Disorders of the biliary tract with complications in California
What 50 hospitals in California charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Average charge
$97,245
Hospital list price billed
Average payment
$13,874
Medicare + patient + other payers
Medicare paid
$11,384
Average per stay
State rank
#39 of 40
1 = lowest average payment
Hospitals in California billed an average of $97,245 for disorders of the biliary tract with complications, about 7.0 times the average total payment of $13,874. That payment is 26% above the U.S. average of $10,996.
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 $13,874Billed $97,245
About 14¢ 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 the biliary tract 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 | 62 | $190,903 | $14,768 | $11,495 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 37 | $57,310 | $10,580 | $9,360 |
| Sutter Roseville Medical CenterRoseville | 37 | $70,035 | $11,445 | $10,268 |
| Stanford HospitalPalo Alto | 35 | $184,040 | $18,797 | $15,116 |
| Mercy San Juan Medical CenterCarmichael | 26 | $86,902 | $11,854 | $10,633 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 24 | $58,676 | $18,158 | $13,223 |
| Sutter General HospitalSacramento | 24 | $65,698 | $13,762 | $11,633 |
| University of California Davis Medical CenterSacramento | 22 | $133,955 | $19,436 | $12,337 |
| UCI Health-OrangeOrange | 21 | $74,013 | $19,764 | $13,505 |
| Huntington Memorial HospitalPasadena | 21 | $87,111 | $11,373 | $10,031 |
| University of California San Diego Medical CenterSan Diego | 20 | $74,467 | $18,461 | $13,038 |
| Grossmont HospitalLa Mesa | 19 | $71,731 | $11,486 | $10,198 |
| Community Regional Medical CenterFresno | 19 | $81,595 | $12,721 | $10,962 |
| Scripps Green HospitalLa Jolla | 19 | $63,812 | $13,608 | $11,152 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 18 | $120,198 | $16,406 | $9,792 |
| Scripps Memorial Hospital la JollaLa Jolla | 18 | $71,366 | $11,463 | $8,463 |
| Clovis Community Medical CenterClovis | 18 | $67,018 | $10,608 | $9,330 |
| Eisenhower Memorial HospitalRancho Mirage | 18 | $102,343 | $12,670 | $10,464 |
| Kaweah Delta Medical CenterVisalia | 17 | $33,517 | $11,796 | $10,109 |
| El Camino HospitalMountain View | 17 | $129,779 | $12,288 | $11,305 |
| Memorial Medical CenterModesto | 17 | $67,267 | $10,798 | $9,813 |
| Torrance Memorial Medical CenterTorrance | 16 | $107,276 | $10,655 | $9,229 |
| UCSF Medical CenterSan Francisco | 16 | $88,736 | $19,458 | $16,235 |
| Marian Medical CenterSanta Maria | 15 | $67,711 | $11,824 | $10,706 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 15 | $58,520 | $13,122 | $11,586 |
| Glendale Adventist Medical CtrGlendale | 15 | $98,176 | $12,135 | $10,589 |
| Desert Regional Medical CenterPalm Springs | 15 | $207,517 | $12,944 | $11,196 |
| Los Angeles General Medical CenterLos Angeles | 15 | $53,027 | $26,484 | $21,910 |
| Scripps Memorial Hospital - EncinitasEncinitas | 15 | $43,783 | $10,049 | $7,857 |
| San Francisco General HospitalSan Francisco | 14 | $122,882 | $25,034 | $22,359 |
| Alta Bates Summit Medical Center - Alta Bates CampBerkeley | 14 | $65,591 | $13,009 | $11,822 |
| Good Samaritan HospitalSan Jose | 14 | $198,076 | $12,106 | $10,824 |
| Enloe Medical CenterChico | 13 | $85,692 | $12,039 | $8,337 |
| Salinas Valley Memorial HospitalSalinas | 13 | $95,979 | $12,763 | $11,759 |
| Santa Barbara Cottage HospitalSanta Barbara | 13 | $84,705 | $13,225 | $11,513 |
| Los Robles Hospital & Medical CenterThousand Oaks | 13 | $150,537 | $11,506 | $10,168 |
| Mission Hospital Regional Med CenterMission Viejo | 13 | $60,424 | $10,630 | $8,577 |
| Santa Clara Valley Medical CenterSan Jose | 12 | $77,025 | $17,608 | $15,867 |
| Saint Agnes Medical CenterFresno | 12 | $52,026 | $12,445 | $10,793 |
| Santa Rosa Memorial HospitalSanta Rosa | 12 | $112,576 | $12,826 | $10,540 |
| Dominican HospitalSanta Cruz | 12 | $90,421 | $13,060 | $9,568 |
| Ventura County Medical CenterVentura | 11 | $71,482 | $13,677 | $12,301 |
| Washington HospitalFremont | 11 | $97,839 | $12,485 | $10,976 |
| Sharp Chula Vista Medical CenterChula Vista | 11 | $104,853 | $11,670 | $10,780 |
| Providence Saint Joseph Medical CtrBurbank | 11 | $79,969 | $11,275 | $10,203 |
| Mercy Medical Center ReddingRedding | 11 | $80,052 | $11,422 | $9,771 |
| Marinhealth Medical CenterGreenbrae | 11 | $127,730 | $12,619 | $10,435 |
| Adventist Health BakersfieldBakersfield | 11 | $53,367 | $10,879 | $9,689 |
| Long Beach Memorial Medical CenterLong Beach | 11 | $111,246 | $13,788 | $9,575 |
| Orange Coast Memorial Medical CenterFountain Valley | 11 | $73,243 | $10,998 | $8,690 |
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 | $10,049 |
|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $10,580 |
| Clovis Community Medical CenterClovis, CA | $10,608 |
| Mission Hospital Regional Med CenterMission Viejo, CA | $10,630 |
| Torrance Memorial Medical CenterTorrance, CA | $10,655 |
Highest
| Los Angeles General Medical CenterLos Angeles, CA | $26,484 |
|---|---|
| San Francisco General HospitalSan Francisco, CA | $25,034 |
| UCI Health-OrangeOrange, CA | $19,764 |
| UCSF Medical CenterSan Francisco, CA | $19,458 |
| University of California Davis Medical CenterSacramento, CA | $19,436 |
Disorders of the biliary tract with complications in other states
Questions
How much does disorders of the biliary tract with complications cost in California?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 50 hospitals in California was billed at $97,245 on average, while the average total payment was $13,874, of which Medicare paid $11,384. 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.