facebook tracking Hip and femur procedures except major joint with complications cost in California: 150 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in California

What 150 hospitals in California charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $155,668 Hospital list price billed
Average payment $23,404 Medicare + patient + other payers
Medicare paid $20,622 Average per stay
State rank #46 of 50 1 = lowest average payment

Hospitals in California billed an average of $155,668 for hip and femur procedures except major joint with complications, about 6.7 times the average total payment of $23,404. That payment is 27% above the U.S. average of $18,473.

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 $23,404Billed $155,668

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

California hospitals: hip and femur procedures except major joint 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
Sutter Roseville Medical CenterRoseville 113 $107,768 $21,488 $19,349
Hoag Memorial Hospital PresbyterianNewport Beach 111 $82,186 $19,152 $18,018
Stanford HospitalPalo Alto 100 $299,668 $35,156 $27,800
Cedars-Sinai Medical CenterLos Angeles 94 $346,963 $26,289 $22,073
University of California Davis Medical CenterSacramento 91 $282,322 $32,597 $25,318
Enloe Medical CenterChico 81 $152,584 $19,687 $17,762
Scripps Memorial Hospital la JollaLa Jolla 81 $163,517 $19,548 $18,238
John Muir Medical Center - Walnut Creek CampusWalnut Creek 77 $213,350 $22,768 $21,190
Mission Hospital Regional Med CenterMission Viejo 76 $107,127 $19,919 $17,791
Providence Saint Joseph Medical CtrBurbank 69 $110,883 $20,251 $18,637
Sharp Memorial HospitalSan Diego 68 $142,946 $25,809 $18,321
El Camino HospitalMountain View 67 $199,407 $22,612 $20,871
University of California San Diego Medical CenterSan Diego 66 $156,812 $31,743 $24,709
Saint Agnes Medical CenterFresno 65 $81,685 $23,687 $20,413
Mercy Medical Center ReddingRedding 65 $102,597 $20,245 $18,641
Marian Medical CenterSanta Maria 64 $129,318 $22,080 $19,352
Palomar Medical CenterEscondido 63 $158,564 $18,036 $15,117
Desert Regional Medical CenterPalm Springs 63 $290,117 $23,349 $21,340
Santa Rosa Memorial HospitalSanta Rosa 62 $216,642 $23,171 $21,477
Glendale Adventist Medical CtrGlendale 59 $146,110 $21,783 $20,070
Rideout Memorial HospitalMarysville 58 $116,203 $22,286 $20,992
Huntington Memorial HospitalPasadena 58 $142,228 $21,089 $18,849
Scripps Memorial Hospital - EncinitasEncinitas 55 $130,284 $19,572 $18,071
Santa Barbara Cottage HospitalSanta Barbara 53 $120,472 $22,480 $20,607
Los Robles Hospital & Medical CenterThousand Oaks 53 $293,127 $21,242 $19,461
Eisenhower Memorial HospitalRancho Mirage 53 $115,349 $20,153 $18,538
Kaweah Delta Medical CenterVisalia 52 $78,403 $23,432 $21,277
Santa Clara Valley Medical CenterSan Jose 51 $143,760 $30,407 $28,049
Community Regional Medical CenterFresno 51 $137,494 $23,126 $21,269
Hanford Community Medical CenterHanford 50 $82,269 $21,227 $19,575
Mercy HospitalBakersfield 50 $114,452 $20,570 $18,504
St Jude Medical CenterFullerton 49 $77,685 $19,093 $17,616
Community Hospital of the Monterey PeninsulaMonterey 48 $150,846 $24,727 $20,756
Torrance Memorial Medical CenterTorrance 46 $126,232 $19,595 $18,211
Community Memorial Hospital - VenturaVentura 46 $78,416 $23,274 $20,423
Memorial Medical CenterModesto 46 $115,841 $19,975 $18,485
Northbay Medical CenterFairfield 45 $321,814 $24,654 $23,150
Saint John's Health CenterSanta Monica 43 $94,868 $19,800 $18,078
Marinhealth Medical CenterGreenbrae 42 $234,172 $23,171 $21,695
Scripps Mercy HospitalSan Diego 41 $194,664 $23,301 $21,362
Clovis Community Medical CenterClovis 41 $86,246 $19,952 $18,510
St Joseph HospitalOrange 40 $80,008 $21,646 $18,117
UCSF Medical CenterSan Francisco 40 $186,236 $36,766 $28,944
Northridge Hospital Medical CenterNorthridge 39 $193,515 $22,082 $20,381
St Johns Regional Medical CenterOxnard 38 $112,903 $20,173 $18,505
Washington HospitalFremont 38 $197,060 $22,695 $21,156
USC Arcadia HospitalArcadia 38 $119,802 $17,710 $15,340
Sonora Community HospitalSonora 38 $144,006 $25,480 $20,699
Good Samaritan HospitalSan Jose 37 $324,522 $22,634 $21,090
Eden Medical CenterCastro Valley 37 $117,877 $23,110 $21,604
Pomona Valley Hospital Medical CenterPomona 36 $168,937 $21,828 $20,120
Highland HospitalOakland 36 $167,533 $35,812 $33,314
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 35 $100,158 $24,141 $20,956
Natividad Medical CenterSalinas 35 $139,883 $25,054 $23,312
Adventist Health BakersfieldBakersfield 35 $121,061 $18,938 $17,534
Doctors Medical CenterModesto 35 $322,778 $22,825 $19,772
Mercy San Juan Medical CenterCarmichael 35 $153,815 $21,877 $20,401
Twin Cities Community HospitalTempleton 35 $224,522 $19,898 $17,171
California Pacific Medical Ctr - St. Luke's CampusSan Francisco 34 $89,069 $25,244 $23,721
Sutter General HospitalSacramento 34 $90,538 $26,224 $22,160
St Joseph HospitalEureka 33 $124,190 $23,336 $19,172
Los Angeles General Medical CenterLos Angeles 33 $84,845 $42,270 $35,805
Saddleback Memorial Medical CenterLaguna Hills 33 $111,901 $19,466 $17,136
Riverside Community HospitalRiverside 32 $248,669 $23,701 $21,615
Bakersfield Memorial HospitalBakersfield 32 $114,992 $20,371 $19,035
UCLA Medical CenterLos Angeles 31 $114,498 $36,952 $28,928
Peninsula Medical CenterBurlingame 30 $91,495 $23,526 $20,386
Grossmont HospitalLa Mesa 30 $139,903 $20,979 $19,510
Dominican HospitalSanta Cruz 30 $162,093 $22,348 $19,529
Providence Tarzana Medical CenterTarzana 30 $148,281 $23,047 $16,949
Antelope Valley Hospital Med CenterLancaster 29 $114,104 $21,161 $19,798
Sierra Nevada Memorial HospitalGrass Valley 29 $122,749 $20,394 $18,818
Riverside County Regional Medical CenterMoreno Valley 29 $181,697 $30,192 $23,806
Mercy Medical Ctr MercedMerced 29 $153,276 $22,443 $20,422
Long Beach Memorial Medical CenterLong Beach 29 $133,911 $23,402 $19,759
Marshall Medical Center (1-Rh)Placerville 28 $140,328 $20,477 $18,962
Southwest Healthcare SystemMurrieta 28 $124,059 $21,502 $19,083
Loma Linda University Medical CenterLoma Linda 26 $154,690 $31,422 $26,470
Emanate Health Inter-Community HospitalCovina 26 $102,157 $22,506 $18,451
Ventura County Medical CenterVentura 25 $151,796 $23,854 $22,020
Providence Little Company of Mary Med Ctr TorranceTorrance 25 $107,669 $20,576 $18,801
Glendale Mem Hospital & Hlth CenterGlendale 24 $109,443 $20,726 $18,525
West Hills Hospital & Medical CenterWest Hills 24 $297,665 $19,872 $18,444
Henry Mayo Newhall Memorial HospitalValencia 24 $144,488 $19,153 $17,793
Queen of the Valley Medical CenterNapa 23 $164,118 $24,615 $20,455
San Joaquin General HospitalFrench Camp 23 $167,262 $24,642 $22,565
UCI Health-OrangeOrange 23 $150,767 $30,156 $26,592
Orange Coast Memorial Medical CenterFountain Valley 23 $136,128 $19,372 $17,679
Sutter Amador HospitalJackson 22 $82,632 $24,978 $23,593
San Francisco General HospitalSan Francisco 22 $219,534 $39,820 $34,204
San Antonio Community HospitalUpland 21 $154,442 $20,265 $18,866
Emanuel Medical Center INCTurlock 21 $311,823 $21,168 $19,614
Providence Holy Cross Medical CenterMission Hills 21 $136,066 $21,508 $19,857
Marina del Rey HospitalMarina del Rey 21 $137,560 $19,499 $18,024
Shasta Regional Medical CenterRedding 21 $129,906 $19,601 $18,018
Alta Bates Summit Medical CenterOakland 20 $101,262 $26,107 $20,484
Tri-City Medical CenterOceanside 20 $75,695 $19,203 $17,722
San Gabriel Valley Medical CenterSan Gabriel 20 $114,665 $21,565 $20,096
PIH Health Hospital-WhittierWhittier 20 $122,522 $19,231 $17,956
French Hospital Medical CenterSan Luis Obispo 20 $133,909 $19,510 $18,123
Lodi Memorial HospitalLodi 20 $197,588 $20,427 $19,123
Los Alamitos Medical CenterLos Alamitos 20 $211,045 $20,427 $16,285
USC University HospitalLos Angeles 20 $132,884 $29,754 $23,525
St Elizabeth Community HospitalRed Bluff 19 $104,221 $21,862 $20,230
Regional Medical Center of San JoseSan Jose 19 $434,926 $25,009 $23,464
Petaluma Valley HospitalPetaluma 19 $153,576 $21,683 $20,259
St Mary Medical CenterLong Beach 19 $139,722 $22,655 $20,774
Sharp Chula Vista Medical CenterChula Vista 19 $136,209 $21,361 $20,073
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 19 $98,836 $23,919 $22,444
John Muir Medical Center - Concord CampusConcord 19 $206,473 $27,939 $20,779
Sutter Auburn Faith HospitalAuburn 19 $91,423 $24,174 $18,926
Sierra Vista Regional Medical CenterSan Luis Obispo 19 $198,616 $19,926 $18,551
St Josephs Med Center of StocktonStockton 18 $142,651 $26,946 $25,086
Stanford Health Care Tri-ValleyPleasanton 18 $160,263 $22,582 $21,041
Sutter Medical Center of Santa RosaSanta Rosa 17 $116,436 $24,377 $22,275
Oroville HospitalOroville 16 $73,562 $20,349 $18,156
Verdugo Hills HospitalGlendale 16 $141,785 $19,842 $18,793
Mercy Hospital of FolsomFolsom 16 $149,617 $20,296 $18,868
Good Samaritan HospitalLos Angeles 16 $135,540 $21,766 $20,299
John F Kennedy Memorial HospIndio 16 $251,500 $21,243 $18,312
Methodist Hospital of SacramentoSacramento 16 $134,694 $29,210 $20,381
Kaiser Foundation Hospital FontanaFontana 15 $100,951 $23,725 $17,712
Palmdale Regional Medical CenterLancaster 15 $223,514 $20,650 $19,265
Simi Valley Hospital & Health Care ServicesSimi Valley 15 $141,825 $19,019 $17,605
Arrowhead Regional Medical CenterColton 15 $184,647 $24,918 $22,362
Redlands Community HospitalRedlands 15 $125,195 $20,475 $16,964
Loma Linda University Medical Center-MurrietaMurrieta 15 $103,935 $23,020 $21,116
Temecula Valley HospitalTemecula 15 $146,407 $26,952 $24,153
St Mary Medical CenterApple Valley 14 $128,107 $21,234 $19,684
Goleta Valley Cottage HospitalSanta Barbara 14 $97,230 $18,602 $16,933
Sherman Oaks HospitalSherman Oaks 14 $113,021 $20,908 $19,510
Hollywood Presbyterian Medical CenterLos Angeles 13 $91,165 $22,012 $18,632
Lompoc Healthcare DistrictLompoc 13 $55,563 $21,668 $20,201
Sierra View District HospitalPorterville 13 $109,559 $23,797 $21,517
Lac/Harbor-UCLA Med CenterTorrance 13 $84,979 $42,550 $35,373
Sutter Delta Medical CenterAntioch 13 $105,856 $23,047 $21,535
Sutter Solano Medical CenterVallejo 12 $100,436 $24,136 $22,640
Novato Community HospitalNovato 12 $94,468 $22,650 $21,562
Ahmc Anaheim Regional Medical CenterAnaheim 12 $126,505 $20,761 $19,537
Salinas Valley Memorial HospitalSalinas 12 $159,632 $23,544 $22,184
Kaiser Foundation Hosp So SacramentoSacramento 12 $147,356 $48,358 $20,916
Watsonville Community HospitalWatsonville 11 $228,993 $23,888 $22,256
Corona Regional Medical CenterCorona 11 $127,137 $20,536 $18,841
Hemet Valley Medical CenterHemet 11 $93,971 $23,678 $21,697
West Anaheim Medical CenterAnaheim 11 $130,202 $22,015 $20,824
St Mary's Medical CenterSan Francisco 11 $194,521 $29,595 $27,360
Kaiser Foundation Hospital - San DiegoSan Diego 11 $89,570 $21,870 $20,185
UCI Health-Placentia LindaPlacentia 11 $186,858 $19,810 $18,327
Kaiser Foundation Hospital AnaheimAnaheim 11 $102,731 $26,265 $15,460
San Ramon Regional Medical CtrSan Ramon 11 $256,136 $25,151 $18,350
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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.

Lowest

USC Arcadia HospitalArcadia, CA$17,710
Palomar Medical CenterEscondido, CA$18,036
Goleta Valley Cottage HospitalSanta Barbara, CA$18,602
Adventist Health BakersfieldBakersfield, CA$18,938
Simi Valley Hospital & Health Care ServicesSimi Valley, CA$19,019

Highest

Kaiser Foundation Hosp So SacramentoSacramento, CA$48,358
Lac/Harbor-UCLA Med CenterTorrance, CA$42,550
Los Angeles General Medical CenterLos Angeles, CA$42,270
San Francisco General HospitalSan Francisco, CA$39,820
UCLA Medical CenterLos Angeles, CA$36,952

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in California?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 150 hospitals in California was billed at $155,668 on average, while the average total payment was $23,404, of which Medicare paid $20,622. 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 6.7 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.