Heart transplant or implant of heart assist system with major complications in California
What 10 hospitals in California charged and were paid for a Medicare hospital stay for heart transplant or implant of heart assist system with major complications (DRG 001), from 2024 Medicare claims.
Average charge
$2,530,008
Hospital list price billed
Average payment
$477,756
Medicare + patient + other payers
Medicare paid
$423,489
Average per stay
State rank
#13 of 13
1 = lowest average payment
Hospitals in California billed an average of $2,530,008 for heart transplant or implant of heart assist system with major complications, about 5.3 times the average total payment of $477,756. That payment is 37% above the U.S. average of $349,592.
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 $477,756Billed $2,530,008
About 19¢ was paid for every $1 hospitals in California billed for this stay.
California hospitals: heart transplant or implant of heart assist system with 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 | 39 | $3,718,436 | $413,310 | $366,697 |
| University of California San Diego Medical CenterSan Diego | 29 | $1,414,593 | $433,480 | $376,938 |
| UCSF Medical CenterSan Francisco | 29 | $2,460,577 | $503,719 | $474,239 |
| Sutter General HospitalSacramento | 25 | $1,391,178 | $443,700 | $349,481 |
| UCLA Medical CenterLos Angeles | 25 | $2,221,323 | $611,930 | $532,654 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 19 | $1,968,090 | $595,126 | $519,449 |
| Stanford HospitalPalo Alto | 17 | $4,539,050 | $570,389 | $532,760 |
| Sharp Memorial HospitalSan Diego | 12 | $2,649,064 | $381,705 | $361,618 |
| USC University HospitalLos Angeles | 12 | $1,962,010 | $470,041 | $399,435 |
| Doctors Medical CenterModesto | 11 | $3,085,440 | $294,298 | $292,989 |
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
| Doctors Medical CenterModesto, CA | $294,298 |
|---|---|
| Sharp Memorial HospitalSan Diego, CA | $381,705 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $413,310 |
| University of California San Diego Medical CenterSan Diego, CA | $433,480 |
| Sutter General HospitalSacramento, CA | $443,700 |
Highest
| UCLA Medical CenterLos Angeles, CA | $611,930 |
|---|---|
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $595,126 |
| Stanford HospitalPalo Alto, CA | $570,389 |
| UCSF Medical CenterSan Francisco, CA | $503,719 |
| USC University HospitalLos Angeles, CA | $470,041 |
Heart transplant or implant of heart assist system with major complications in other states
Questions
How much does heart transplant or implant of heart assist system with major complications cost in California?
In 2024 Medicare data, a hospital stay for heart transplant or implant of heart assist system with major complications (DRG 001) at 10 hospitals in California was billed at $2,530,008 on average, while the average total payment was $477,756, of which Medicare paid $423,489. 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 5.3 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.