Disorders of the biliary tract with major complications in California
What 33 hospitals in California charged and were paid for a Medicare hospital stay for disorders of the biliary tract with major complications (DRG 444), from 2024 Medicare claims.
Average charge
$161,006
Hospital list price billed
Average payment
$22,867
Medicare + patient + other payers
Medicare paid
$18,917
Average per stay
State rank
#33 of 34
1 = lowest average payment
Hospitals in California billed an average of $161,006 for disorders of the biliary tract with major complications, about 7.0 times the average total payment of $22,867. That payment is 33% above the U.S. average of $17,218.
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 $22,867Billed $161,006
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 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 | 45 | $396,642 | $41,491 | $30,982 |
| Cedars-Sinai Medical CenterLos Angeles | 45 | $259,759 | $22,966 | $18,749 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 33 | $82,327 | $15,826 | $14,899 |
| University of California San Diego Medical CenterSan Diego | 23 | $99,568 | $27,819 | $20,719 |
| University of California Davis Medical CenterSacramento | 21 | $171,185 | $28,908 | $23,403 |
| UCSF Medical CenterSan Francisco | 18 | $230,757 | $39,614 | $32,934 |
| Mercy San Juan Medical CenterCarmichael | 18 | $92,370 | $17,240 | $16,301 |
| Marian Medical CenterSanta Maria | 16 | $94,983 | $19,380 | $15,126 |
| Hollywood Community Hospital of HollywoodLos Angeles | 16 | $101,738 | $17,651 | $17,141 |
| Washington HospitalFremont | 16 | $135,490 | $18,720 | $17,758 |
| Sutter Roseville Medical CenterRoseville | 16 | $109,021 | $17,209 | $14,734 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 15 | $173,276 | $18,128 | $16,919 |
| Glendale Adventist Medical CtrGlendale | 15 | $95,258 | $18,048 | $16,464 |
| Doctors Medical CenterModesto | 15 | $333,604 | $17,574 | $16,535 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 14 | $86,543 | $19,292 | $16,389 |
| French Hospital Medical CenterSan Luis Obispo | 14 | $95,946 | $15,705 | $14,889 |
| Santa Rosa Memorial HospitalSanta Rosa | 13 | $125,713 | $19,107 | $17,904 |
| UCI Health-OrangeOrange | 13 | $121,342 | $28,830 | $21,362 |
| Good Samaritan HospitalSan Jose | 13 | $360,452 | $18,874 | $17,869 |
| Alta Bates Summit Medical CenterOakland | 12 | $84,805 | $19,021 | $16,466 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 12 | $109,954 | $28,827 | $23,083 |
| Sharp Memorial HospitalSan Diego | 12 | $78,846 | $29,544 | $13,161 |
| Providence Saint Joseph Medical CtrBurbank | 12 | $97,066 | $16,882 | $15,673 |
| UCLA Medical CenterLos Angeles | 12 | $127,867 | $34,719 | $24,711 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 12 | $145,658 | $17,299 | $15,413 |
| Memorial Medical CenterModesto | 12 | $91,824 | $16,241 | $14,947 |
| Eisenhower Memorial HospitalRancho Mirage | 12 | $106,462 | $19,078 | $15,381 |
| Community Regional Medical CenterFresno | 11 | $104,015 | $17,999 | $16,053 |
| Northridge Hospital Medical CenterNorthridge | 11 | $130,234 | $17,334 | $15,552 |
| St Jude Medical CenterFullerton | 11 | $93,757 | $16,217 | $15,267 |
| Scripps Memorial Hospital - EncinitasEncinitas | 11 | $48,839 | $15,253 | $14,197 |
| Mission Hospital Regional Med CenterMission Viejo | 11 | $87,162 | $16,117 | $13,540 |
| Temecula Valley HospitalTemecula | 11 | $126,372 | $23,152 | $18,016 |
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 | $15,253 |
|---|---|
| French Hospital Medical CenterSan Luis Obispo, CA | $15,705 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $15,826 |
| Mission Hospital Regional Med CenterMission Viejo, CA | $16,117 |
| St Jude Medical CenterFullerton, CA | $16,217 |
Highest
| Stanford HospitalPalo Alto, CA | $41,491 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $39,614 |
| UCLA Medical CenterLos Angeles, CA | $34,719 |
| Sharp Memorial HospitalSan Diego, CA | $29,544 |
| University of California Davis Medical CenterSacramento, CA | $28,908 |
Disorders of the biliary tract with major complications in other states
Questions
How much does disorders of the biliary tract with major complications cost in California?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with major complications (DRG 444) at 33 hospitals in California was billed at $161,006 on average, while the average total payment was $22,867, of which Medicare paid $18,917. 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.