Diabetes with major complications in California
What 119 hospitals in California charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$106,870
Hospital list price billed
Average payment
$16,938
Medicare + patient + other payers
Medicare paid
$14,583
Average per stay
State rank
#40 of 43
1 = lowest average payment
Hospitals in California billed an average of $106,870 for diabetes with major complications, about 6.3 times the average total payment of $16,938. That payment is 21% above the U.S. average of $14,037.
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 $16,938Billed $106,870
About 16¢ 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: diabetes 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 |
|---|---|---|---|---|
| Hollywood Community Hospital of HollywoodLos Angeles | 62 | $59,607 | $14,957 | $13,852 |
| Los Angeles Community HospitalLos Angeles | 45 | $48,792 | $15,193 | $13,960 |
| Saint Agnes Medical CenterFresno | 38 | $49,893 | $16,700 | $14,313 |
| Centinela Hospital Medical CenterInglewood | 35 | $59,836 | $15,627 | $14,428 |
| Stanford HospitalPalo Alto | 33 | $262,411 | $26,262 | $22,040 |
| Mercy San Juan Medical CenterCarmichael | 33 | $95,745 | $18,835 | $13,321 |
| Sharp Chula Vista Medical CenterChula Vista | 31 | $128,674 | $16,319 | $15,160 |
| St Johns Regional Medical CenterOxnard | 30 | $64,257 | $14,121 | $12,834 |
| Grossmont HospitalLa Mesa | 29 | $98,755 | $15,096 | $13,391 |
| Huntington Memorial HospitalPasadena | 29 | $164,623 | $16,158 | $14,033 |
| Mercy Medical Center ReddingRedding | 28 | $107,207 | $15,136 | $13,947 |
| Cedars-Sinai Medical CenterLos Angeles | 27 | $240,518 | $20,571 | $16,140 |
| Community Regional Medical CenterFresno | 25 | $80,643 | $16,246 | $14,779 |
| St Josephs Med Center of StocktonStockton | 25 | $130,024 | $18,528 | $17,069 |
| Torrance Memorial Medical CenterTorrance | 25 | $171,862 | $13,838 | $12,829 |
| Memorial Medical CenterModesto | 25 | $80,348 | $14,197 | $12,220 |
| Enloe Medical CenterChico | 24 | $106,720 | $13,620 | $12,192 |
| Saint Francis Medical CenterLynwood | 24 | $63,893 | $16,193 | $15,054 |
| Pomona Valley Hospital Medical CenterPomona | 24 | $152,792 | $16,562 | $15,039 |
| University of California Davis Medical CenterSacramento | 24 | $157,786 | $30,625 | $20,915 |
| Kaweah Delta Medical CenterVisalia | 23 | $55,080 | $16,392 | $14,183 |
| Sharp Memorial HospitalSan Diego | 23 | $137,816 | $16,926 | $14,071 |
| Marian Medical CenterSanta Maria | 23 | $83,173 | $14,557 | $13,127 |
| Rideout Memorial HospitalMarysville | 23 | $79,538 | $15,630 | $14,566 |
| Mercy Medical Ctr MercedMerced | 23 | $100,570 | $14,785 | $13,445 |
| Good Samaritan HospitalLos Angeles | 23 | $89,333 | $14,689 | $13,781 |
| Fountain Valley Regional Hospital & Medical CenterFountain Valley | 23 | $191,991 | $14,944 | $13,912 |
| Providence Tarzana Medical CenterTarzana | 23 | $85,489 | $13,779 | $12,480 |
| Glendale Adventist Medical CtrGlendale | 22 | $89,323 | $14,581 | $13,278 |
| Sutter Roseville Medical CenterRoseville | 22 | $85,584 | $15,845 | $13,150 |
| Memorial Hospital of GardenaGardena | 22 | $84,102 | $14,807 | $13,862 |
| Clovis Community Medical CenterClovis | 22 | $105,754 | $14,457 | $12,926 |
| Desert Valley HospitalVictorville | 22 | $35,871 | $14,527 | $13,396 |
| Sherman Oaks HospitalSherman Oaks | 22 | $31,067 | $15,012 | $13,899 |
| San Antonio Community HospitalUpland | 21 | $91,778 | $13,575 | $12,143 |
| Palomar Medical CenterEscondido | 21 | $105,611 | $11,802 | $10,923 |
| St Bernardine Medical CenterSan Bernardino | 21 | $120,870 | $16,352 | $15,069 |
| Palmdale Regional Medical CenterLancaster | 21 | $159,822 | $14,260 | $11,594 |
| St Mary Medical CenterApple Valley | 21 | $59,005 | $14,208 | $13,295 |
| Bakersfield Memorial HospitalBakersfield | 20 | $110,028 | $16,701 | $15,281 |
| Eisenhower Memorial HospitalRancho Mirage | 20 | $88,627 | $16,321 | $14,427 |
| Hanford Community Medical CenterHanford | 19 | $65,447 | $13,965 | $12,587 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 19 | $216,641 | $22,216 | $20,891 |
| West Anaheim Medical CenterAnaheim | 19 | $50,466 | $15,957 | $13,623 |
| UCSF Medical CenterSan Francisco | 19 | $151,019 | $26,456 | $20,727 |
| Doctors Medical CenterModesto | 19 | $201,750 | $15,879 | $13,077 |
| Long Beach Memorial Medical CenterLong Beach | 19 | $147,343 | $15,453 | $13,767 |
| Riverside Community HospitalRiverside | 18 | $150,324 | $17,287 | $15,929 |
| University of California San Diego Medical CenterSan Diego | 18 | $79,472 | $25,492 | $16,435 |
| Sutter General HospitalSacramento | 18 | $83,552 | $17,111 | $14,291 |
| Northridge Hospital Medical CenterNorthridge | 18 | $131,031 | $15,282 | $14,124 |
| Community Hospital of the Monterey PeninsulaMonterey | 18 | $146,195 | $44,483 | $13,775 |
| Garden Grove Hospital & Medical CenterGarden Grove | 18 | $42,316 | $15,698 | $12,719 |
| Methodist Hospital of SacramentoSacramento | 18 | $94,358 | $16,953 | $16,049 |
| Santa Rosa Memorial HospitalSanta Rosa | 17 | $123,887 | $16,537 | $15,342 |
| Salinas Valley Memorial HospitalSalinas | 17 | $106,367 | $16,341 | $15,237 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 17 | $70,352 | $14,185 | $12,699 |
| Martin Luther King, Jr. Community HospitalLos Angeles | 17 | $227,188 | $17,550 | $16,173 |
| Santa Clara Valley Medical CenterSan Jose | 16 | $122,462 | $24,043 | $21,836 |
| Antelope Valley Hospital Med CenterLancaster | 16 | $87,598 | $15,701 | $14,767 |
| Scripps Mercy HospitalSan Diego | 16 | $70,551 | $17,102 | $14,037 |
| St Jude Medical CenterFullerton | 16 | $66,767 | $13,379 | $12,216 |
| Mercy HospitalBakersfield | 16 | $96,267 | $14,967 | $11,901 |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley | 16 | $61,581 | $18,761 | $14,186 |
| Scripps Memorial Hospital la JollaLa Jolla | 16 | $100,880 | $13,572 | $11,823 |
| Los Angeles General Medical CenterLos Angeles | 16 | $78,622 | $32,678 | $27,077 |
| Hemet Valley Medical CenterHemet | 16 | $72,250 | $15,957 | $13,691 |
| Lakewood Regional Medical CenterLakewood | 16 | $171,310 | $20,026 | $12,950 |
| St Joseph HospitalEureka | 15 | $102,986 | $15,999 | $13,785 |
| Oroville HospitalOroville | 15 | $28,106 | $14,309 | $13,466 |
| White Memorial Medical CenterLos Angeles | 15 | $183,796 | $18,553 | $16,537 |
| PIH Health Hospital-WhittierWhittier | 15 | $81,664 | $14,413 | $13,672 |
| Marshall Medical Center (1-Rh)Placerville | 15 | $103,306 | $14,238 | $13,367 |
| Santa Barbara Cottage HospitalSanta Barbara | 15 | $72,715 | $15,207 | $14,080 |
| Adventist Health BakersfieldBakersfield | 15 | $71,988 | $14,171 | $13,187 |
| St Mary's Medical CenterSan Francisco | 15 | $144,277 | $21,495 | $19,075 |
| John Muir Medical Center - Concord CampusConcord | 15 | $137,434 | $23,837 | $13,671 |
| Victor Valley Community HospitalVictorville | 15 | $31,760 | $14,413 | $13,543 |
| Henry Mayo Newhall Memorial HospitalValencia | 15 | $124,463 | $13,612 | $12,334 |
| Orange Coast Memorial Medical CenterFountain Valley | 15 | $146,681 | $14,208 | $13,012 |
| Mercy General HospitalSacramento | 14 | $118,357 | $15,046 | $13,804 |
| Sutter Medical Center of Santa RosaSanta Rosa | 14 | $92,156 | $19,351 | $17,221 |
| UCI Health-OrangeOrange | 14 | $86,618 | $22,892 | $18,727 |
| Eden Medical CenterCastro Valley | 14 | $78,253 | $21,511 | $12,544 |
| Montclair Hospital Medical CenterMontclair | 14 | $45,338 | $14,969 | $13,978 |
| Queen of the Valley Medical CenterNapa | 13 | $150,768 | $15,980 | $14,737 |
| Hollywood Presbyterian Medical CenterLos Angeles | 13 | $59,100 | $14,706 | $13,780 |
| Washington HospitalFremont | 13 | $121,266 | $16,521 | $15,346 |
| Riverside County Regional Medical CenterMoreno Valley | 13 | $154,643 | $21,742 | $19,531 |
| El Camino HospitalMountain View | 13 | $124,176 | $15,277 | $14,246 |
| Lodi Memorial HospitalLodi | 13 | $208,456 | $15,277 | $14,147 |
| Northbay Medical CenterFairfield | 13 | $141,465 | $16,569 | $15,548 |
| Emanate Health Inter-Community HospitalCovina | 13 | $68,906 | $15,576 | $14,700 |
| Los Robles Hospital & Medical CenterThousand Oaks | 13 | $162,449 | $14,628 | $13,397 |
| Chino Valley Medical CenterChino | 13 | $48,085 | $16,216 | $14,862 |
| L a Downtown Medical CenterLos Angeles | 13 | $34,351 | $14,749 | $13,971 |
| Peninsula Medical CenterBurlingame | 12 | $59,296 | $15,368 | $14,226 |
| Alta Bates Summit Medical CenterOakland | 12 | $60,467 | $16,018 | $14,738 |
| Sutter Solano Medical CenterVallejo | 12 | $96,788 | $17,888 | $17,344 |
| St Mary Medical CenterLong Beach | 12 | $92,913 | $17,363 | $16,150 |
| San Francisco General HospitalSan Francisco | 12 | $158,051 | $29,458 | $27,367 |
| USC Arcadia HospitalArcadia | 12 | $82,488 | $10,336 | $9,172 |
| Stanford Health Care Tri-ValleyPleasanton | 12 | $160,682 | $18,393 | $13,905 |
| Loma Linda University Medical CenterLoma Linda | 12 | $163,157 | $25,741 | $18,417 |
| Good Samaritan HospitalSan Jose | 12 | $222,144 | $16,019 | $14,931 |
| Community Memorial Hospital - VenturaVentura | 12 | $79,738 | $17,242 | $15,097 |
| Twin Cities Community HospitalTempleton | 12 | $185,277 | $13,430 | $12,342 |
| Southwest Healthcare SystemMurrieta | 12 | $113,009 | $16,729 | $11,334 |
| Mission Community Hospital - PanoramaPanorama City | 12 | $62,637 | $15,656 | $14,518 |
| Temecula Valley HospitalTemecula | 12 | $100,827 | $19,634 | $17,817 |
| St Joseph HospitalOrange | 11 | $80,233 | $16,516 | $12,072 |
| Regional Medical Center of San JoseSan Jose | 11 | $243,900 | $16,284 | $15,320 |
| Emanuel Medical Center INCTurlock | 11 | $168,960 | $15,019 | $13,981 |
| Sierra View District HospitalPorterville | 11 | $33,994 | $15,702 | $13,754 |
| Providence Holy Cross Medical CenterMission Hills | 11 | $92,550 | $15,444 | $13,889 |
| Corona Regional Medical CenterCorona | 11 | $125,717 | $13,158 | $11,060 |
| Mercy Hospital of FolsomFolsom | 11 | $113,789 | $13,891 | $12,705 |
| Sutter Delta Medical CenterAntioch | 11 | $67,577 | $16,018 | $14,831 |
| Adventist Health TulareTulare | 11 | $57,696 | $14,834 | $13,294 |
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
| USC Arcadia HospitalArcadia, CA | $10,336 |
|---|---|
| Palomar Medical CenterEscondido, CA | $11,802 |
| Corona Regional Medical CenterCorona, CA | $13,158 |
| St Jude Medical CenterFullerton, CA | $13,379 |
| Twin Cities Community HospitalTempleton, CA | $13,430 |
Highest
| Community Hospital of the Monterey PeninsulaMonterey, CA | $44,483 |
|---|---|
| Los Angeles General Medical CenterLos Angeles, CA | $32,678 |
| University of California Davis Medical CenterSacramento, CA | $30,625 |
| San Francisco General HospitalSan Francisco, CA | $29,458 |
| UCSF Medical CenterSan Francisco, CA | $26,456 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in California?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 119 hospitals in California was billed at $106,870 on average, while the average total payment was $16,938, of which Medicare paid $14,583. 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 6.3 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.