Disorders of pancreas except malignancy with complications in California
What 30 hospitals in California charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with complications (DRG 439), from 2024 Medicare claims.
Average charge
$81,357
Hospital list price billed
Average payment
$10,922
Medicare + patient + other payers
Medicare paid
$8,284
Average per stay
State rank
#35 of 37
1 = lowest average payment
Hospitals in California billed an average of $81,357 for disorders of pancreas except malignancy with complications, about 7.4 times the average total payment of $10,922. That payment is 21% above the U.S. average of $9,024.
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 $10,922Billed $81,357
About 13¢ 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: disorders of pancreas except 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 | 63 | $149,776 | $11,809 | $9,079 |
| Enloe Medical CenterChico | 23 | $66,205 | $8,368 | $7,126 |
| Sutter Roseville Medical CenterRoseville | 22 | $67,772 | $9,136 | $7,881 |
| Salinas Valley Memorial HospitalSalinas | 20 | $94,852 | $10,184 | $8,715 |
| Saint Agnes Medical CenterFresno | 19 | $38,952 | $9,933 | $8,292 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 19 | $46,002 | $8,804 | $6,848 |
| Mercy Medical Center ReddingRedding | 18 | $62,213 | $9,105 | $7,847 |
| Memorial Medical CenterModesto | 18 | $52,082 | $8,605 | $7,335 |
| Eisenhower Memorial HospitalRancho Mirage | 17 | $61,958 | $10,216 | $7,161 |
| University of California San Diego Medical CenterSan Diego | 16 | $62,059 | $16,508 | $10,342 |
| University of California Davis Medical CenterSacramento | 16 | $104,935 | $14,378 | $10,441 |
| Community Regional Medical CenterFresno | 15 | $52,231 | $10,059 | $8,874 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 14 | $62,248 | $15,248 | $8,861 |
| St Johns Regional Medical CenterOxnard | 14 | $59,727 | $8,896 | $7,762 |
| Community Hospital of the Monterey PeninsulaMonterey | 14 | $66,320 | $9,716 | $8,667 |
| Huntington Memorial HospitalPasadena | 14 | $70,488 | $8,794 | $6,927 |
| Scripps Memorial Hospital - EncinitasEncinitas | 14 | $42,539 | $8,012 | $6,838 |
| Scripps Mercy HospitalSan Diego | 13 | $58,195 | $9,639 | $8,451 |
| Scripps Green HospitalLa Jolla | 13 | $40,789 | $11,963 | $7,458 |
| Stanford HospitalPalo Alto | 13 | $180,648 | $15,797 | $12,100 |
| Los Robles Hospital & Medical CenterThousand Oaks | 13 | $107,347 | $17,068 | $7,016 |
| Rideout Memorial HospitalMarysville | 12 | $75,961 | $9,223 | $7,999 |
| Marshall Medical Center (1-Rh)Placerville | 12 | $71,756 | $8,822 | $7,598 |
| Sutter Medical Center of Santa RosaSanta Rosa | 12 | $54,156 | $16,508 | $8,214 |
| Grossmont HospitalLa Mesa | 11 | $99,767 | $11,553 | $7,182 |
| Sharp Memorial HospitalSan Diego | 11 | $71,360 | $10,005 | $7,712 |
| Marian Medical CenterSanta Maria | 11 | $58,978 | $9,879 | $7,438 |
| Santa Rosa Memorial HospitalSanta Rosa | 11 | $64,532 | $10,307 | $8,581 |
| Washington HospitalFremont | 11 | $66,381 | $9,961 | $8,596 |
| Northbay Medical CenterFairfield | 11 | $154,117 | $10,596 | $9,530 |
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
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $8,012 |
|---|---|
| Enloe Medical CenterChico, CA | $8,368 |
| Memorial Medical CenterModesto, CA | $8,605 |
| Huntington Memorial HospitalPasadena, CA | $8,794 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $8,804 |
Highest
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $17,068 |
|---|---|
| Sutter Medical Center of Santa RosaSanta Rosa, CA | $16,508 |
| University of California San Diego Medical CenterSan Diego, CA | $16,508 |
| Stanford HospitalPalo Alto, CA | $15,797 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $15,248 |
Disorders of pancreas except malignancy with complications in other states
Questions
How much does disorders of pancreas except malignancy with complications cost in California?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with complications (DRG 439) at 30 hospitals in California was billed at $81,357 on average, while the average total payment was $10,922, of which Medicare paid $8,284. 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 7.4 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.