Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in California
What 72 hospitals in California charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$73,947
Hospital list price billed
Average payment
$10,671
Medicare + patient + other payers
Medicare paid
$8,499
Average per stay
State rank
#36 of 39
1 = lowest average payment
Hospitals in California billed an average of $73,947 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 6.9 times the average total payment of $10,671. That payment is 22% above the U.S. average of $8,749.
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 $10,671Billed $73,947
About 14¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 | 46 | $128,505 | $13,011 | $8,817 |
| Stanford HospitalPalo Alto | 37 | $157,219 | $16,643 | $12,806 |
| Grossmont HospitalLa Mesa | 36 | $49,275 | $9,459 | $8,191 |
| Sharp Memorial HospitalSan Diego | 36 | $60,638 | $13,226 | $7,867 |
| Enloe Medical CenterChico | 35 | $73,571 | $8,460 | $7,201 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 32 | $38,020 | $8,785 | $7,535 |
| El Camino HospitalMountain View | 32 | $92,145 | $10,065 | $8,719 |
| Torrance Memorial Medical CenterTorrance | 32 | $62,131 | $8,685 | $7,257 |
| Los Robles Hospital & Medical CenterThousand Oaks | 32 | $103,014 | $9,101 | $7,556 |
| Sutter Roseville Medical CenterRoseville | 31 | $59,413 | $9,130 | $7,660 |
| Providence Saint Joseph Medical CtrBurbank | 28 | $55,206 | $10,627 | $6,991 |
| Marinhealth Medical CenterGreenbrae | 28 | $91,651 | $10,154 | $8,813 |
| Mission Hospital Regional Med CenterMission Viejo | 27 | $46,500 | $9,004 | $7,375 |
| Oroville HospitalOroville | 26 | $26,881 | $8,741 | $7,486 |
| Huntington Memorial HospitalPasadena | 26 | $84,581 | $9,004 | $7,783 |
| Riverside Community HospitalRiverside | 25 | $88,864 | $12,012 | $9,610 |
| Santa Clara Valley Medical CenterSan Jose | 25 | $67,677 | $14,861 | $12,886 |
| Marian Medical CenterSanta Maria | 25 | $54,918 | $9,757 | $8,122 |
| Scripps Memorial Hospital la JollaLa Jolla | 25 | $52,487 | $8,616 | $7,245 |
| Clovis Community Medical CenterClovis | 25 | $35,559 | $8,852 | $7,377 |
| Los Angeles Community HospitalLos Angeles | 25 | $35,604 | $9,591 | $8,743 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 24 | $99,075 | $11,135 | $7,534 |
| Santa Barbara Cottage HospitalSanta Barbara | 24 | $51,017 | $9,583 | $8,004 |
| Desert Regional Medical CenterPalm Springs | 22 | $137,044 | $10,572 | $8,905 |
| Scripps Memorial Hospital - EncinitasEncinitas | 22 | $41,963 | $8,592 | $7,169 |
| Palomar Medical CenterEscondido | 21 | $112,914 | $8,234 | $6,754 |
| Glendale Adventist Medical CtrGlendale | 21 | $62,763 | $9,939 | $8,238 |
| Good Samaritan HospitalSan Jose | 21 | $127,431 | $11,468 | $8,227 |
| UCSF Medical CenterSan Francisco | 21 | $94,368 | $17,017 | $12,534 |
| Peninsula Medical CenterBurlingame | 19 | $38,187 | $10,146 | $8,632 |
| Scripps Mercy HospitalSan Diego | 19 | $60,004 | $10,621 | $8,670 |
| Saint John's Health CenterSanta Monica | 18 | $41,217 | $8,722 | $6,887 |
| University of California Davis Medical CenterSacramento | 18 | $95,808 | $19,813 | $10,029 |
| Northridge Hospital Medical CenterNorthridge | 17 | $117,906 | $10,054 | $8,251 |
| West Hills Hospital & Medical CenterWest Hills | 17 | $101,087 | $8,945 | $7,601 |
| Eisenhower Memorial HospitalRancho Mirage | 17 | $45,600 | $9,797 | $7,989 |
| Hollywood Community Hospital of HollywoodLos Angeles | 16 | $38,309 | $9,672 | $8,550 |
| Community Hospital of the Monterey PeninsulaMonterey | 16 | $59,076 | $10,169 | $8,743 |
| Ventura County Medical CenterVentura | 16 | $111,662 | $11,712 | $9,774 |
| Sharp Chula Vista Medical CenterChula Vista | 16 | $56,842 | $9,588 | $8,264 |
| Salinas Valley Memorial HospitalSalinas | 16 | $69,377 | $10,450 | $9,024 |
| Mercy San Juan Medical CenterCarmichael | 16 | $67,565 | $10,481 | $7,884 |
| Memorial Medical CenterModesto | 16 | $65,528 | $8,835 | $7,202 |
| St Joseph HospitalEureka | 15 | $66,341 | $10,653 | $7,889 |
| Dominican HospitalSanta Cruz | 15 | $99,826 | $9,532 | $8,009 |
| Mercy Medical Center ReddingRedding | 15 | $65,861 | $9,283 | $6,705 |
| Highland HospitalOakland | 15 | $98,195 | $17,634 | $15,906 |
| Providence Little Company of Mary Med Ctr TorranceTorrance | 15 | $54,684 | $9,249 | $7,532 |
| Eden Medical CenterCastro Valley | 15 | $59,055 | $10,132 | $8,499 |
| Southwest Healthcare SystemMurrieta | 15 | $89,839 | $10,439 | $8,602 |
| University of California San Diego Medical CenterSan Diego | 14 | $60,743 | $14,769 | $10,156 |
| Community Regional Medical CenterFresno | 14 | $69,473 | $10,566 | $8,693 |
| St Johns Regional Medical CenterOxnard | 14 | $53,955 | $9,277 | $7,548 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 14 | $44,169 | $9,673 | $7,984 |
| Los Alamitos Medical CenterLos Alamitos | 14 | $99,896 | $8,479 | $7,080 |
| Providence Tarzana Medical CenterTarzana | 14 | $44,082 | $9,024 | $7,385 |
| San Francisco General HospitalSan Francisco | 13 | $98,864 | $25,901 | $14,446 |
| USC Arcadia HospitalArcadia | 13 | $51,359 | $6,350 | $4,778 |
| John Muir Medical Center - Concord CampusConcord | 13 | $80,812 | $10,198 | $8,464 |
| Sierra Vista Regional Medical CenterSan Luis Obispo | 13 | $104,774 | $8,925 | $7,670 |
| Kaweah Delta Medical CenterVisalia | 12 | $41,155 | $10,359 | $8,467 |
| Saint Agnes Medical CenterFresno | 12 | $42,366 | $10,599 | $8,850 |
| Sutter Medical Center of Santa RosaSanta Rosa | 12 | $47,219 | $11,997 | $10,009 |
| Northbay Medical CenterFairfield | 12 | $115,672 | $10,985 | $9,474 |
| Long Beach Memorial Medical CenterLong Beach | 12 | $67,004 | $10,152 | $8,789 |
| Centinela Hospital Medical CenterInglewood | 12 | $24,004 | $9,651 | $8,495 |
| Foothill Regional Medical CenterTustin | 12 | $43,052 | $9,078 | $7,582 |
| Valley Presbyterian HospitalVan Nuys | 11 | $28,888 | $9,545 | $8,507 |
| Washington HospitalFremont | 11 | $63,986 | $10,130 | $8,461 |
| Riverside County Regional Medical CenterMoreno Valley | 11 | $89,779 | $13,446 | $12,096 |
| Fountain Valley Regional Hospital & Medical CenterFountain Valley | 11 | $115,333 | $9,538 | $8,169 |
| San Ramon Regional Medical CtrSan Ramon | 11 | $153,404 | $9,611 | $8,276 |
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
| USC Arcadia HospitalArcadia, CA | $6,350 |
|---|---|
| Palomar Medical CenterEscondido, CA | $8,234 |
| Enloe Medical CenterChico, CA | $8,460 |
| Los Alamitos Medical CenterLos Alamitos, CA | $8,479 |
| Scripps Memorial Hospital - EncinitasEncinitas, CA | $8,592 |
Highest
| San Francisco General HospitalSan Francisco, CA | $25,901 |
|---|---|
| University of California Davis Medical CenterSacramento, CA | $19,813 |
| Highland HospitalOakland, CA | $17,634 |
| UCSF Medical CenterSan Francisco, CA | $17,017 |
| Stanford HospitalPalo Alto, CA | $16,643 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in California?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 72 hospitals in California was billed at $73,947 on average, while the average total payment was $10,671, of which Medicare paid $8,499. 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 6.9 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.