Digestive malignancy with major complications in California
What 35 hospitals in California charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.
Average charge
$213,550
Hospital list price billed
Average payment
$30,386
Medicare + patient + other payers
Medicare paid
$24,490
Average per stay
State rank
#27 of 28
1 = lowest average payment
Hospitals in California billed an average of $213,550 for digestive malignancy with major complications, about 7.0 times the average total payment of $30,386. That payment is 31% above the U.S. average of $23,203.
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 $30,386Billed $213,550
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 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 |
|---|---|---|---|---|
| Stanford HospitalPalo Alto | 62 | $366,844 | $43,372 | $33,184 |
| Cedars-Sinai Medical CenterLos Angeles | 57 | $438,425 | $34,983 | $27,146 |
| University of California San Diego Medical CenterSan Diego | 33 | $164,968 | $40,474 | $26,227 |
| UCSF Medical CenterSan Francisco | 30 | $288,801 | $51,804 | $38,644 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 24 | $138,051 | $29,067 | $27,017 |
| University of California Davis Medical CenterSacramento | 24 | $159,928 | $30,716 | $25,449 |
| Torrance Memorial Medical CenterTorrance | 21 | $224,700 | $20,917 | $20,141 |
| Los Robles Hospital & Medical CenterThousand Oaks | 21 | $205,995 | $32,632 | $15,927 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 20 | $281,501 | $27,959 | $26,776 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 19 | $100,151 | $20,112 | $16,974 |
| Sutter Roseville Medical CenterRoseville | 18 | $111,911 | $22,273 | $20,973 |
| Scripps Memorial Hospital la JollaLa Jolla | 18 | $121,946 | $20,092 | $16,204 |
| Huntington Memorial HospitalPasadena | 18 | $159,340 | $18,810 | $17,717 |
| Long Beach Memorial Medical CenterLong Beach | 18 | $268,616 | $32,982 | $28,019 |
| Santa Barbara Cottage HospitalSanta Barbara | 17 | $218,911 | $27,632 | $25,269 |
| Scripps Green HospitalLa Jolla | 17 | $131,572 | $28,594 | $22,024 |
| St Jude Medical CenterFullerton | 16 | $111,353 | $17,688 | $16,565 |
| Providence Holy Cross Medical CenterMission Hills | 16 | $153,242 | $21,068 | $19,415 |
| Enloe Medical CenterChico | 15 | $154,312 | $19,330 | $18,351 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 15 | $118,934 | $35,055 | $27,697 |
| Community Hospital of the Monterey PeninsulaMonterey | 15 | $309,601 | $52,377 | $38,301 |
| PIH Health Hospital-WhittierWhittier | 15 | $117,899 | $21,239 | $18,177 |
| UCLA Medical CenterLos Angeles | 15 | $175,457 | $43,756 | $32,774 |
| Good Samaritan HospitalSan Jose | 15 | $340,724 | $22,466 | $21,598 |
| Mission Hospital Regional Med CenterMission Viejo | 14 | $80,662 | $18,967 | $16,516 |
| Santa Rosa Memorial HospitalSanta Rosa | 13 | $135,149 | $23,034 | $20,767 |
| Glendale Adventist Medical CtrGlendale | 13 | $158,070 | $23,172 | $22,277 |
| El Camino HospitalMountain View | 13 | $198,430 | $22,493 | $21,573 |
| UCI Health-OrangeOrange | 13 | $159,229 | $33,003 | $27,663 |
| USC Arcadia HospitalArcadia | 12 | $140,369 | $15,427 | $14,329 |
| Good Samaritan HospitalLos Angeles | 12 | $85,648 | $20,996 | $19,886 |
| Scripps Memorial Hospital - EncinitasEncinitas | 12 | $111,027 | $19,337 | $18,473 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 11 | $111,997 | $21,660 | $17,066 |
| USC University HospitalLos Angeles | 11 | $154,104 | $39,521 | $23,880 |
| Temecula Valley HospitalTemecula | 11 | $130,993 | $26,607 | $23,876 |
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 | $15,427 |
|---|---|
| St Jude Medical CenterFullerton, CA | $17,688 |
| Huntington Memorial HospitalPasadena, CA | $18,810 |
| Mission Hospital Regional Med CenterMission Viejo, CA | $18,967 |
| Enloe Medical CenterChico, CA | $19,330 |
Highest
| Community Hospital of the Monterey PeninsulaMonterey, CA | $52,377 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $51,804 |
| UCLA Medical CenterLos Angeles, CA | $43,756 |
| Stanford HospitalPalo Alto, CA | $43,372 |
| University of California San Diego Medical CenterSan Diego, CA | $40,474 |
Digestive malignancy with major complications in other states
Questions
How much does digestive malignancy with major complications cost in California?
In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 35 hospitals in California was billed at $213,550 on average, while the average total payment was $30,386, of which Medicare paid $24,490. 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 7.0 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.