhall Memorial HospitalValencia 13 $234,122 $27,229 $26,099
Garfield Medical CenterMonterey Park 13 $165,234 $22,465 $21,524
St Helena HospitalDeer Park 12 $144,667 $22,954 $22,138
Glendale Mem Hospital & Hlth CenterGlendale 12 $134,767 $23,409 $22,185
St Jude Medical CenterFullerton 12 $101,675 $29,926 $16,635
USC Arcadia HospitalArcadia 12 $100,423 $17,836 $16,503
Clovis Community Medical CenterClovis 12 $122,001 $21,312 $19,944
Los Robles Hospital & Medical CenterThousand Oaks 12 $289,040 $20,620 $19,145
Mission Hospital Regional Med CenterMission Viejo 12 $93,291 $19,220 $18,132
Providence Tarzana Medical CenterTarzana 12 $140,106 $25,629 $24,178
St Joseph HospitalEureka 11 $96,620 $22,522 $20,980
Peninsula Medical CenterBurlingame 11 $131,736 $32,669 $20,547
St Joseph HospitalOrange 11 $68,150 $23,410 $20,506
Tri-City Medical CenterOceanside 11 $111,216 $18,975 $17,909
Providence Saint Joseph Medical CtrBurbank 11 $156,236 $22,032 $20,328
Simi Valley Hospital & Health Care ServicesSimi Valley 11 $159,320 $20,826 $17,040
Orange Coast Memorial Medical CenterFountain Valley 11 $129,314 $23,877 $18,118
Centinela Hospital Medical CenterInglewood 11 $92,768 $23,359 $22,508
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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

USC Arcadia HospitalArcadia, CA$17,836
Tri-City Medical CenterOceanside, CA$18,975
Mission Hospital Regional Med CenterMission Viejo, CA$19,220
Scripps Memorial Hospital - EncinitasEncinitas, CA$19,582
Los Robles Hospital & Medical CenterThousand Oaks, CA$20,620

Highest

Stanford HospitalPalo Alto, CA$131,553
UCLA Medical CenterLos Angeles, CA$108,866
USC University HospitalLos Angeles, CA$61,458
Lac/Harbor-UCLA Med CenterTorrance, CA$52,033
UCI Health-OrangeOrange, CA$50,984

Circulatory disorders except AMI, with cardiac catheterization with major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in California?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 84 hospitals in California was billed at $216,375 on average, while the average total payment was $32,590, of which Medicare paid $27,308. 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 6.6 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.