Hip replacement with principal diagnosis of hip fracture with major complications in California
What 34 hospitals in California charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$233,415
Hospital list price billed
Average payment
$33,000
Medicare + patient + other payers
Medicare paid
$30,460
Average per stay
State rank
#38 of 40
1 = lowest average payment
Hospitals in California billed an average of $233,415 for hip replacement with principal diagnosis of hip fracture with major complications, about 7.1 times the average total payment of $33,000. That payment is 28% above the U.S. average of $25,727.
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 $33,000Billed $233,415
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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Enloe Medical CenterChico | 26 | $201,238 | $26,640 | $25,337 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 25 | $149,590 | $35,220 | $32,960 |
| Sutter Roseville Medical CenterRoseville | 24 | $167,471 | $29,918 | $28,245 |
| Cedars-Sinai Medical CenterLos Angeles | 24 | $493,250 | $39,453 | $34,345 |
| Mercy Medical Center ReddingRedding | 23 | $113,840 | $29,226 | $27,553 |
| Los Robles Hospital & Medical CenterThousand Oaks | 21 | $390,195 | $29,285 | $27,713 |
| Stanford HospitalPalo Alto | 20 | $423,095 | $47,673 | $42,165 |
| Scripps Memorial Hospital la JollaLa Jolla | 19 | $197,262 | $27,166 | $26,051 |
| El Camino HospitalMountain View | 17 | $323,629 | $34,257 | $32,862 |
| Santa Barbara Cottage HospitalSanta Barbara | 17 | $174,063 | $31,033 | $29,028 |
| Saint Agnes Medical CenterFresno | 16 | $131,137 | $31,947 | $29,636 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 16 | $123,518 | $26,833 | $25,469 |
| Torrance Memorial Medical CenterTorrance | 16 | $185,273 | $26,762 | $25,848 |
| Mission Hospital Regional Med CenterMission Viejo | 16 | $146,092 | $26,738 | $25,412 |
| St Jude Medical CenterFullerton | 15 | $138,615 | $27,054 | $25,667 |
| Doctors Medical CenterModesto | 15 | $503,989 | $30,474 | $29,099 |
| Eisenhower Memorial HospitalRancho Mirage | 15 | $160,403 | $29,032 | $27,185 |
| Sutter General HospitalSacramento | 14 | $116,034 | $32,214 | $30,573 |
| Northridge Hospital Medical CenterNorthridge | 14 | $233,649 | $26,970 | $25,485 |
| University of California Davis Medical CenterSacramento | 14 | $372,086 | $53,520 | $43,753 |
| St Joseph HospitalEureka | 13 | $191,771 | $31,216 | $29,549 |
| University of California San Diego Medical CenterSan Diego | 13 | $278,107 | $51,765 | $38,730 |
| St Johns Regional Medical CenterOxnard | 13 | $155,984 | $28,586 | $26,734 |
| Palomar Medical CenterEscondido | 13 | $232,769 | $28,193 | $27,179 |
| Shasta Regional Medical CenterRedding | 13 | $158,728 | $27,067 | $25,403 |
| Marian Medical CenterSanta Maria | 12 | $140,579 | $29,751 | $27,900 |
| Santa Rosa Memorial HospitalSanta Rosa | 12 | $282,914 | $32,558 | $30,930 |
| Santa Clara Valley Medical CenterSan Jose | 11 | $212,348 | $44,693 | $42,211 |
| Scripps Mercy HospitalSan Diego | 11 | $217,906 | $33,484 | $31,073 |
| Community Hospital of the Monterey PeninsulaMonterey | 11 | $242,971 | $37,561 | $36,077 |
| Stanford Health Care Tri-ValleyPleasanton | 11 | $258,895 | $31,723 | $30,240 |
| Marinhealth Medical CenterGreenbrae | 11 | $297,901 | $32,319 | $31,132 |
| UCSF Medical CenterSan Francisco | 11 | $314,333 | $54,792 | $46,035 |
| Sherman Oaks HospitalSherman Oaks | 11 | $116,008 | $28,626 | $27,884 |
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
| Enloe Medical CenterChico, CA | $26,640 |
|---|---|
| Mission Hospital Regional Med CenterMission Viejo, CA | $26,738 |
| Torrance Memorial Medical CenterTorrance, CA | $26,762 |
| Hoag Memorial Hospital PresbyterianNewport Beach, CA | $26,833 |
| Northridge Hospital Medical CenterNorthridge, CA | $26,970 |
Highest
| UCSF Medical CenterSan Francisco, CA | $54,792 |
|---|---|
| University of California Davis Medical CenterSacramento, CA | $53,520 |
| University of California San Diego Medical CenterSan Diego, CA | $51,765 |
| Stanford HospitalPalo Alto, CA | $47,673 |
| Santa Clara Valley Medical CenterSan Jose, CA | $44,693 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in California?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 34 hospitals in California was billed at $233,415 on average, while the average total payment was $33,000, of which Medicare paid $30,460. 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 7.1 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.