Coronary bypass with cardiac catheterization or open ablation with major complications in California
What 25 hospitals in California charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233), from 2024 Medicare claims.
Average charge
$673,156
Hospital list price billed
Average payment
$96,684
Medicare + patient + other payers
Medicare paid
$84,800
Average per stay
State rank
#38 of 38
1 = lowest average payment
Hospitals in California billed an average of $673,156 for coronary bypass with cardiac catheterization or open ablation with major complications, about 7.0 times the average total payment of $96,684. That payment is 39% above the U.S. average of $69,514.
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 $96,684Billed $673,156
About 14¢ 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: coronary bypass with cardiac catheterization or open ablation 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 |
|---|---|---|---|---|
| St Josephs Med Center of StocktonStockton | 28 | $854,663 | $106,290 | $90,940 |
| Mercy General HospitalSacramento | 27 | $871,782 | $120,495 | $87,458 |
| Cedars-Sinai Medical CenterLos Angeles | 25 | $1,009,459 | $89,020 | $82,374 |
| Shasta Regional Medical CenterRedding | 23 | $358,589 | $70,041 | $66,325 |
| Alta Bates Summit Medical CenterOakland | 22 | $354,867 | $77,012 | $65,898 |
| Sutter General HospitalSacramento | 21 | $352,235 | $82,959 | $80,995 |
| John Muir Medical Center - Concord CampusConcord | 20 | $1,033,691 | $95,930 | $93,773 |
| Doctors Medical CenterModesto | 19 | $1,281,964 | $79,321 | $77,771 |
| University of California San Diego Medical CenterSan Diego | 17 | $515,811 | $117,869 | $97,259 |
| Enloe Medical CenterChico | 17 | $800,843 | $105,225 | $70,979 |
| Kaweah Delta Medical CenterVisalia | 17 | $305,344 | $74,978 | $72,421 |
| Saint Agnes Medical CenterFresno | 17 | $298,455 | $85,937 | $83,209 |
| Rideout Memorial HospitalMarysville | 17 | $572,646 | $88,879 | $87,347 |
| UCLA Medical CenterLos Angeles | 16 | $518,915 | $141,361 | $121,846 |
| Mercy San Juan Medical CenterCarmichael | 16 | $879,304 | $108,387 | $96,922 |
| St Bernardine Medical CenterSan Bernardino | 14 | $506,939 | $80,509 | $78,479 |
| Community Hospital of the Monterey PeninsulaMonterey | 14 | $609,459 | $98,462 | $97,063 |
| Santa Barbara Cottage HospitalSanta Barbara | 13 | $337,105 | $80,724 | $77,904 |
| Stanford HospitalPalo Alto | 13 | $1,449,464 | $169,766 | $158,258 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 12 | $365,711 | $71,781 | $70,212 |
| Mercy Medical Center ReddingRedding | 12 | $483,414 | $77,405 | $75,390 |
| Riverside Community HospitalRiverside | 11 | $1,130,507 | $81,334 | $77,601 |
| Community Regional Medical CenterFresno | 11 | $441,388 | $83,078 | $80,714 |
| Scripps Memorial Hospital la JollaLa Jolla | 11 | $684,875 | $157,941 | $48,777 |
| Memorial Medical CenterModesto | 11 | $509,760 | $84,798 | $83,166 |
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
| Shasta Regional Medical CenterRedding, CA | $70,041 |
|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $71,781 |
| Kaweah Delta Medical CenterVisalia, CA | $74,978 |
| Alta Bates Summit Medical CenterOakland, CA | $77,012 |
| Mercy Medical Center ReddingRedding, CA | $77,405 |
Highest
| Stanford HospitalPalo Alto, CA | $169,766 |
|---|---|
| Scripps Memorial Hospital la JollaLa Jolla, CA | $157,941 |
| UCLA Medical CenterLos Angeles, CA | $141,361 |
| Mercy General HospitalSacramento, CA | $120,495 |
| University of California San Diego Medical CenterSan Diego, CA | $117,869 |
Coronary bypass with cardiac catheterization or open ablation with major complications in other states
Questions
How much does coronary bypass with cardiac catheterization or open ablation with major complications cost in California?
In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233) at 25 hospitals in California was billed at $673,156 on average, while the average total payment was $96,684, of which Medicare paid $84,800. 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 7.0 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.