Coronary bypass without cardiac catheterization with major complications in California
What 20 hospitals in California charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.
Average charge
$587,665
Hospital list price billed
Average payment
$80,655
Medicare + patient + other payers
Medicare paid
$68,077
Average per stay
State rank
#36 of 37
1 = lowest average payment
Hospitals in California billed an average of $587,665 for coronary bypass without cardiac catheterization with major complications, about 7.3 times the average total payment of $80,655. That payment is 43% above the U.S. average of $56,401.
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 $80,655Billed $587,665
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 without cardiac catheterization 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 | 51 | $775,470 | $68,781 | $56,316 |
| UCLA Medical CenterLos Angeles | 43 | $352,939 | $97,334 | $83,732 |
| Sutter General HospitalSacramento | 30 | $314,727 | $76,609 | $65,518 |
| Stanford HospitalPalo Alto | 28 | $1,212,583 | $124,238 | $115,382 |
| University of California San Diego Medical CenterSan Diego | 27 | $355,491 | $89,460 | $74,479 |
| Doctors Medical CenterModesto | 26 | $1,236,188 | $69,870 | $62,066 |
| Scripps Memorial Hospital la JollaLa Jolla | 25 | $615,557 | $60,700 | $46,916 |
| Mercy General HospitalSacramento | 20 | $702,636 | $92,944 | $59,297 |
| USC University HospitalLos Angeles | 20 | $442,657 | $94,764 | $71,205 |
| UCSF Medical CenterSan Francisco | 19 | $439,432 | $92,883 | $85,288 |
| Alta Bates Summit Medical CenterOakland | 17 | $328,903 | $73,797 | $63,972 |
| Community Regional Medical CenterFresno | 16 | $324,490 | $68,472 | $54,171 |
| John Muir Medical Center - Concord CampusConcord | 16 | $707,363 | $93,144 | $64,991 |
| Saint Agnes Medical CenterFresno | 15 | $238,631 | $63,100 | $60,811 |
| St Josephs Med Center of StocktonStockton | 14 | $584,514 | $69,418 | $66,936 |
| Good Samaritan HospitalSan Jose | 14 | $899,972 | $68,483 | $49,011 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 13 | $298,484 | $81,929 | $73,814 |
| Shasta Regional Medical CenterRedding | 12 | $358,854 | $57,621 | $56,325 |
| Sharp Chula Vista Medical CenterChula Vista | 11 | $567,447 | $59,381 | $58,639 |
| Glendale Adventist Medical CtrGlendale | 11 | $375,121 | $59,519 | $57,280 |
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 | $57,621 |
|---|---|
| Sharp Chula Vista Medical CenterChula Vista, CA | $59,381 |
| Glendale Adventist Medical CtrGlendale, CA | $59,519 |
| Scripps Memorial Hospital la JollaLa Jolla, CA | $60,700 |
| Saint Agnes Medical CenterFresno, CA | $63,100 |
Highest
| Stanford HospitalPalo Alto, CA | $124,238 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $97,334 |
| USC University HospitalLos Angeles, CA | $94,764 |
| John Muir Medical Center - Concord CampusConcord, CA | $93,144 |
| Mercy General HospitalSacramento, CA | $92,944 |
Coronary bypass without cardiac catheterization with major complications in other states
Questions
How much does coronary bypass without cardiac catheterization with major complications cost in California?
In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 20 hospitals in California was billed at $587,665 on average, while the average total payment was $80,655, of which Medicare paid $68,077. 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 7.3 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.