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.
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.
About 15¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in California:
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 |
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.
| 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 |
| 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 |
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.
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.