Digestive malignancy with complications in California
What 24 hospitals in California charged and were paid for a Medicare hospital stay for digestive malignancy with complications (DRG 375), from 2024 Medicare claims.
Average charge
$116,989
Hospital list price billed
Average payment
$16,864
Medicare + patient + other payers
Medicare paid
$13,142
Average per stay
State rank
#20 of 20
1 = lowest average payment
Hospitals in California billed an average of $116,989 for digestive malignancy with complications, about 6.9 times the average total payment of $16,864. That payment is 28% above the U.S. average of $13,131.
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 $16,864Billed $116,989
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: digestive malignancy with 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 | 38 | $207,830 | $17,026 | $13,167 |
| Stanford HospitalPalo Alto | 35 | $245,226 | $25,132 | $16,113 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 26 | $61,350 | $11,364 | $10,190 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 16 | $110,230 | $13,049 | $11,613 |
| UCSF Medical CenterSan Francisco | 16 | $120,089 | $22,636 | $17,987 |
| Santa Clara Valley Medical CenterSan Jose | 15 | $103,693 | $20,497 | $18,690 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 15 | $95,577 | $17,918 | $15,603 |
| UCLA Medical CenterLos Angeles | 15 | $111,273 | $27,759 | $18,315 |
| Huntington Memorial HospitalPasadena | 15 | $93,594 | $12,452 | $11,107 |
| Clovis Community Medical CenterClovis | 15 | $76,019 | $11,918 | $10,931 |
| University of California San Diego Medical CenterSan Diego | 14 | $76,744 | $19,363 | $13,419 |
| El Camino HospitalMountain View | 14 | $123,678 | $12,775 | $11,465 |
| Scripps Memorial Hospital la JollaLa Jolla | 14 | $77,357 | $15,737 | $8,937 |
| University of California Davis Medical CenterSacramento | 14 | $136,880 | $19,952 | $15,298 |
| Glendale Adventist Medical CtrGlendale | 13 | $94,321 | $13,333 | $12,129 |
| Enloe Medical CenterChico | 12 | $83,834 | $11,650 | $10,698 |
| Eisenhower Memorial HospitalRancho Mirage | 12 | $77,370 | $13,680 | $10,800 |
| Kaweah Delta Medical CenterVisalia | 11 | $43,182 | $13,780 | $11,903 |
| Providence Saint Joseph Medical CtrBurbank | 11 | $79,047 | $12,290 | $11,036 |
| Sutter Roseville Medical CenterRoseville | 11 | $57,243 | $14,763 | $10,351 |
| Northbay Medical CenterFairfield | 11 | $164,221 | $14,734 | $14,119 |
| Santa Barbara Cottage HospitalSanta Barbara | 11 | $74,932 | $12,993 | $11,563 |
| Scripps Green HospitalLa Jolla | 11 | $42,615 | $15,671 | $10,587 |
| USC University HospitalLos Angeles | 11 | $89,566 | $21,486 | $13,666 |
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 | $11,364 |
|---|---|
| Enloe Medical CenterChico, CA | $11,650 |
| Clovis Community Medical CenterClovis, CA | $11,918 |
| Providence Saint Joseph Medical CtrBurbank, CA | $12,290 |
| Huntington Memorial HospitalPasadena, CA | $12,452 |
Highest
| UCLA Medical CenterLos Angeles, CA | $27,759 |
|---|---|
| Stanford HospitalPalo Alto, CA | $25,132 |
| UCSF Medical CenterSan Francisco, CA | $22,636 |
| USC University HospitalLos Angeles, CA | $21,486 |
| Santa Clara Valley Medical CenterSan Jose, CA | $20,497 |
Digestive malignancy with complications in other states
Questions
How much does digestive malignancy with complications cost in California?
In 2024 Medicare data, a hospital stay for digestive malignancy with complications (DRG 375) at 24 hospitals in California was billed at $116,989 on average, while the average total payment was $16,864, of which Medicare paid $13,142. 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 6.9 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.