Complications of treatment with major complications in California
What 44 hospitals in California charged and were paid for a Medicare hospital stay for complications of treatment with major complications (DRG 919), from 2024 Medicare claims.
Average charge
$172,316
Hospital list price billed
Average payment
$28,875
Medicare + patient + other payers
Medicare paid
$23,574
Average per stay
State rank
#33 of 34
1 = lowest average payment
Hospitals in California billed an average of $172,316 for complications of treatment with major complications, about 6.0 times the average total payment of $28,875. That payment is 36% above the U.S. average of $21,165.
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 $28,875Billed $172,316
About 17¢ 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:
California hospitals: complications of treatment 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 | 88 | $282,542 | $25,973 | $20,638 |
| Stanford HospitalPalo Alto | 74 | $456,920 | $56,859 | $45,464 |
| UCSF Medical CenterSan Francisco | 49 | $141,441 | $34,757 | $26,417 |
| University of California San Diego Medical CenterSan Diego | 33 | $148,590 | $37,343 | $26,829 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 33 | $63,640 | $17,073 | $16,152 |
| UCLA Medical CenterLos Angeles | 31 | $186,405 | $52,220 | $39,151 |
| University of California Davis Medical CenterSacramento | 31 | $288,018 | $62,651 | $46,879 |
| USC University HospitalLos Angeles | 26 | $124,761 | $32,008 | $24,636 |
| Santa Clara Valley Medical CenterSan Jose | 22 | $136,695 | $32,234 | $30,429 |
| Enloe Medical CenterChico | 22 | $123,554 | $17,165 | $15,724 |
| UCI Health-OrangeOrange | 22 | $78,219 | $28,291 | $25,474 |
| El Camino HospitalMountain View | 21 | $130,227 | $20,275 | $18,951 |
| Scripps Memorial Hospital la JollaLa Jolla | 20 | $142,073 | $19,984 | $15,619 |
| Eisenhower Memorial HospitalRancho Mirage | 20 | $80,538 | $20,427 | $18,898 |
| Torrance Memorial Medical CenterTorrance | 19 | $141,984 | $17,673 | $16,901 |
| Scripps Memorial Hospital - EncinitasEncinitas | 19 | $125,457 | $21,652 | $17,410 |
| St Josephs Med Center of StocktonStockton | 18 | $157,570 | $21,960 | $20,228 |
| Sutter Roseville Medical CenterRoseville | 18 | $83,426 | $19,010 | $17,892 |
| Scripps Green HospitalLa Jolla | 18 | $95,643 | $25,193 | $20,683 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 17 | $84,520 | $21,633 | $20,009 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 17 | $210,547 | $22,076 | $21,007 |
| Santa Barbara Cottage HospitalSanta Barbara | 17 | $116,575 | $19,933 | $18,373 |
| PIH Health Hospital-WhittierWhittier | 16 | $127,803 | $19,535 | $16,366 |
| Loma Linda University Medical CenterLoma Linda | 16 | $94,364 | $28,922 | $24,752 |
| Huntington Memorial HospitalPasadena | 16 | $224,490 | $20,159 | $15,715 |
| St Joseph HospitalEureka | 15 | $116,401 | $19,611 | $18,344 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 15 | $76,642 | $28,430 | $23,839 |
| Santa Rosa Memorial HospitalSanta Rosa | 15 | $104,839 | $20,109 | $18,538 |
| Clovis Community Medical CenterClovis | 15 | $78,525 | $16,945 | $14,224 |
| Sharp Memorial HospitalSan Diego | 14 | $169,436 | $33,492 | $15,401 |
| Providence Tarzana Medical CenterTarzana | 14 | $99,740 | $18,268 | $17,170 |
| Riverside Community HospitalRiverside | 13 | $244,545 | $23,548 | $21,003 |
| St Joseph HospitalOrange | 13 | $68,715 | $19,910 | $17,777 |
| Sutter General HospitalSacramento | 13 | $105,125 | $22,516 | $19,289 |
| Saint John's Health CenterSanta Monica | 13 | $93,375 | $19,994 | $15,609 |
| Los Robles Hospital & Medical CenterThousand Oaks | 13 | $200,449 | $17,453 | $14,872 |
| Scripps Mercy HospitalSan Diego | 12 | $175,778 | $21,541 | $19,626 |
| Mercy Medical Center ReddingRedding | 12 | $90,111 | $18,794 | $17,466 |
| Mission Hospital Regional Med CenterMission Viejo | 12 | $95,644 | $17,032 | $16,080 |
| Kaweah Delta Medical CenterVisalia | 11 | $67,857 | $20,985 | $19,434 |
| Community Regional Medical CenterFresno | 11 | $100,171 | $31,963 | $14,568 |
| Hollywood Community Hospital of HollywoodLos Angeles | 11 | $68,640 | $19,600 | $19,158 |
| Dominican HospitalSanta Cruz | 11 | $165,642 | $19,393 | $17,984 |
| Stanford Health Care Tri-ValleyPleasanton | 11 | $165,465 | $25,089 | $18,859 |
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
| Clovis Community Medical CenterClovis, CA | $16,945 |
|---|---|
| Mission Hospital Regional Med CenterMission Viejo, CA | $17,032 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $17,073 |
| Enloe Medical CenterChico, CA | $17,165 |
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $17,453 |
Highest
| University of California Davis Medical CenterSacramento, CA | $62,651 |
|---|---|
| Stanford HospitalPalo Alto, CA | $56,859 |
| UCLA Medical CenterLos Angeles, CA | $52,220 |
| University of California San Diego Medical CenterSan Diego, CA | $37,343 |
| UCSF Medical CenterSan Francisco, CA | $34,757 |
Complications of treatment with major complications in other states
Questions
How much does complications of treatment with major complications cost in California?
In 2024 Medicare data, a hospital stay for complications of treatment with major complications (DRG 919) at 44 hospitals in California was billed at $172,316 on average, while the average total payment was $28,875, of which Medicare paid $23,574. 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 6.0 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.