Complicated peptic ulcer with major complications in California
What 10 hospitals in California charged and were paid for a Medicare hospital stay for complicated peptic ulcer with major complications (DRG 380), from 2024 Medicare claims.
Average charge
$167,666
Hospital list price billed
Average payment
$25,918
Medicare + patient + other payers
Medicare paid
$22,369
Average per stay
State rank
#2 of 3
1 = lowest average payment
Hospitals in California billed an average of $167,666 for complicated peptic ulcer with major complications, about 6.5 times the average total payment of $25,918. That payment is 20% above the U.S. average of $21,522.
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 $25,918Billed $167,666
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: complicated peptic ulcer 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 |
|---|---|---|---|---|
| Stanford HospitalPalo Alto | 22 | $298,731 | $33,941 | $29,081 |
| Los Angeles Community HospitalLos Angeles | 22 | $74,577 | $19,390 | $18,359 |
| Cedars-Sinai Medical CenterLos Angeles | 16 | $282,306 | $26,259 | $21,720 |
| Memorial Medical CenterModesto | 15 | $84,104 | $17,746 | $16,712 |
| Santa Rosa Memorial HospitalSanta Rosa | 14 | $126,188 | $21,826 | $20,707 |
| University of California San Diego Medical CenterSan Diego | 13 | $86,484 | $29,580 | $22,399 |
| University of California Davis Medical CenterSacramento | 13 | $230,216 | $36,817 | $28,282 |
| Sutter Roseville Medical CenterRoseville | 11 | $94,731 | $19,840 | $18,997 |
| Torrance Memorial Medical CenterTorrance | 11 | $202,078 | $18,469 | $17,282 |
| UCSF Medical CenterSan Francisco | 11 | $152,250 | $35,109 | $29,169 |
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
| Memorial Medical CenterModesto, CA | $17,746 |
|---|---|
| Torrance Memorial Medical CenterTorrance, CA | $18,469 |
| Los Angeles Community HospitalLos Angeles, CA | $19,390 |
| Sutter Roseville Medical CenterRoseville, CA | $19,840 |
| Santa Rosa Memorial HospitalSanta Rosa, CA | $21,826 |
Highest
| University of California Davis Medical CenterSacramento, CA | $36,817 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $35,109 |
| Stanford HospitalPalo Alto, CA | $33,941 |
| University of California San Diego Medical CenterSan Diego, CA | $29,580 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $26,259 |
Complicated peptic ulcer with major complications in other states
Questions
How much does complicated peptic ulcer with major complications cost in California?
In 2024 Medicare data, a hospital stay for complicated peptic ulcer with major complications (DRG 380) at 10 hospitals in California was billed at $167,666 on average, while the average total payment was $25,918, of which Medicare paid $22,369. 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 6.5 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.