facebook tracking Fractures of hip and pelvis without major complications cost in California: 47 hospitals compared (DRG 536)

Fractures of hip and pelvis without major complications in California

What 47 hospitals in California charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.

DRG 536 Inpatient 2024 Medicare data
Average charge $64,056 Hospital list price billed
Average payment $9,139 Medicare + patient + other payers
Medicare paid $7,117 Average per stay
State rank #35 of 37 1 = lowest average payment

Hospitals in California billed an average of $64,056 for fractures of hip and pelvis without major complications, about 7.0 times the average total payment of $9,139. That payment is 20% above the U.S. average of $7,596.

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 $9,139Billed $64,056

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: fractures of hip and pelvis 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
Hoag Memorial Hospital PresbyterianNewport Beach 41 $33,640 $7,631 $6,412
Los Robles Hospital & Medical CenterThousand Oaks 35 $90,053 $9,739 $6,502
Eisenhower Memorial HospitalRancho Mirage 35 $42,825 $8,796 $7,163
Cedars-Sinai Medical CenterLos Angeles 31 $155,611 $11,329 $7,846
Mission Hospital Regional Med CenterMission Viejo 30 $50,285 $7,996 $6,473
John Muir Medical Center - Walnut Creek CampusWalnut Creek 29 $86,483 $8,761 $7,459
El Camino HospitalMountain View 28 $79,935 $8,960 $7,834
Scripps Memorial Hospital la JollaLa Jolla 28 $58,440 $8,160 $6,018
Marinhealth Medical CenterGreenbrae 26 $80,956 $9,050 $7,482
Stanford HospitalPalo Alto 26 $139,037 $13,794 $10,284
Marian Medical CenterSanta Maria 24 $38,813 $8,624 $7,078
Sharp Memorial HospitalSan Diego 23 $92,911 $9,171 $7,057
Saint John's Health CenterSanta Monica 23 $43,324 $7,303 $5,727
Huntington Memorial HospitalPasadena 23 $77,583 $7,911 $6,462
Torrance Memorial Medical CenterTorrance 22 $65,902 $7,879 $6,322
Emanate Health Inter-Community HospitalCovina 22 $36,619 $8,704 $7,051
Santa Barbara Cottage HospitalSanta Barbara 22 $44,110 $8,627 $6,903
Grossmont HospitalLa Mesa 21 $53,670 $8,466 $6,950
Clovis Community Medical CenterClovis 21 $35,607 $10,388 $5,177
Enloe Medical CenterChico 20 $61,302 $7,772 $6,467
Dominican HospitalSanta Cruz 19 $74,034 $8,643 $7,183
Sutter Roseville Medical CenterRoseville 19 $51,393 $8,224 $6,875
Santa Clara Valley Medical CenterSan Jose 18 $62,454 $13,919 $12,169
Community Hospital of the Monterey PeninsulaMonterey 18 $56,390 $9,013 $7,472
Providence Saint Joseph Medical CtrBurbank 18 $46,519 $8,110 $6,844
Mercy Medical Center ReddingRedding 18 $55,035 $8,507 $6,796
Good Samaritan HospitalSan Jose 18 $104,586 $8,813 $7,364
Kaweah Delta Medical CenterVisalia 16 $26,161 $8,842 $7,142
Providence Little Company of Mary Med Ctr TorranceTorrance 16 $48,292 $8,330 $6,434
Peninsula Medical CenterBurlingame 15 $53,501 $9,065 $7,576
Glendale Adventist Medical CtrGlendale 15 $55,822 $8,780 $7,172
Saint Agnes Medical CenterFresno 14 $40,557 $9,396 $7,526
San Antonio Community HospitalUpland 14 $70,276 $7,961 $6,681
Palomar Medical CenterEscondido 14 $75,609 $6,642 $5,473
Northridge Hospital Medical CenterNorthridge 14 $83,056 $8,987 $7,556
UCLA Medical CenterLos Angeles 13 $31,206 $10,812 $8,377
Memorial Medical CenterModesto 13 $50,423 $8,007 $6,751
University of California San Diego Medical CenterSan Diego 12 $45,485 $14,261 $9,409
Oroville HospitalOroville 12 $27,751 $7,937 $6,577
Santa Rosa Memorial HospitalSanta Rosa 12 $74,999 $19,987 $6,912
Scripps Memorial Hospital - EncinitasEncinitas 12 $37,536 $7,656 $6,282
University of California Davis Medical CenterSacramento 12 $98,338 $12,638 $8,909
Saddleback Memorial Medical CenterLaguna Hills 12 $55,902 $7,673 $6,452
Providence Tarzana Medical CenterTarzana 12 $39,218 $7,790 $6,598
Simi Valley Hospital & Health Care ServicesSimi Valley 11 $57,859 $7,190 $6,006
Good Samaritan HospitalLos Angeles 11 $37,129 $8,685 $7,394
Mercy San Juan Medical CenterCarmichael 11 $66,639 $8,659 $7,004
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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.

Fractures of hip and pelvis without major complications in other states

Questions

How much does fractures of hip and pelvis without major complications cost in California?

In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 47 hospitals in California was billed at $64,056 on average, while the average total payment was $9,139, of which Medicare paid $7,117. 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 7.0 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.