facebook tracking Hip and femur procedures except major joint without complications cost in California: 43 hospitals compared (DRG 482)

Hip and femur procedures except major joint without complications in California

What 43 hospitals in California charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.

DRG 482 Inpatient 2024 Medicare data
Average charge $117,545 Hospital list price billed
Average payment $17,614 Medicare + patient + other payers
Medicare paid $15,146 Average per stay
State rank #34 of 36 1 = lowest average payment

Hospitals in California billed an average of $117,545 for hip and femur procedures except major joint without complications, about 6.7 times the average total payment of $17,614. That payment is 23% above the U.S. average of $14,276.

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 $17,614Billed $117,545

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

California hospitals: hip and femur procedures except major joint without 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 38 $70,516 $15,132 $13,770
Eisenhower Memorial HospitalRancho Mirage 25 $102,679 $17,354 $14,608
Palomar Medical CenterEscondido 23 $117,198 $15,996 $13,303
Providence Saint Joseph Medical CtrBurbank 22 $93,004 $16,970 $13,603
Mercy Medical Center ReddingRedding 22 $83,734 $16,603 $13,988
Kaweah Delta Medical CenterVisalia 20 $57,586 $17,878 $15,888
John Muir Medical Center - Walnut Creek CampusWalnut Creek 20 $160,012 $17,189 $15,631
Desert Regional Medical CenterPalm Springs 20 $225,871 $17,333 $15,552
Saint Agnes Medical CenterFresno 19 $72,475 $17,816 $15,729
Good Samaritan HospitalSan Jose 19 $270,205 $18,148 $15,191
Grossmont HospitalLa Mesa 18 $101,763 $18,247 $14,131
Santa Barbara Cottage HospitalSanta Barbara 18 $86,727 $16,721 $14,973
Stanford HospitalPalo Alto 18 $213,114 $25,276 $20,567
Santa Clara Valley Medical CenterSan Jose 17 $93,766 $24,493 $22,413
St Johns Regional Medical CenterOxnard 17 $95,499 $15,974 $14,236
Dominican HospitalSanta Cruz 17 $125,107 $16,773 $15,237
Scripps Memorial Hospital la JollaLa Jolla 17 $109,898 $15,192 $13,560
Torrance Memorial Medical CenterTorrance 17 $90,587 $15,331 $13,701
Mercy San Juan Medical CenterCarmichael 17 $130,792 $17,708 $13,511
Cedars-Sinai Medical CenterLos Angeles 17 $254,749 $19,298 $16,465
Riverside Community HospitalRiverside 15 $223,658 $25,966 $15,388
Community Memorial Hospital - VenturaVentura 15 $54,722 $17,775 $15,798
Los Robles Hospital & Medical CenterThousand Oaks 15 $211,209 $17,677 $13,576
Glendale Mem Hospital & Hlth CenterGlendale 14 $98,689 $16,503 $15,220
Huntington Memorial HospitalPasadena 14 $85,699 $16,160 $14,534
Marian Medical CenterSanta Maria 13 $94,196 $18,293 $14,062
Natividad Medical CenterSalinas 13 $90,246 $19,759 $18,099
Mercy HospitalBakersfield 13 $84,881 $16,149 $14,517
Saddleback Memorial Medical CenterLaguna Hills 13 $86,585 $14,967 $13,461
Community Regional Medical CenterFresno 12 $109,196 $18,066 $16,178
Rideout Memorial HospitalMarysville 12 $103,429 $17,052 $15,423
San Joaquin General HospitalFrench Camp 12 $111,670 $19,834 $17,901
Bakersfield Memorial HospitalBakersfield 11 $78,619 $16,062 $14,576
California Pacific Medical Ctr - St. Luke's CampusSan Francisco 11 $81,156 $19,861 $18,351
San Antonio Community HospitalUpland 11 $121,989 $15,795 $14,311
Community Hospital of the Monterey PeninsulaMonterey 11 $108,707 $17,360 $15,876
Santa Rosa Memorial HospitalSanta Rosa 11 $138,680 $18,554 $16,692
Sutter Roseville Medical CenterRoseville 11 $78,475 $16,713 $14,978
Sonora Community HospitalSonora 11 $111,513 $17,172 $15,837
Clovis Community Medical CenterClovis 11 $73,964 $15,407 $13,009
Mission Hospital Regional Med CenterMission Viejo 11 $73,523 $17,868 $12,637
Henry Mayo Newhall Memorial HospitalValencia 11 $119,812 $15,013 $13,532
Providence Tarzana Medical CenterTarzana 11 $112,940 $15,736 $13,936
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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.

Highest

Riverside Community HospitalRiverside, CA$25,966
Stanford HospitalPalo Alto, CA$25,276
Santa Clara Valley Medical CenterSan Jose, CA$24,493
California Pacific Medical Ctr - St. Luke's CampusSan Francisco, CA$19,861
San Joaquin General HospitalFrench Camp, CA$19,834

Hip and femur procedures except major joint without complications in other states

Questions

How much does hip and femur procedures except major joint without complications cost in California?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 43 hospitals in California was billed at $117,545 on average, while the average total payment was $17,614, of which Medicare paid $15,146. 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.