What 16 hospitals in California charged and were paid for a Medicare hospital stay for extracranial procedures without complications (DRG 039), from 2024 Medicare claims.
Hospitals in California billed an average of $87,978 for extracranial procedures without complications, about 6.8 times the average total payment of $12,902. That payment is 24% above the U.S. average of $10,372.
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.
About 15¢ 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:
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 |
|---|---|---|---|---|
| Memorial Medical CenterModesto | 37 | $50,859 | $12,244 | $9,644 |
| St Joseph HospitalEureka | 36 | $84,578 | $12,529 | $11,028 |
| Cedars-Sinai Medical CenterLos Angeles | 35 | $175,647 | $15,468 | $11,455 |
| Sutter General HospitalSacramento | 29 | $72,005 | $13,374 | $11,808 |
| Enloe Medical CenterChico | 24 | $119,595 | $11,054 | $9,490 |
| Community Regional Medical CenterFresno | 23 | $40,689 | $12,900 | $10,959 |
| Sutter Roseville Medical CenterRoseville | 22 | $66,485 | $16,265 | $9,377 |
| John Muir Medical Center - Concord CampusConcord | 20 | $121,409 | $13,353 | $11,882 |
| French Hospital Medical CenterSan Luis Obispo | 18 | $80,897 | $10,963 | $9,603 |
| Kaweah Delta Medical CenterVisalia | 14 | $39,700 | $12,390 | $10,733 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 14 | $58,923 | $11,056 | $9,764 |
| Marinhealth Medical CenterGreenbrae | 13 | $131,003 | $13,104 | $11,723 |
| Santa Barbara Cottage HospitalSanta Barbara | 13 | $101,936 | $12,039 | $10,597 |
| Eisenhower Memorial HospitalRancho Mirage | 13 | $80,209 | $12,682 | $11,482 |
| St Joseph HospitalOrange | 12 | $55,123 | $12,181 | $10,226 |
| Providence Tarzana Medical CenterTarzana | 12 | $87,006 | $11,536 | $9,975 |
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.
| French Hospital Medical CenterSan Luis Obispo, CA | $10,963 |
|---|---|
| Enloe Medical CenterChico, CA | $11,054 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $11,056 |
| Providence Tarzana Medical CenterTarzana, CA | $11,536 |
| Santa Barbara Cottage HospitalSanta Barbara, CA | $12,039 |
| Sutter Roseville Medical CenterRoseville, CA | $16,265 |
|---|---|
| Cedars-Sinai Medical CenterLos Angeles, CA | $15,468 |
| Sutter General HospitalSacramento, CA | $13,374 |
| John Muir Medical Center - Concord CampusConcord, CA | $13,353 |
| Marinhealth Medical CenterGreenbrae, CA | $13,104 |
In 2024 Medicare data, a hospital stay for extracranial procedures without complications (DRG 039) at 16 hospitals in California was billed at $87,978 on average, while the average total payment was $12,902, of which Medicare paid $10,635. Your own cost depends on your insurance, deductible and the hospital.
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 6.8 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.