facebook tracking Extracranial procedures without complications cost in California: 16 hospitals compared (DRG 039)

Extracranial procedures without complications in California

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.

DRG 039 Inpatient 2024 Medicare data
Average charge $87,978 Hospital list price billed
Average payment $12,902 Medicare + patient + other payers
Medicare paid $10,635 Average per stay
State rank #36 of 38 1 = lowest average payment

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.

Paid $12,902Billed $87,978

About 15¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: extracranial procedures without 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
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
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$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

Highest

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

Extracranial procedures without complications in other states

Questions

How much does extracranial procedures without complications cost in California?

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.

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 6.8 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.