facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in California: 117 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in California

What 117 hospitals in California charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $160,833 Hospital list price billed
Average payment $23,321 Medicare + patient + other payers
Medicare paid $20,582 Average per stay
State rank #46 of 50 1 = lowest average payment

Hospitals in California billed an average of $160,833 for hip replacement with principal diagnosis of hip fracture without major complications, about 6.9 times the average total payment of $23,321. That payment is 27% above the U.S. average of $18,301.

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 $23,321Billed $160,833

About 15¢ 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 without 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
Eisenhower Memorial HospitalRancho Mirage 73 $107,187 $22,064 $19,753
Hoag Memorial Hospital PresbyterianNewport Beach 61 $94,405 $19,528 $18,220
Cedars-Sinai Medical CenterLos Angeles 61 $365,868 $26,066 $22,570
Mercy Medical Center ReddingRedding 58 $94,760 $21,868 $19,459
Kaweah Delta Medical CenterVisalia 51 $69,406 $23,324 $20,983
Mission Hospital Regional Med CenterMission Viejo 51 $118,191 $23,230 $17,466
Enloe Medical CenterChico 50 $156,544 $20,091 $18,655
Desert Regional Medical CenterPalm Springs 50 $341,627 $23,245 $21,406
Marian Medical CenterSanta Maria 48 $123,297 $21,776 $20,225
John Muir Medical Center - Walnut Creek CampusWalnut Creek 48 $212,764 $22,194 $20,860
Sutter Roseville Medical CenterRoseville 47 $121,541 $21,895 $20,310
Clovis Community Medical CenterClovis 47 $93,454 $22,571 $17,993
Stanford HospitalPalo Alto 45 $336,773 $34,232 $29,832
Los Robles Hospital & Medical CenterThousand Oaks 45 $318,692 $20,956 $19,152
Saint Agnes Medical CenterFresno 44 $97,046 $23,715 $21,187
USC Arcadia HospitalArcadia 40 $112,315 $17,797 $16,405
El Camino HospitalMountain View 38 $208,013 $23,301 $21,732
Saint John's Health CenterSanta Monica 37 $108,839 $19,706 $17,946
Palomar Medical CenterEscondido 36 $138,521 $16,292 $14,924
Providence Saint Joseph Medical CtrBurbank 36 $111,412 $20,859 $19,062
Scripps Memorial Hospital la JollaLa Jolla 36 $163,890 $22,533 $17,598
Torrance Memorial Medical CenterTorrance 36 $120,900 $20,081 $18,540
Santa Barbara Cottage HospitalSanta Barbara 34 $112,420 $22,027 $20,285
Huntington Memorial HospitalPasadena 34 $134,050 $21,479 $19,034
Memorial Medical CenterModesto 34 $126,594 $20,193 $18,657
Grossmont HospitalLa Mesa 33 $187,764 $21,645 $20,211
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 33 $127,357 $24,875 $22,764
Community Hospital of the Monterey PeninsulaMonterey 31 $132,501 $23,075 $21,496
St Jude Medical CenterFullerton 31 $81,723 $20,948 $18,055
Hoag Orthopedic InstituteIrvine 31 $100,602 $18,581 $15,688
Northridge Hospital Medical CenterNorthridge 30 $183,388 $22,310 $20,616
Rideout Memorial HospitalMarysville 30 $142,556 $22,725 $21,256
Scripps Memorial Hospital - EncinitasEncinitas 30 $182,586 $20,744 $18,345
St Joseph HospitalOrange 29 $90,457 $22,412 $18,127
Marinhealth Medical CenterGreenbrae 29 $235,960 $24,146 $21,595
Doctors Medical CenterModesto 29 $278,444 $22,043 $20,441
University of California San Diego Medical CenterSan Diego 28 $145,607 $36,702 $24,662
California Pacific Medical Ctr - St. Luke's CampusSan Francisco 28 $121,005 $25,887 $22,557
Santa Rosa Memorial HospitalSanta Rosa 28 $233,218 $26,136 $22,652
Glendale Adventist Medical CtrGlendale 28 $154,062 $22,076 $20,380
Peninsula Medical CenterBurlingame 26 $109,063 $23,549 $21,976
Santa Clara Valley Medical CenterSan Jose 26 $133,438 $31,519 $29,142
Good Samaritan HospitalSan Jose 26 $387,437 $23,156 $21,651
Sharp Memorial HospitalSan Diego 25 $130,136 $22,366 $18,282
Community Regional Medical CenterFresno 24 $131,605 $23,949 $22,128
Community Memorial Hospital - VenturaVentura 24 $81,993 $23,930 $21,830
UCSF Medical CenterSan Francisco 24 $206,613 $37,059 $31,172
Mercy San Juan Medical CenterCarmichael 24 $149,884 $22,896 $20,057
University of California Davis Medical CenterSacramento 24 $250,000 $32,992 $24,903
Queen of the Valley Medical CenterNapa 22 $164,279 $23,907 $22,286
Scripps Mercy HospitalSan Diego 22 $191,427 $27,194 $20,220
Dominican HospitalSanta Cruz 22 $179,045 $22,287 $20,877
Sutter Medical Center of Santa RosaSanta Rosa 22 $132,074 $25,811 $23,685
Long Beach Memorial Medical CenterLong Beach 22 $159,542 $22,565 $20,718
Orange Coast Memorial Medical CenterFountain Valley 22 $112,465 $19,925 $17,987
Hanford Community Medical CenterHanford 21 $101,758 $21,783 $20,298
Adventist Health BakersfieldBakersfield 21 $157,679 $19,517 $18,268
West Hills Hospital & Medical CenterWest Hills 21 $333,757 $22,580 $17,947
Twin Cities Community HospitalTempleton 21 $221,127 $20,007 $18,375
St Johns Regional Medical CenterOxnard 20 $128,662 $20,871 $19,203
San Gabriel Valley Medical CenterSan Gabriel 20 $118,733 $21,942 $20,475
Salinas Valley Memorial HospitalSalinas 20 $175,709 $24,303 $22,754
Lodi Memorial HospitalLodi 20 $204,173 $20,662 $19,030
UCI Health-OrangeOrange 20 $137,938 $35,820 $25,448
John Muir Medical Center - Concord CampusConcord 20 $223,587 $25,211 $21,404
San Antonio Community HospitalUpland 19 $126,195 $20,319 $18,286
Sutter General HospitalSacramento 19 $109,326 $25,046 $23,355
Loma Linda University Medical CenterLoma Linda 19 $211,684 $34,042 $28,827
Sonora Community HospitalSonora 19 $152,217 $22,913 $21,367
Natividad Medical CenterSalinas 18 $135,277 $26,369 $24,862
Marshall Medical Center (1-Rh)Placerville 18 $174,985 $21,141 $19,781
Lac/Harbor-UCLA Med CenterTorrance 18 $64,966 $39,275 $33,889
Sierra Vista Regional Medical CenterSan Luis Obispo 18 $208,023 $20,580 $18,948
Henry Mayo Newhall Memorial HospitalValencia 18 $141,438 $19,702 $18,433
St Joseph HospitalEureka 17 $133,106 $22,784 $21,063
Mercy General HospitalSacramento 17 $156,549 $19,550 $18,335
Riverside Community HospitalRiverside 17 $261,636 $23,134 $21,320
Bakersfield Memorial HospitalBakersfield 17 $109,048 $20,957 $19,511
Mercy Medical Ctr MercedMerced 17 $163,276 $22,742 $20,835
Alta Bates Summit Medical CenterOakland 16 $124,767 $23,583 $21,924
Emanuel Medical Center INCTurlock 16 $352,077 $21,715 $20,085
Washington HospitalFremont 16 $194,782 $27,344 $20,799
Simi Valley Hospital & Health Care ServicesSimi Valley 16 $159,708 $22,778 $17,222
Goleta Valley Cottage HospitalSanta Barbara 16 $102,966 $19,264 $17,734
Antelope Valley Hospital Med CenterLancaster 15 $87,828 $21,160 $18,520
Kaiser Foundation Hospital Oakland/RichmondOakland 15 $113,070 $38,291 $22,709
Novato Community HospitalNovato 15 $108,727 $23,262 $21,848
PIH Health Hospital-WhittierWhittier 15 $113,564 $20,663 $19,240
St Mary Medical CenterApple Valley 15 $126,805 $21,378 $19,694
Northbay Medical CenterFairfield 15 $344,895 $25,504 $23,959
Eden Medical CenterCastro Valley 15 $129,900 $23,791 $22,260
Saddleback Memorial Medical CenterLaguna Hills 15 $121,087 $19,443 $17,920
St Josephs Med Center of StocktonStockton 14 $173,060 $27,720 $25,624
Pomona Valley Hospital Medical CenterPomona 14 $156,408 $22,642 $20,977
Stanford Health Care Tri-ValleyPleasanton 14 $187,618 $25,004 $18,749
Providence Little Company of Mary Med Ctr TorranceTorrance 14 $116,133 $20,915 $17,785
Southwest Healthcare SystemMurrieta 14 $141,725 $23,146 $21,312
Providence Tarzana Medical CenterTarzana 14 $135,617 $20,952 $19,288
Shasta Regional Medical CenterRedding 14 $128,411 $20,169 $18,743
Mercy HospitalBakersfield 13 $117,119 $20,800 $19,796
Highland HospitalOakland 13 $131,912 $34,909 $32,847
Kaiser Foundation Hospital - San DiegoSan Diego 13 $64,285 $43,218 $10,762
Sierra Nevada Memorial HospitalGrass Valley 12 $152,251 $21,091 $19,595
Redlands Community HospitalRedlands 12 $125,601 $20,349 $18,853
Emanate Health Inter-Community HospitalCovina 12 $104,699 $22,196 $20,446
Mercy Hospital of FolsomFolsom 12 $174,129 $20,921 $19,289
Sutter Auburn Faith HospitalAuburn 12 $104,325 $21,595 $20,099
Los Alamitos Medical CenterLos Alamitos 12 $268,796 $19,240 $17,744
San Ramon Regional Medical CtrSan Ramon 12 $249,246 $21,553 $20,057
Glendale Mem Hospital & Hlth CenterGlendale 11 $113,908 $21,173 $19,541
Sharp Chula Vista Medical CenterChula Vista 11 $140,009 $21,897 $20,265
Providence Holy Cross Medical CenterMission Hills 11 $119,462 $22,011 $20,316
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 11 $117,539 $24,707 $23,203
Corona Regional Medical CenterCorona 11 $169,479 $20,064 $18,502
Sutter Davis HospitalDavis 11 $127,431 $22,094 $20,700
Loma Linda University Medical Center-MurrietaMurrieta 11 $139,586 $23,693 $21,771
Temecula Valley HospitalTemecula 11 $150,756 $27,303 $24,437
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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

Palomar Medical CenterEscondido, CA$16,292
USC Arcadia HospitalArcadia, CA$17,797
Hoag Orthopedic InstituteIrvine, CA$18,581
Los Alamitos Medical CenterLos Alamitos, CA$19,240
Goleta Valley Cottage HospitalSanta Barbara, CA$19,264

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in California?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 117 hospitals in California was billed at $160,833 on average, while the average total payment was $23,321, of which Medicare paid $20,582. 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 6.9 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.