facebook tracking Coronary bypass without cardiac catheterization without major complications cost in California: 21 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in California

What 21 hospitals in California charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $389,198 Hospital list price billed
Average payment $54,097 Medicare + patient + other payers
Medicare paid $41,609 Average per stay
State rank #41 of 42 1 = lowest average payment

Hospitals in California billed an average of $389,198 for coronary bypass without cardiac catheterization without major complications, about 7.2 times the average total payment of $54,097. That payment is 43% above the U.S. average of $37,830.

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 $54,097Billed $389,198

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 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 66 $225,938 $56,150 $42,045
Stanford HospitalPalo Alto 39 $723,028 $77,883 $55,330
Community Regional Medical CenterFresno 37 $252,335 $46,346 $41,369
Hoag Memorial Hospital PresbyterianNewport Beach 36 $229,541 $36,873 $35,382
Salinas Valley Memorial HospitalSalinas 26 $415,780 $47,610 $46,230
John Muir Medical Center - Concord CampusConcord 24 $568,649 $58,788 $40,660
Mercy General HospitalSacramento 23 $570,637 $54,333 $35,191
Cedars-Sinai Medical CenterLos Angeles 22 $664,856 $47,429 $43,435
El Camino HospitalMountain View 20 $321,290 $52,380 $40,821
Scripps Memorial Hospital la JollaLa Jolla 20 $549,991 $42,166 $37,953
Eisenhower Memorial HospitalRancho Mirage 18 $192,135 $41,336 $37,873
Loma Linda University Medical CenterLoma Linda 17 $380,257 $59,482 $49,279
Clovis Community Medical CenterClovis 17 $255,860 $51,112 $30,955
Sequoia HospitalRedwood City 15 $476,518 $51,183 $49,565
Marian Medical CenterSanta Maria 14 $278,172 $42,141 $40,322
University of California Davis Medical CenterSacramento 14 $493,900 $73,874 $52,613
Santa Barbara Cottage HospitalSanta Barbara 13 $194,347 $49,229 $37,389
Huntington Memorial HospitalPasadena 13 $290,877 $40,015 $38,217
Santa Rosa Memorial HospitalSanta Rosa 12 $500,959 $46,487 $44,743
Adventist Health BakersfieldBakersfield 12 $438,263 $39,045 $37,810
Kaiser Foundation Hospital - los AngelesLos Angeles 11 $216,485 $140,950 $17,758
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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

Hoag Memorial Hospital PresbyterianNewport Beach, CA$36,873
Adventist Health BakersfieldBakersfield, CA$39,045
Huntington Memorial HospitalPasadena, CA$40,015
Eisenhower Memorial HospitalRancho Mirage, CA$41,336
Marian Medical CenterSanta Maria, CA$42,141

Coronary bypass without cardiac catheterization without major complications in other states

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in California?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 21 hospitals in California was billed at $389,198 on average, while the average total payment was $54,097, of which Medicare paid $41,609. 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 7.2 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.