Heart failure and shock with complications in California
What 29 hospitals in California charged and were paid for a Medicare hospital stay for heart failure and shock with complications (DRG 292), from 2024 Medicare claims.
Average charge
$80,582
Hospital list price billed
Average payment
$13,784
Medicare + patient + other payers
Medicare paid
$10,704
Average per stay
State rank
#30 of 30
1 = lowest average payment
Hospitals in California billed an average of $80,582 for heart failure and shock with complications, about 5.8 times the average total payment of $13,784. That payment is 45% above the U.S. average of $9,533.
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 $13,784Billed $80,582
About 17¢ 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: heart failure and shock 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 |
|---|---|---|---|---|
| Hoag Memorial Hospital PresbyterianNewport Beach | 26 | $41,912 | $8,323 | $7,105 |
| John Muir Medical Center - Concord CampusConcord | 23 | $105,904 | $12,844 | $8,081 |
| Stanford HospitalPalo Alto | 22 | $155,570 | $15,334 | $12,013 |
| Saint Agnes Medical CenterFresno | 21 | $41,763 | $9,895 | $8,583 |
| Kaweah Delta Medical CenterVisalia | 19 | $32,687 | $10,051 | $8,431 |
| Cedars-Sinai Medical CenterLos Angeles | 19 | $150,053 | $12,207 | $9,101 |
| Santa Clara Valley Medical CenterSan Jose | 17 | $91,695 | $15,284 | $13,916 |
| Torrance Memorial Medical CenterTorrance | 17 | $65,311 | $8,001 | $6,753 |
| Lac/Harbor-UCLA Med CenterTorrance | 17 | $46,499 | $22,843 | $18,477 |
| Santa Barbara Cottage HospitalSanta Barbara | 17 | $50,134 | $9,228 | $7,820 |
| Clovis Community Medical CenterClovis | 17 | $51,026 | $8,219 | $7,346 |
| University of California Davis Medical CenterSacramento | 16 | $109,533 | $15,433 | $10,532 |
| Scripps Memorial Hospital la JollaLa Jolla | 15 | $47,284 | $8,363 | $7,493 |
| Grossmont HospitalLa Mesa | 14 | $57,502 | $9,231 | $7,949 |
| Contra Costa Regional Medical CenterMartinez | 14 | $39,047 | $24,580 | $15,526 |
| University of California San Diego Medical CenterSan Diego | 13 | $53,793 | $15,949 | $9,131 |
| Enloe Medical CenterChico | 13 | $110,121 | $8,165 | $7,412 |
| Kaiser Foundation Hospital Oakland/RichmondOakland | 13 | $85,549 | $13,943 | $12,418 |
| Sharp Memorial HospitalSan Diego | 13 | $83,655 | $13,661 | $7,548 |
| UCLA Medical CenterLos Angeles | 13 | $67,027 | $17,935 | $12,928 |
| UCI Health-OrangeOrange | 13 | $64,851 | $14,934 | $12,166 |
| Doctors Medical CenterModesto | 13 | $162,284 | $9,355 | $8,179 |
| Sutter General HospitalSacramento | 12 | $50,865 | $10,729 | $9,526 |
| Palomar Medical CenterEscondido | 12 | $68,443 | $6,202 | $5,145 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 12 | $128,597 | $9,506 | $8,269 |
| San Francisco General HospitalSan Francisco | 12 | $80,142 | $19,353 | $17,233 |
| Community Regional Medical CenterFresno | 11 | $62,733 | $10,225 | $8,063 |
| Sutter Roseville Medical CenterRoseville | 11 | $49,897 | $8,614 | $7,517 |
| Los Angeles General Medical CenterLos Angeles | 11 | $210,851 | $69,377 | $48,382 |
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
| Palomar Medical CenterEscondido, CA | $6,202 |
|---|---|
| Torrance Memorial Medical CenterTorrance, CA | $8,001 |
| Enloe Medical CenterChico, CA | $8,165 |
| Clovis Community Medical CenterClovis, CA | $8,219 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $8,323 |
Highest
| Los Angeles General Medical CenterLos Angeles, CA | $69,377 |
|---|---|
| Contra Costa Regional Medical CenterMartinez, CA | $24,580 |
| Lac/Harbor-UCLA Med CenterTorrance, CA | $22,843 |
| San Francisco General HospitalSan Francisco, CA | $19,353 |
| UCLA Medical CenterLos Angeles, CA | $17,935 |
Heart failure and shock with complications in other states
Questions
How much does heart failure and shock with complications cost in California?
In 2024 Medicare data, a hospital stay for heart failure and shock with complications (DRG 292) at 29 hospitals in California was billed at $80,582 on average, while the average total payment was $13,784, of which Medicare paid $10,704. 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 5.8 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.