Extracranial procedures with complications in California
What 12 hospitals in California charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.
Average charge
$136,616
Hospital list price billed
Average payment
$18,833
Medicare + patient + other payers
Medicare paid
$16,418
Average per stay
State rank
#26 of 29
1 = lowest average payment
Hospitals in California billed an average of $136,616 for extracranial procedures with complications, about 7.3 times the average total payment of $18,833. That payment is 26% above the U.S. average of $14,903.
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 $18,833Billed $136,616
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: extracranial procedures 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 | 28 | $196,483 | $19,509 | $16,957 |
| Sutter General HospitalSacramento | 25 | $76,465 | $20,868 | $16,978 |
| St Joseph HospitalEureka | 20 | $103,727 | $17,419 | $15,916 |
| Stanford HospitalPalo Alto | 17 | $252,642 | $24,937 | $22,430 |
| Sutter Roseville Medical CenterRoseville | 16 | $116,224 | $19,590 | $14,729 |
| Providence Tarzana Medical CenterTarzana | 15 | $100,658 | $16,070 | $14,558 |
| Community Regional Medical CenterFresno | 14 | $89,055 | $18,458 | $15,792 |
| Mercy San Juan Medical CenterCarmichael | 13 | $158,885 | $17,239 | $15,705 |
| Memorial Medical CenterModesto | 13 | $77,692 | $15,728 | $14,220 |
| Enloe Medical CenterChico | 12 | $149,380 | $15,397 | $13,901 |
| Marinhealth Medical CenterGreenbrae | 11 | $154,612 | $18,264 | $16,632 |
| John Muir Medical Center - Concord CampusConcord | 11 | $152,040 | $18,641 | $17,153 |
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
| Enloe Medical CenterChico, CA | $15,397 |
|---|---|
| Memorial Medical CenterModesto, CA | $15,728 |
| Providence Tarzana Medical CenterTarzana, CA | $16,070 |
| Mercy San Juan Medical CenterCarmichael, CA | $17,239 |
| St Joseph HospitalEureka, CA | $17,419 |
Highest
| Stanford HospitalPalo Alto, CA | $24,937 |
|---|---|
| Sutter General HospitalSacramento, CA | $20,868 |
| Sutter Roseville Medical CenterRoseville, CA | $19,590 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $19,509 |
| John Muir Medical Center - Concord CampusConcord, CA | $18,641 |
Extracranial procedures with complications in other states
Questions
How much does extracranial procedures with complications cost in California?
In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 12 hospitals in California was billed at $136,616 on average, while the average total payment was $18,833, of which Medicare paid $16,418. 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 7.3 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.