facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in California: 52 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in California

What 52 hospitals in California charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $416,072 Hospital list price billed
Average payment $75,059 Medicare + patient + other payers
Medicare paid $70,954 Average per stay
State rank #41 of 42 1 = lowest average payment

Hospitals in California billed an average of $416,072 for endovascular cardiac valve replacement and supplement procedures with major complications, about 5.5 times the average total payment of $75,059. That payment is 31% above the U.S. average of $57,249.

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 $75,059Billed $416,072

About 18¢ 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: endovascular cardiac valve replacement and supplement procedures 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
Cedars-Sinai Medical CenterLos Angeles 434 $661,468 $74,777 $70,525
Eisenhower Memorial HospitalRancho Mirage 132 $181,540 $68,498 $66,003
Scripps Memorial Hospital la JollaLa Jolla 102 $554,315 $68,220 $64,473
Glendale Adventist Medical CtrGlendale 84 $333,587 $64,352 $63,311
UCLA Medical CenterLos Angeles 84 $246,510 $104,651 $93,345
University of California Davis Medical CenterSacramento 77 $329,558 $89,455 $84,561
Enloe Medical CenterChico 71 $221,415 $58,743 $57,709
Stanford HospitalPalo Alto 66 $765,836 $109,863 $102,294
St Joseph HospitalOrange 64 $150,946 $62,826 $57,469
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 58 $299,249 $96,671 $83,755
Saint Agnes Medical CenterFresno 56 $181,292 $68,813 $63,562
UCI Health-OrangeOrange 55 $226,823 $89,941 $86,551
Shasta Regional Medical CenterRedding 53 $333,448 $58,331 $56,871
Torrance Memorial Medical CenterTorrance 49 $349,029 $60,129 $54,612
Sutter General HospitalSacramento 48 $248,223 $70,138 $68,911
Santa Rosa Memorial HospitalSanta Rosa 45 $314,232 $69,338 $66,326
Marinhealth Medical CenterGreenbrae 41 $437,204 $68,551 $67,595
Antelope Valley Hospital Med CenterLancaster 40 $366,666 $73,669 $72,965
UCSF Medical CenterSan Francisco 40 $702,024 $138,738 $127,481
Alta Bates Summit Medical CenterOakland 38 $340,381 $75,772 $74,893
Good Samaritan HospitalLos Angeles 37 $293,354 $64,599 $64,109
Sharp Memorial HospitalSan Diego 36 $286,443 $68,621 $59,287
Marian Medical CenterSanta Maria 33 $319,399 $63,437 $61,958
El Camino HospitalMountain View 33 $475,656 $68,074 $67,053
Santa Barbara Cottage HospitalSanta Barbara 32 $312,436 $62,294 $60,809
Salinas Valley Memorial HospitalSalinas 31 $268,159 $70,027 $68,672
St Josephs Med Center of StocktonStockton 30 $270,434 $78,976 $77,872
Los Robles Hospital & Medical CenterThousand Oaks 30 $1,003,521 $64,019 $62,828
Bakersfield Memorial HospitalBakersfield 29 $395,704 $66,154 $65,642
Peninsula Medical CenterBurlingame 27 $332,429 $77,221 $76,209
Long Beach Memorial Medical CenterLong Beach 26 $383,825 $70,245 $57,452
Memorial Medical CenterModesto 26 $220,589 $60,325 $59,131
USC University HospitalLos Angeles 26 $527,151 $118,999 $101,524
John Muir Medical Center - Concord CampusConcord 24 $669,720 $70,303 $69,197
Dominican HospitalSanta Cruz 23 $499,581 $68,667 $68,101
Tri-City Medical CenterOceanside 20 $356,491 $60,040 $59,618
Grossmont HospitalLa Mesa 19 $312,245 $62,886 $62,370
Community Regional Medical CenterFresno 19 $221,651 $67,982 $66,702
St Jude Medical CenterFullerton 19 $240,092 $62,373 $54,260
Mission Hospital Regional Med CenterMission Viejo 19 $158,479 $58,364 $57,333
St Helena HospitalDeer Park 17 $509,564 $73,082 $64,801
University of California San Diego Medical CenterSan Diego 17 $338,473 $93,237 $80,866
Washington HospitalFremont 17 $348,389 $70,908 $70,112
Loma Linda University Medical CenterLoma Linda 16 $318,378 $90,132 $84,664
Scripps Mercy HospitalSan Diego 15 $590,779 $75,796 $74,004
Community Memorial Hospital - VenturaVentura 15 $388,559 $77,481 $75,799
Doctors Medical CenterModesto 14 $805,764 $64,918 $63,791
French Hospital Medical CenterSan Luis Obispo 13 $346,395 $57,894 $56,765
Riverside Community HospitalRiverside 12 $993,068 $78,732 $76,059
Sharp Chula Vista Medical CenterChula Vista 12 $240,512 $67,008 $56,854
Loma Linda University Medical Center-MurrietaMurrieta 12 $301,941 $67,664 $66,888
Adventist Health BakersfieldBakersfield 11 $358,126 $61,191 $59,848
Advertisement

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

French Hospital Medical CenterSan Luis Obispo, CA$57,894
Shasta Regional Medical CenterRedding, CA$58,331
Mission Hospital Regional Med CenterMission Viejo, CA$58,364
Enloe Medical CenterChico, CA$58,743
Tri-City Medical CenterOceanside, CA$60,040

Highest

UCSF Medical CenterSan Francisco, CA$138,738
USC University HospitalLos Angeles, CA$118,999
Stanford HospitalPalo Alto, CA$109,863
UCLA Medical CenterLos Angeles, CA$104,651
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$96,671

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in California?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 52 hospitals in California was billed at $416,072 on average, while the average total payment was $75,059, of which Medicare paid $70,954. 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 5.5 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.