Extensive operating room procedures unrelated to principal diagnosis with major complications in California
What 65 hospitals in California charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$390,779
Hospital list price billed
Average payment
$62,446
Medicare + patient + other payers
Medicare paid
$55,720
Average per stay
State rank
#41 of 42
1 = lowest average payment
Hospitals in California billed an average of $390,779 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 6.3 times the average total payment of $62,446. That payment is 33% above the U.S. average of $47,051.
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 $62,446Billed $390,779
About 16¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 | 86 | $741,573 | $71,603 | $62,722 |
| Stanford HospitalPalo Alto | 65 | $790,784 | $102,982 | $81,365 |
| Pomona Valley Hospital Medical CenterPomona | 53 | $229,816 | $37,111 | $35,445 |
| Community Regional Medical CenterFresno | 36 | $296,887 | $58,297 | $53,755 |
| Enloe Medical CenterChico | 32 | $303,283 | $42,956 | $41,988 |
| University of California Davis Medical CenterSacramento | 32 | $534,471 | $101,477 | $82,846 |
| Santa Barbara Cottage HospitalSanta Barbara | 30 | $280,607 | $56,736 | $54,562 |
| Mercy Medical Center ReddingRedding | 29 | $259,196 | $44,275 | $42,644 |
| UCSF Medical CenterSan Francisco | 29 | $494,344 | $101,660 | $90,733 |
| Scripps Memorial Hospital la JollaLa Jolla | 27 | $325,727 | $44,069 | $42,875 |
| University of California San Diego Medical CenterSan Diego | 26 | $267,400 | $72,229 | $58,474 |
| Clovis Community Medical CenterClovis | 26 | $339,660 | $66,866 | $45,712 |
| USC University HospitalLos Angeles | 25 | $387,693 | $84,411 | $66,635 |
| UCLA Medical CenterLos Angeles | 24 | $627,664 | $158,720 | $128,924 |
| Kaweah Delta Medical CenterVisalia | 22 | $141,516 | $49,395 | $44,654 |
| Hollywood Community Hospital of HollywoodLos Angeles | 22 | $188,452 | $45,544 | $44,376 |
| Loma Linda University Medical CenterLoma Linda | 21 | $421,718 | $78,744 | $68,695 |
| Torrance Memorial Medical CenterTorrance | 21 | $304,398 | $43,662 | $42,459 |
| Eisenhower Memorial HospitalRancho Mirage | 21 | $240,363 | $51,203 | $49,032 |
| Alta Bates Summit Medical CenterOakland | 20 | $253,012 | $57,671 | $56,698 |
| St Josephs Med Center of StocktonStockton | 20 | $355,001 | $51,312 | $49,700 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 20 | $753,399 | $97,864 | $97,036 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 20 | $221,535 | $43,423 | $42,594 |
| El Camino HospitalMountain View | 20 | $392,638 | $53,582 | $52,541 |
| Saint Agnes Medical CenterFresno | 19 | $220,045 | $52,160 | $44,241 |
| Sharp Memorial HospitalSan Diego | 19 | $484,703 | $66,188 | $61,125 |
| Glendale Adventist Medical CtrGlendale | 19 | $255,349 | $46,104 | $44,827 |
| Sharp Chula Vista Medical CenterChula Vista | 18 | $306,051 | $44,295 | $42,980 |
| Providence Holy Cross Medical CenterMission Hills | 18 | $365,164 | $60,270 | $54,721 |
| Fountain Valley Regional Hospital & Medical CenterFountain Valley | 18 | $727,893 | $66,778 | $56,489 |
| Sutter General HospitalSacramento | 17 | $282,391 | $71,650 | $49,542 |
| Adventist Health BakersfieldBakersfield | 17 | $277,192 | $44,307 | $43,240 |
| Doctors Medical CenterModesto | 17 | $989,908 | $59,553 | $58,423 |
| John Muir Medical Center - Concord CampusConcord | 17 | $472,120 | $50,831 | $49,452 |
| St Johns Regional Medical CenterOxnard | 16 | $269,886 | $46,817 | $45,626 |
| Community Hospital of the Monterey PeninsulaMonterey | 16 | $434,865 | $78,371 | $77,047 |
| PIH Health Hospital-WhittierWhittier | 16 | $244,527 | $45,264 | $44,622 |
| Stanford Health Care Tri-ValleyPleasanton | 16 | $452,340 | $53,295 | $51,969 |
| Providence Tarzana Medical CenterTarzana | 15 | $216,063 | $48,827 | $47,862 |
| San Antonio Community HospitalUpland | 14 | $299,668 | $44,290 | $43,415 |
| UCI Health-OrangeOrange | 14 | $354,081 | $83,900 | $76,657 |
| Community Memorial Hospital - VenturaVentura | 14 | $101,595 | $43,791 | $41,824 |
| Mission Hospital Regional Med CenterMission Viejo | 14 | $233,329 | $68,597 | $34,288 |
| Temecula Valley HospitalTemecula | 14 | $260,382 | $57,536 | $54,159 |
| Grossmont HospitalLa Mesa | 13 | $447,718 | $52,310 | $49,174 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 13 | $259,982 | $77,861 | $69,188 |
| Scripps Mercy HospitalSan Diego | 13 | $269,697 | $51,007 | $48,458 |
| Palomar Medical CenterEscondido | 13 | $408,127 | $46,369 | $44,907 |
| Tri-City Medical CenterOceanside | 13 | $297,469 | $51,922 | $48,093 |
| St Bernardine Medical CenterSan Bernardino | 13 | $250,689 | $48,200 | $45,652 |
| Sutter Roseville Medical CenterRoseville | 13 | $210,925 | $50,344 | $34,626 |
| Salinas Valley Memorial HospitalSalinas | 13 | $354,113 | $53,073 | $52,194 |
| Northbay Medical CenterFairfield | 13 | $479,648 | $56,355 | $55,063 |
| Huntington Memorial HospitalPasadena | 13 | $554,841 | $72,237 | $68,211 |
| Mercy San Juan Medical CenterCarmichael | 13 | $343,143 | $46,420 | $45,098 |
| St Joseph HospitalOrange | 12 | $206,239 | $50,215 | $36,476 |
| Desert Regional Medical CenterPalm Springs | 12 | $541,878 | $51,395 | $49,086 |
| Long Beach Memorial Medical CenterLong Beach | 12 | $302,132 | $47,405 | $45,166 |
| Marina del Rey HospitalMarina del Rey | 12 | $202,382 | $39,133 | $35,631 |
| Queen of the Valley Medical CenterNapa | 11 | $282,979 | $43,984 | $42,831 |
| Bakersfield Memorial HospitalBakersfield | 11 | $165,288 | $43,002 | $41,804 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 11 | $278,797 | $73,284 | $69,411 |
| USC Arcadia HospitalArcadia | 11 | $292,924 | $43,853 | $42,699 |
| Los Angeles Community HospitalLos Angeles | 11 | $194,079 | $45,289 | $44,113 |
| Sherman Oaks HospitalSherman Oaks | 11 | $131,896 | $45,054 | $43,867 |
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
| Pomona Valley Hospital Medical CenterPomona, CA | $37,111 |
|---|---|
| Marina del Rey HospitalMarina del Rey, CA | $39,133 |
| Enloe Medical CenterChico, CA | $42,956 |
| Bakersfield Memorial HospitalBakersfield, CA | $43,002 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $43,423 |
Highest
| UCLA Medical CenterLos Angeles, CA | $158,720 |
|---|---|
| Stanford HospitalPalo Alto, CA | $102,982 |
| UCSF Medical CenterSan Francisco, CA | $101,660 |
| University of California Davis Medical CenterSacramento, CA | $101,477 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA | $97,864 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in California?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 65 hospitals in California was billed at $390,779 on average, while the average total payment was $62,446, of which Medicare paid $55,720. 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 6.3 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.