Coronary bypass with cardiac catheterization or open ablation without major complications in California
What 13 hospitals in California charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.
Average charge
$390,964
Hospital list price billed
Average payment
$60,070
Medicare + patient + other payers
Medicare paid
$47,983
Average per stay
State rank
#35 of 36
1 = lowest average payment
Hospitals in California billed an average of $390,964 for coronary bypass with cardiac catheterization or open ablation without major complications, about 6.5 times the average total payment of $60,070. That payment is 31% above the U.S. average of $45,866.
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 $60,070Billed $390,964
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: coronary bypass with cardiac catheterization or open ablation without 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 |
|---|---|---|---|---|
| Sutter General HospitalSacramento | 25 | $266,351 | $65,044 | $52,169 |
| Enloe Medical CenterChico | 22 | $610,346 | $49,087 | $47,605 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 22 | $265,637 | $49,577 | $42,364 |
| St Helena HospitalDeer Park | 20 | $608,039 | $55,146 | $53,759 |
| Memorial Medical CenterModesto | 19 | $338,706 | $61,236 | $44,071 |
| Santa Barbara Cottage HospitalSanta Barbara | 18 | $267,646 | $54,270 | $51,928 |
| Community Regional Medical CenterFresno | 16 | $331,878 | $61,040 | $52,601 |
| Kaweah Delta Medical CenterVisalia | 15 | $222,592 | $55,995 | $53,359 |
| Mission Hospital Regional Med CenterMission Viejo | 15 | $339,708 | $48,754 | $47,231 |
| Mercy General HospitalSacramento | 12 | $658,717 | $53,633 | $52,130 |
| Dameron HospitalStockton | 11 | $700,546 | $55,498 | $46,443 |
| Kaiser Foundation Hospital - los AngelesLos Angeles | 11 | $203,948 | $138,451 | $28,070 |
| Clovis Community Medical CenterClovis | 11 | $354,219 | $60,936 | $44,171 |
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
| Mission Hospital Regional Med CenterMission Viejo, CA | $48,754 |
|---|---|
| Enloe Medical CenterChico, CA | $49,087 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $49,577 |
| Mercy General HospitalSacramento, CA | $53,633 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $54,270 |
Highest
| Kaiser Foundation Hospital - los AngelesLos Angeles, CA | $138,451 |
|---|---|
| Sutter General HospitalSacramento, CA | $65,044 |
| Memorial Medical CenterModesto, CA | $61,236 |
| Community Regional Medical CenterFresno, CA | $61,040 |
| Clovis Community Medical CenterClovis, CA | $60,936 |
Coronary bypass with cardiac catheterization or open ablation without major complications in other states
Questions
How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in California?
In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 13 hospitals in California was billed at $390,964 on average, while the average total payment was $60,070, of which Medicare paid $47,983. 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.