Average charge
$49,496
Hospital list price billed
Average allowed
$7,178
Medicare's payment + patient's share
Medicare paid
$5,715
Average per service
State rank
#48 of 48
1 = lowest average payment
Hospitals in California billed an average of $49,496 for complex gi procedures, about 6.9 times the average medicare-allowed amount of $7,178 . That payment is 34% above the U.S. average of $5,364.
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 $7,178 Billed $49,496
About 15¢ was paid for every $1 hospitals in California billed for this service.
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Wyoming (6)
California hospitals: complex gi procedures
Every California hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Hospital
Services
Avg charge
Avg allowed
Medicare paid
Cedars-Sinai Medical Center Los Angeles 242
$76,668
$6,903 $5,490
Stanford Hospital Palo Alto 199
$70,096
$7,501 $5,977
UCSF Medical Center San Francisco 182
$44,540
$7,990 $6,359
California Pacific Medical Ctr-Pacific Campus Hosp San Francisco 115
$38,130
$8,033 $6,398
University of California San Diego Medical Center San Diego 114
$36,430
$6,208 $4,947
UCI Health-Orange Orange 103
$30,558
$7,007 $5,583
Hoag Memorial Hospital Presbyterian Newport Beach 102
$28,372
$6,952 $5,528
USC University Hospital Los Angeles 95
$38,594
$6,712 $5,342
UCLA Medical Center Los Angeles 61
$21,924
$6,915 $5,503
Scripps Green Hospital La Jolla 56
$44,585
$6,882 $5,489
Enloe Medical Center Chico 53
$31,148
$5,949 $4,740
University of California Davis Medical Center Sacramento 50
$46,669
$6,820 $5,434
John Muir Medical Center - Walnut Creek Campus Walnut Creek 40
$76,470
$7,935 $6,322
Loma Linda University Medical Center Loma Linda 40
$36,750
$6,867 $5,438
Sutter General Hospital Sacramento 39
$32,072
$7,819 $6,196
Stanford Health Care Tri-Valley Pleasanton 38
$38,152
$7,181 $5,721
City of Hope Natl Medical Ctr Duarte 35
$48,902
$7,007 $5,583
Adventist Health Bakersfield Bakersfield 35
$22,016
$7,007 $5,583
Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Santa Monica 32
$28,796
$7,007 $5,583
Community Regional Medical Center Fresno 31
$28,768
$7,007 $5,583
Scripps Memorial Hospital la Jolla La Jolla 29
$53,891
$6,572 $5,246
Santa Rosa Memorial Hospital Santa Rosa 28
$63,056
$7,982 $6,360
El Camino Hospital Mountain View 26
$45,269
$8,025 $6,394
Los Robles Hospital & Medical Center Thousand Oaks 26
$128,490
$7,007 $5,583
Grossmont Hospital La Mesa 25
$45,074
$7,007 $5,575
Community Hospital of the Monterey Peninsula Monterey 25
$41,033
$7,062 $5,627
St Jude Medical Center Fullerton 25
$31,687
$7,007 $5,583
Marian Medical Center Santa Maria 23
$59,717
$7,007 $5,575
Good Samaritan Hospital San Jose 23
$177,195
$8,025 $6,394
St Josephs Med Center of Stockton Stockton 19
$40,016
$7,819 $6,230
Sequoia Hospital Redwood City 19
$44,893
$8,025 $6,394
Santa Barbara Cottage Hospital Santa Barbara 19
$36,178
$6,319 $5,035
Lodi Memorial Hospital Lodi 18
$86,491
$7,157 $5,703
Orange Coast Memorial Medical Center Fountain Valley 18
$31,058
$7,007 $5,583
Glendale Adventist Medical Ctr Glendale 16
$49,298
$7,007 $5,583
Clovis Community Medical Center Clovis 16
$33,651
$7,007 $5,571
John Muir Medical Center - Concord Campus Concord 16
$80,353
$7,935 $6,322
Salinas Valley Memorial Hospital Salinas 15
$54,416
$8,025 $6,394
Saint Agnes Medical Center Fresno 13
$26,228
$7,007 $5,583
Peninsula Medical Center Burlingame 12
$42,072
$8,146 $6,514
Sutter Roseville Medical Center Roseville 12
$28,750
$7,278 $5,830
Memorial Medical Center Modesto 12
$38,507
$6,542 $5,118
St Joseph Hospital Eureka 11
$40,288
$7,007 $5,583
Mercy General Hospital Sacramento 11
$35,544
$7,279 $5,799
Mercy Hospital Bakersfield 11
$45,232
$6,688 $5,329
Sierra Vista Regional Medical Center San Luis Obispo 11
$59,745
$7,007 $5,583
Eisenhower Memorial Hospital Rancho Mirage 11
$53,542
$7,007 $5,583
St Helena Hospital Deer Park –
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Riverside Community Hospital Riverside –
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Mad River Community Hospital Arcata –
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Oroville Hospital Oroville –
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Bakersfield Memorial Hospital Bakersfield –
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Santa Clara Valley Medical Center San Jose –
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St Elizabeth Community Hospital Red Bluff –
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Alta Bates Summit Medical Center Oakland –
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El Centro Regional Medical Center El Centro –
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Antelope Valley Hospital Med Center Lancaster –
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Kaweah Delta Medical Center Visalia –
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St Joseph Hospital Orange –
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Kaiser Foundation Hospital and Rehab Center Vallejo –
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Kaiser Foundation Hospital - San Francisco San Francisco –
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Scripps Mercy Hospital San Diego –
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Providence Little Co of Mary Med Ctr San Pedro Los Angeles –
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St Johns Regional Medical Center Oxnard –
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Community Hospital of San Bernardino San Bernardino –
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San Antonio Community Hospital Upland –
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Sharp Memorial Hospital San Diego –
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Sutter Solano Medical Center Vallejo –
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White Memorial Medical Center Los Angeles –
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Lompoc Healthcare District Lompoc –
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Palomar Medical Center Escondido –
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Northridge Hospital Medical Center Northridge –
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Hanford Community Medical Center Hanford –
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Dameron Hospital Stockton –
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Verdugo Hills Hospital Glendale –
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Valley Presbyterian Hospital Van Nuys –
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Woodland Memorial Hospital Woodland –
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Tri-City Medical Center Oceanside –
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Rideout Memorial Hospital Marysville –
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Hollywood Community Hospital of Hollywood Los Angeles –
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Kaiser Foundation Hospital Fontana Fontana –
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PIH Health Hospital-Whittier Whittier –
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Emanuel Medical Center INC Turlock –
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Watsonville Community Hospital Watsonville –
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Washington Hospital Fremont –
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Palmdale Regional Medical Center Lancaster –
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Sharp Chula Vista Medical Center Chula Vista –
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Ahmc Anaheim Regional Medical Center Anaheim –
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San Francisco General Hospital San Francisco –
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Pomona Valley Hospital Medical Center Pomona –
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French Hospital Medical Center San Luis Obispo –
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Providence Saint Joseph Medical Ctr Burbank –
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Simi Valley Hospital & Health Care Services Simi Valley –
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USC Arcadia Hospital Arcadia –
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Dominican Hospital Santa Cruz –
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Desert Regional Medical Center Palm Springs –
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Arrowhead Regional Medical Center Colton –
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Marshall Medical Center (1-Rh) Placerville –
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Redlands Community Hospital Redlands –
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Providence Holy Cross Medical Center Mission Hills –
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Mercy Medical Center Redding Redding –
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Alhambra Hospital Medical Center Alhambra –
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Seton Medical Center Daly City –
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Saint John's Health Center Santa Monica –
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Sutter Medical Center of Santa Rosa Santa Rosa –
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St Mary Medical Center Apple Valley –
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Ukiah Valley Medical Center/Hospital D Ukiah –
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Alta Bates Summit Medical Center - Alta Bates Camp Berkeley –
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Highland Hospital Oakland –
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Sonora Community Hospital Sonora –
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Pioneers Memorial Healthcare District Brawley –
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Torrance Memorial Medical Center Torrance –
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Providence Little Company of Mary Med Ctr Torrance Torrance –
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Northbay Medical Center Fairfield –
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Los Angeles General Medical Center Los Angeles –
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Lac/Harbor-UCLA Med Center Torrance –
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Emanate Health Inter-Community Hospital Covina –
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Downey Regional Medical Center Downey –
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Community Memorial Hospital - Ventura Ventura –
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Mercy Hospital of Folsom Folsom –
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Kaiser Foundation Hospital - Sacramento/Roseville Sacramento –
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Huntington Memorial Hospital Pasadena –
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Mercy Medical Ctr Merced Merced –
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St Mary's Medical Center San Francisco –
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Doctors Medical Center Modesto –
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Good Samaritan Hospital Los Angeles –
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Long Beach Memorial Medical Center Long Beach –
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Sutter Auburn Faith Hospital Auburn –
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Scripps Memorial Hospital - Encinitas Encinitas –
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Kaiser Foundation Hospital - San Diego San Diego –
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Mercy San Juan Medical Center Carmichael –
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Los Alamitos Medical Center Los Alamitos –
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Kaiser Foundation Hospital - West la Los Angeles –
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Mission Hospital Regional Med Center Mission Viejo –
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Fountain Valley Regional Hospital & Medical Center Fountain Valley –
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Foothill Presbyterian Hospital Glendora –
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Saddleback Memorial Medical Center Laguna Hills –
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Kaiser Foundation Hospital-San Jose San Jose –
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Henry Mayo Newhall Memorial Hospital Valencia –
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Los Angeles Community Hospital Los Angeles –
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Kaiser Foundation Hospital - Woodland Hills Woodland Hills –
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San Ramon Regional Medical Ctr San Ramon –
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Southwest Healthcare System Murrieta –
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Mission Community Hospital - Panorama Panorama City –
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Sutter Maternity & Surgery Center of Santa Cruz Santa Cruz –
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Whittier Hospital Medical Center Whittier –
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Monterey Park Hospital Monterey Park –
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Centinela Hospital Medical Center Inglewood –
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Providence Tarzana Medical Center Tarzana –
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Shasta Regional Medical Center Redding –
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Sutter Surgical Hospital - North Valley Yuba City –
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Coast Plaza Hospital Norwalk –
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Kaiser Foundation Hospital - Roseville Roseville –
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Temecula Valley Hospital Temecula –
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College Medical Center Long Beach –
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Adventist Health Tulare Tulare –
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Kaiser Foundation Hospital - San Marcos San Marcos –
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Lowest and highest allowed amounts in California
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
Enloe Medical Center Chico, CA $5,949 University of California San Diego Medical Center San Diego, CA $6,208 Santa Barbara Cottage Hospital Santa Barbara, CA $6,319 Memorial Medical Center Modesto, CA $6,542 Scripps Memorial Hospital la Jolla La Jolla, CA $6,572
Highest
Peninsula Medical Center Burlingame, CA $8,146 California Pacific Medical Ctr-Pacific Campus Hosp San Francisco, CA $8,033 Sequoia Hospital Redwood City, CA $8,025 El Camino Hospital Mountain View, CA $8,025 Salinas Valley Memorial Hospital Salinas, CA $8,025
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in California? In 2024 Medicare data, complex gi procedures (APC 5331) at 157 hospitals in California was billed at $49,496 on average, while the average medicare-allowed amount was $7,178, of which Medicare paid $5,715. 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 service in California, average charges were 6.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data .
