facebook tracking Complications of treatment with complications cost in California: 20 hospitals compared (DRG 920)

Complications of treatment with complications in California

What 20 hospitals in California charged and were paid for a Medicare hospital stay for complications of treatment with complications (DRG 920), from 2024 Medicare claims.

DRG 920 Inpatient 2024 Medicare data
Average charge $100,466 Hospital list price billed
Average payment $14,946 Medicare + patient + other payers
Medicare paid $11,465 Average per stay
State rank #28 of 29 1 = lowest average payment

Hospitals in California billed an average of $100,466 for complications of treatment with complications, about 6.7 times the average total payment of $14,946. That payment is 30% above the U.S. average of $11,515.

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 $14,946Billed $100,466

About 15¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: complications of treatment with 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 45 $182,593 $21,016 $14,649
Cedars-Sinai Medical CenterLos Angeles 42 $195,272 $14,981 $12,061
USC University HospitalLos Angeles 29 $49,977 $17,129 $11,406
Hoag Memorial Hospital PresbyterianNewport Beach 27 $45,433 $9,965 $8,973
University of California Davis Medical CenterSacramento 26 $107,552 $16,849 $12,844
University of California San Diego Medical CenterSan Diego 20 $66,466 $18,488 $12,736
UCSF Medical CenterSan Francisco 19 $107,928 $19,511 $15,699
Enloe Medical CenterChico 17 $80,155 $10,538 $8,441
Sharp Memorial HospitalSan Diego 16 $81,668 $14,676 $7,824
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 14 $53,813 $17,688 $13,476
Scripps Memorial Hospital la JollaLa Jolla 14 $80,159 $10,017 $9,318
Scripps Green HospitalLa Jolla 14 $63,212 $14,513 $10,836
Los Robles Hospital & Medical CenterThousand Oaks 14 $137,480 $10,832 $9,872
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 13 $64,387 $12,168 $11,123
El Camino HospitalMountain View 13 $107,168 $11,691 $10,667
Eisenhower Memorial HospitalRancho Mirage 13 $62,708 $11,666 $9,988
Sutter General HospitalSacramento 12 $47,446 $13,654 $10,859
John Muir Medical Center - Walnut Creek CampusWalnut Creek 12 $86,715 $14,255 $9,788
Santa Barbara Cottage HospitalSanta Barbara 12 $46,349 $10,973 $9,701
Grossmont HospitalLa Mesa 11 $58,354 $10,908 $10,018
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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

Hoag Memorial Hospital PresbyterianNewport Beach, CA$9,965
Scripps Memorial Hospital la JollaLa Jolla, CA$10,017
Enloe Medical CenterChico, CA$10,538
Los Robles Hospital & Medical CenterThousand Oaks, CA$10,832
Grossmont HospitalLa Mesa, CA$10,908

Highest

Stanford HospitalPalo Alto, CA$21,016
UCSF Medical CenterSan Francisco, CA$19,511
University of California San Diego Medical CenterSan Diego, CA$18,488
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$17,688
USC University HospitalLos Angeles, CA$17,129

Complications of treatment with complications in other states

Questions

How much does complications of treatment with complications cost in California?

In 2024 Medicare data, a hospital stay for complications of treatment with complications (DRG 920) at 20 hospitals in California was billed at $100,466 on average, while the average total payment was $14,946, of which Medicare paid $11,465. 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 6.7 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.